0
Abstract: Poster Presentations |

ACHIEVEMENT OF ASTHMA CONTROL IN LOW SOCIOECONOMIC POPULATION WITH FAVORABLE MEDICAL CARE FACILITIES FREE TO VIEW

Moussa A. Riachy, MD*; Charbel Faraj, MD; Georges Chalouhi, MD; Jean Andari, MD; Mohamad Daher, MD; Georges Khayat, MD; Carole Saadé-Riachy, MD; Nourredine Couche, MD; Ghazi Taan, MD; Pierre Bou Khalil, MD
Author and Funding Information

Hotel Dieu de France - Saint Joseph University, Beirut, Lebanon


Chest


Chest. 2007;132(4_MeetingAbstracts):508. doi:10.1378/chest.132.4_MeetingAbstracts.508
Text Size: A A A
Published online

Abstract

PURPOSE: Few asthmatic patients currently achieve control. Factors contributing to poor asthma control are low use of controller therapy, misuses of management guidelines and misestimating of asthma control by both patients and physicians. In low socioeconomic population comprehensive management efforts to reduce asthma morbidity have not been conclusive. The aim of our study is to identify contributing factors of uncontrolled asthma in this population independent of their low income.

METHODS: A low socioeconomic population seeking medical care in a nongovernmental organization (Hariri foundation) was studied. The foundation offers access to medical care ressources including physicians, laboratory exams and treatment at almost free prices. Asthma control test (ACT) was administered to 110 asthmatic patients scored on a scale from 5 (not controlled at all) to 25 (completely controlled). Asthmatics scored less than 20 are considered uncontrolled. Demographics data, starting age, seasonal and perennial disease, asthma severity, treatment and exposure to smoking were analyzed.

RESULTS: 62 patients (56.4%) have uncontrolled asthma and only 8 patients (7.3%) have complete control. Seasonal asthma was diagnosed in 75% of patients. Active and passive smokers are 19.1% and 29.1% respectively. Inhaled steroids, leukotrienes modifiers, long acting bronchodilators and short acting bronchodilators are used in 23.6%, 13.6%, 17.3% and 72.7% respectively. Patients asthma severity are distributed as GINA I (33.6%), GINA II (20.9%), GINA III (28.2%) and GINA IV (17.3%) are statistically correlated with the ACT score 23±1.7, 18±2.2, 14.8±3.6, 10.7±3.4 respectively (p < 10–3). Independent of GINA staging, multiple analysis using linear regression determined ACT score significant related to passive smoking (beta −3.23 SE 1.50 (p 0.036)) and perennial compared to seasonal asthma (beta −2.76 SE 1.47 (p 0.06)).

CONCLUSION: Control asthma necessitates supplementary management efforts to adapt treatment plan for the severity of the disease, to extend treatment period and to eliminate passive smoking.

CLINICAL IMPLICATIONS: Even with all medical resources and economic facilities, asthma control is still unsatisfactory in a low socioeconomic population.

DISCLOSURE: Moussa Riachy, None.

Wednesday, October 24, 2007

12:30 PM - 2:00 PM


Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543