Obstructive Lung Diseases |

Severity of Asthma in Patients Assisted by a Reference Service in Manaus, Amazonas, Brazil FREE TO VIEW

Suzi Maron*, MBBS; Maria Cardoso, MD; Giselle Afonso, MBBS; Erico Melo, MBBS; Gustavo Pires, MBBS; Rodrigo Oliveira, MBBS; Iure Belli, MBBS
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Universidade Federal do Amazonas (UFAM), Manaus, Brazil

Chest. 2012;142(4_MeetingAbstracts):709A. doi:10.1378/chest.1390111
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SESSION TYPE: Asthma Posters

PRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PM

PURPOSE: To classify the patients assisted in the Asthma Assistance and Control Program (AACP) at Araújo Lima Ambulatory, service of the Universitary Hospital Getúlio Vargas, according to the disease's severity.

METHODS: It is a descriptive and retrospective study, with an observational approach, during which the data from the patients’ records at their first medical appointment in AACP were evaluated, from August of 2003 to July of 2010 (end of this study). The population of the study consists in 1028 patients, who answered a questionnaire, being submitted after to an anamnesis and a physical examination, then finally classified according to 2006 GINA criteria to the gravity of asthma.

RESULTS: From the 1028 patients assisted by AACP, 39 suffered from intermittent asthma (9 controlled and 30 in crisis), 420 from mild persistent asthma (125 controlled and 295 in crisis), 558 from moderate persistent asthma (206 controlled and 352 in crisis) and 11 from severe persistent asthma (6 controlled and 5 in crisis).

CONCLUSIONS: More than a half of the patients assisted by AACP had moderate persistent asthma (54%), while 41% had mild persistent asthma, 4% had intermittent asthma and 1% had severe persistent asthma. Nevertheless, when the response to the treatment is satisfactory, the patient can decrease to an inferior level of gravity.

CLINICAL IMPLICATIONS: It is worth to confirm the purposes of AACP, which consists exactly in establish a regular attendance from the patients to the medical appointments, in order to make a good adherence to the treatment thus a decrease of the gravity of the asthmatic symptoms.

DISCLOSURE: The following authors have nothing to disclose: Suzi Maron, Maria Cardoso, Giselle Afonso, Erico Melo, Gustavo Pires, Rodrigo Oliveira, Iure Belli

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Universidade Federal do Amazonas (UFAM), Manaus, Brazil




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