Obstructive Lung Diseases |

Asthma Control and the Implementation of Asthma Management Guidelines in Greece: A Pilot Study FREE TO VIEW

Vlasia Belimpasaki, PT; Eirini Grammatopoulou, PhD; Aikaterini Haniotou, MD; Konstantinos Zotos, PT; George Nastoulis, PT; Efthalia Stefanaki, MD; Emily Tsaroucha, MD; Eleftherios Zervas, MD; Evdoxia Tsigou, PhD; Anastassios Philippou, PhD; Michael Koutsilieris, PhD
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Dpt of Experimental Physiology, Medical School, National and Kapodistrian University of Athens, Athens, Greece

Chest. 2015;148(4_MeetingAbstracts):707A. doi:10.1378/chest.2268422
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SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 28, 2015 at 01:30 PM - 02:30 PM

PURPOSE: Τo investigate the implementation of asthma management guidelines by both physicians and patients in Greece, in relevance with asthma control.

METHODS: Two valid questionnaires were administered to asthma specialists and patients seperately. The prevalence of asthma control was assessed by the Asthma Control Test. Descriptive data analysis was conducted for the purposes of the study.

RESULTS: All 38 physicians reported that they used to discuss with their patients about asthma and its symptoms; 37 (97.4%) of them provided education to asthma patients to recognize symptoms deterioration and asthma triggers [36 (94.7%)], while 35 (92.1%) trained asthma patients in inhaled medication technique and in modification of medications according to symptoms [36 (97.4%)]. Greek physicians suggested regular follow-up visits [38 (100%)], physical activity [35 (92.1%)], peak-flow meter use [12 (31.6%)], asthma physiotherapy [9 (23.7%)], and administered a written action plan [10 (26.3%)]. Asthma control was achieved by 65% of the participants with asthma (ACT value ≥ 20). Among them, 36 were women (55.4%), 29 men (44.6%); 47 (72.3%) had mild asthma, 13 (20%) had moderate, while 5 (7.7%) suffered from severe asthma; 38 (58.5%) were non-smokers; 61 (93.8%) reported none emergency room visits in the past six months, and 33 (50.8%) had regular follow-up. Moreover, 54 (83.1%) had developed a partnership with their physicians, 56 (86.2%) could recognize asthma triggers and symptoms deterioration [61 (93.8%)], 59 (90.8%) were educated in inhaled medication use, 42 (64.6%) were able to distinguish ‘controllers’ from ‘relievers’, and 49 (75.4%) participated in leisure-time physical activity. Finally, 48 (73.8%) were not educated in peak-flow meter use, 51 (78.5%) were not supplied with a written action plan, 61 (93.8%) were not informed about and 60 (92.3%) had never received asthma physiotherapy.

CONCLUSIONS: The current level of asthma control in Greece is not far from the recommendations of asthma management.

CLINICAL IMPLICATIONS: A wider implementation of the global asthma management components may lead to improvement of asthma control and appropriate management adjustments.

DISCLOSURE: The following authors have nothing to disclose: Vlasia Belimpasaki, Eirini Grammatopoulou, Aikaterini Haniotou, Konstantinos Zotos, George Nastoulis, Efthalia Stefanaki, Emily Tsaroucha, Eleftherios Zervas, Evdoxia Tsigou, Anastassios Philippou, Michael Koutsilieris

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