Journals / Erciyes Medical Journal / 2021 / Cilt: 43 - Sayı: 1

Evaluation of Proper Inhaler Use in Childrenwith Acute Asthma Admitted to the EmergencyDepartment: A Single-Center Cross-Sectional Study

Pages
67–74
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Patients who were followed-up by eitherallergist/immunologist or chest disease specialist had a two times higher chance of using rescue inhaler therapy in this study.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This study aimed to determine the accuracy of the inhaler technique used among asthmatic patients admitted tothe emergency department (ED) due to acute asthma attack.
📊
Key Findings & Data:Materials and Methods: A total of 303 patients with childhood asthma were enrolled in this study.
💡
Conclusion & Impact:Patients who were followed-up by eitherallergist/immunologist or chest disease specialist had a two times higher chance of using rescue inhaler therapy in this study.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: This study aimed to determine the accuracy of the inhaler technique used among asthmatic patients admitted tothe emergency department (ED) due to acute asthma attack. Materials and Methods: A total of 303 patients with childhood asthma were enrolled in this study. A survey consistingof 22 questions was conducted on patients and/or their parents during ED visits. Additionally, multiple logistic regressionanalysis was performed to determine the independent predictors affect the use of rescue inhaler treatment. Results: In the study, although 258 patients were prescribed a rescue inhaler asthma treatment, only 212 (85.1%) used thistreatment before the ED visits. Only 193 (78.4%) patients properly used an inhaler device. A total of 61 (23.7%) patients knewthat they had run out of inhalers according to the number of doses recommended in the prospectus. According to multipleanalysis, a close regular follow-up by the primary physician, by either allergist/immunologist or chest disease specialist, andthe administration of inhaler by the parents were identified as independent risk factors for the use of rescue inhaler therapy. Conclusion: Only three-quarters of the patients were found to use rescue inhaler therapy correctly. The improper use of in haler device was more common in adolescents who administered the drug themselves. Patients who were followed-up by eitherallergist/immunologist or chest disease specialist had a two times higher chance of using rescue inhaler therapy in this study.

🔖

Cite This Article

ARGA, M., BESLİ, E., ÖZDEMİR, M., ÇINAR, A. A., ALTINKAYNAK, P. (2022). Evaluation of Proper Inhaler Use in Childrenwith Acute Asthma Admitted to the EmergencyDepartment: A Single-Center Cross-Sectional Study. Erciyes Medical Journal, Cilt: 43 - Sayı: 1, 67–74. https://ajindex.com/articles/502244

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Jafarnejad S, Khoshnezhad Ebrahimi H. Clinical guidelines on pediatric asthma exacerbation in emergency department, a narrative review. Eur J Transl Myol 2020; 30(1): 8682
  2. Dharmage SC, Perret JL, Custovic A. Epidemiology of Asthma in Children and Adults. Front Pediatr 2019; 7: 246
  3. Kaplan A, Mitchell PD, Cave AJ, Gagnon R, Foran V, Ellis AK. Effective Asthma Management: Is It Time to Let the AIR out of SABA? J Clin Med 2020; 9(4): 921
  4. Melani AS, Bonavia M, Mastropasqua E, Zanforlin A, Lodi M, Martucci P, et al. Time Required to Rectify Inhaler Errors Among Experienced Subjects With Faulty Technique. Respir Care 2017; 62(4): 409–14
  5. Liang CY, Chen YJ, Sheu SM, Tsai CF, Chen W. Misuse of inhalers among COPD patients in a community hospital in Taiwan. Int J Chron Obstruct Pulmon Dis 2018; 13: 1309–16
  6. Jahedi L, Downie SR, Saini B, Chan HK, Bosnic-Anticevich S. Inhaler Technique in Asthma: How Does It Relate to Patients’ Preferences and Attitudes Toward Their Inhalers? J Aerosol Med Pulm Drug Deliv 2017; 30(1): 42–52
  7. Chogtu B, Holla S, Magazine R, Kamath A. Evaluation of relationship of inhaler technique with asthma control and quality of life. Indian J Pharmacol 2017; 49(1): 110–5
  8. Global Initiative for Asthma (GINA). Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2016. Available from: URL:
  9. Halwani R, Vazquez-Tello A, Horanieh N, Dulgom S, Al-Aseri Z, AlKhamis N, et al. Risk factors hindering asthma symptom control in Saudi children and adolescents. Pediatr Int 2017; 59(6): 661–8
  10. Carr TF, Bleecker E. Asthma heterogeneity and severity. World Allergy Organ J 2016; 9(1): 41
  11. Brew BK, Chiesa F, Lundholm C, Örtqvist A, Almqvist C. A modern approach to identifying and characterizing child asthma and wheeze phenotypes based on clinical data. PLoS One 2019; 14(12): e0227091
  12. Jones KA, Gibson PG, Yorke J, Niven R, Smith A, McDonald VM. Attack, flare-up, or exacerbation? The terminology preferences of patients with severe asthma. J Asthma. 2019 Sep 16:1-10. doi: 10.1080/02770903.2019.1665064. [Epub ahead of print]
  13. Zaidan MF, Ameredes BT, Calhoun WJ. Management of Acute Asthma in Adults in 2020. JAMA 2020; 323(6): 563–4
  14. Aydemir Y. Assessment of the factors affecting the failure to use inhaler devices before and after training. Respir Med 2015; 109(4): 451–8
  15. Stukus DR, Nassef M, Rubin M. Leaving home: Helpi