Evaluation of Asthma Management Outcomes

Tamara S Al Tawisi, O. Samawi, Buthainah S Al Qudah, R. Ayesh, Mai M Al Falahat
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Abstract

Background: Asthma is a serious global health problem with an estimated 300 million affected individuals. Clinical manifestations of asthma can be controlled with appropriate treatment. When asthma is controlled, severe exacerbations should be rare. The goal of treatment in Asthma is to reduce inflammation and to achieve¸ total control. Treatment with anti-inflammatory drugs can, to a large extent, reverse some of these processes; however, the successful response to therapy often requires weeks to achieve and, in some situations, may be incomplete. Objectives of the study: This study was performed to evaluate the outcomes of Asthma treatment amongst asthmatic patients on follow-up at King Hussein Medical Centre (KHMC) at the Royal Medical Services (RMS) in Jordan/Amman. Methods: A retrospective, observational study was designed and performed on the basis of the asthma patient medical files. The patients’ medical profiles of were revised and the results were assessed according global initiative for asthma (GINA) guidelines. The collected data was analyzed by using statistical Package for the Social Sciences (SPSS) version 22. Results: A total of 210 asthmatic patient’s profiles were revised, and amongst the patient's majority (62.6%) were males and the average age of the participants was 35.1 years with standard deviation (SD) of 9.4. The most (53.3%) have been prescribed asthmatic drug combination was fluticasone propionate and salmeterol xinafoate (Seretide®) for long term asthmatic symptoms management. Amongst the asthmatic patients, 58 % had used antibacterial for their respiratory tract infections (RTIs) and urinary tract infections (UTIs). Conclusion: This study has shown that, despite the existence of an effective medication for asthma, disease control is insufficient and falls short of the accepted global guidelines.
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哮喘管理结果的评估
背景:哮喘是一个严重的全球健康问题,估计有3亿人受其影响。通过适当的治疗,哮喘的临床表现可以得到控制。当哮喘得到控制时,严重的恶化应该是罕见的。哮喘治疗的目标是减少炎症并实现全面控制。用消炎药治疗可以在很大程度上逆转这些过程;然而,对治疗的成功反应往往需要数周才能达到,在某些情况下,可能是不完整的。研究目的:本研究旨在评估在约旦/安曼皇家医疗服务(RMS)侯赛因国王医疗中心(KHMC)随访的哮喘患者的哮喘治疗结果。方法:根据哮喘患者的医疗档案设计并进行回顾性观察性研究。修订了患者的医学概况,并根据全球哮喘倡议(GINA)指南对结果进行了评估。收集的数据采用SPSS (statistical Package for The Social Sciences)第22版进行分析。结果:共修改了210例哮喘患者的资料,其中大多数(62.6%)为男性,参与者的平均年龄为35.1岁,标准差(SD)为9.4。最多(53.3%)的患者长期使用丙酸氟替卡松和沙美特罗(舒利泰®)联合治疗哮喘症状。在哮喘患者中,58%的患者使用过抗菌药物治疗呼吸道感染和尿路感染。结论:本研究表明,尽管存在有效的哮喘药物,但疾病控制不足,未达到公认的全球指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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