Asthma control and severe exacerbations in patients with moderate or severe asthma in Jilin Province, China: a multicenter cross-sectional survey

BMC Pulmonary Medicine

Research Article

Chang-min Shi¹  Chun-lin Liu²  Chun-feng Wu³  Jie Zhang⁴  Bing-di Yan⁴  Qing-hua Zhang⁴  Jin-yan Yu⁴  Zhong-sen Ma⁴  Rong Gao⁴  Jing Liu⁴  Jin Ren⁴  Shan-shan Meng⁵  Zheng Lv⁶ 

[1] The Department of Respiratory Medicine, China-Japan Union Hospital of Jilin University, Changchun, China;The Department of Respiratory Medicine, The 208th Hospital of the Chinese People’s Liberation Army, Changchun, China;The Department of Respiratory Medicine, The People’s Hospital of Jilin Province, Changchun, China;The Department of Respiratory Medicine, The Second Hospital of Jilin University, Changchun, China;The Department of Respiratory Medicine, The Second Hospital of Jilin University, Changchun, China;Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China;The Tumor Centre, The First Hospital of Jilin University, Changchun, China;

关键词: Asthma control;    Severe exacerbation;    Risk factor;    Jilin Province;    Asthma medication;   

DOI  :  10.1186/s12890-016-0292-3

 received in 2016-04-23, accepted in 2016-08-18,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundNo systemic evaluation of asthma control in Jilin Province has been reported. Asthma control might provide the basis for asthma management in this region. A multicenter hospital-based cross-sectional study was performed to investigate the asthma control and related factors for severe asthma exacerbations in patients with moderate or severe asthma in Jilin Province, China.MethodsThe study enrolled 1546 patients in five grade one general hospitals from January to December 2013. Asthma medication, patient self-management, asthma control test (ACT) scores and frequency of severe asthma exacerbations during the follow-up (12 months) were collected via a follow-up questionnaire.ResultsIn the study, 889 patients provided a complete follow-up questionnaire. Severe asthma exacerbations occurred in 54.89 % of patients. ACT score ≤15, asthma medication ≤ 3 months, severe asthma, income level lower than average Per Capita Disposable Income (PCDI) and a lower educational level were risk factors of a severe exacerbation.ConclusionsPoor adherence to asthma medication, poor asthma symptom control, lower income, a low educational level might be possible reasons for the high incidence of severe asthma exacerbations and poor asthma control in Jilin Province of China.

【 授权许可】

CC BY   
© The Author(s). 2016