Asthma Control Level and Relating Socio-Demographic Factors in Hospital Admissions

Authors

  • Gönül Yalçınkaya Kasyeri City Hospital, Kayseri, Turkey
  • Mahmut Kılıç Yozgat Bozok University Faculty of Medicine, Department of Public Health, Yozgat, Turkey

DOI:

https://doi.org/10.6000/1929-6029.2022.11.03

Keywords:

Asthma, control, sociodemographic factors

Abstract

Purpose: Asthma is one of the serious public health problems that we face today and the rate of complete control is very low. This study aims to determine the level of asthma control and its relationship with socio-demographic factors in asthma patients.

Methods: This cross-sectional study was conducted between November 2020-April 2021 among people aged 18-64 who applied to the hospital and were not diagnosed with asthma. The data of the research were made with the personal information form, ACT (asthma control test). ACT is a questionnaire consisting of 5 questions. Patients rate each question between one and five points. The total score of the five questions forms the test result. If the total score is 25, it is considered as full control, 24-20 as partial control, and ≤19 as not under control. In the research, 206 people participated.

Results: Of the participants, 60.7% were female, 60.2% had a family history of asthma, 94.2% of them used asthma medication, and the average age was 45.7±13.85. In the last 12 years, 50.5% of asthma patients stated that they applied to the emergency department due to respiratory problems, and 23.3% were hospitalized due to these problems. It was determined that 78.6% of asthma patients were not under control, 21.4% were under partial control, and there was no patient under full control. The mean age (48.8) and body mass index (BMI) (29.4) of those whose asthma was not under control were higher than those with partial control (32.2 and 24.7, respectively) (p<0.001). It has been determined that the probability of asthma not being controlled increases as age and BMI increase, and life satisfaction decreases, and it is higher in quit smokers than in current smokers (p<0.05).

Conclusion: Asthma is largely uncontrolled. The rate of uncontrolled asthma increases with increasing age and BMI. Patients with high BMI should be supported to lose weight and should be directed to exercise.

References

GINI, Global Strategy for asthma management and prevention (Updated 2020), 2020. www.ginasthma.org (accessed December 19, 2020).

James SL, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, Abbastabar H, Abd-Allah F, Abdela J, Abdelalim A, et al, Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018; 392: 1789-1858. https://doi.org/10.1016/S0140-6736(18)32279-7

Çelik G, Soyer Ö, Aydın Ö. Astım Tanı ve Tedavi Rehberi 2020 Güncellemesi, Buluş Tasarım ve Matbaacık Hizmetleri San. Tic, Ankara, 2020.

SB, Türkiye Kronik Hava Yolu Hastalıkları Önleme Ve Kontrol Programı (2018-2023) 2018.

Erboy F, Altinsoy B. Epidemiology of Asthma, Is the Incidence Rising? Güncel Göğüs Hast Serisi 2015; 3: 158-163. https://doi.org/10.5152/gghs.2015.045

Yildiz F, Bingöl Karakoç G, Ersu Hamutçu R, Yardim N, Ekinci B, Yorgancioǧlu A. Türkiye’de astım ve KOAH farkındalığının deǧerlendirilmesi (GARD Türkiye Projesi-Kronik hava Yolları Hastalıkları Ulusal Kontrol Programı). Tuberk Toraks 2013; 61: 175-182. https://doi.org/10.5578/tt.6207

Sekerel BE, Gemicioglu B, Soriano JB. Asthma insights and reality in Turkey (AIRET) study. Respir Med 2006; 100: 1850-1854. https://doi.org/10.1016/J.RMED.2006.01.024

Guevara JP. Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis. BMJ 2003; 326: 1308-1308. https://doi.org/10.1136/bmj.326.7402.1308

Taylor SP, Nicolle C, Maguire M. Cross-cultural communication barriers in health care. Nurs Stand 2013; 27: 35-43. https://doi.org/10.7748/NS2013.04.27.31.35.E7040

Corrado A, Renda T, Polese G, Rossi A. Assessment of asthma control: The SERENA study. Respir Med 2013; 107: 1659-1666. https://doi.org/10.1016/j.rmed.2013.08.019

Uysal MA, Mungan D, Yorgancioglu A, Yildiz F, Akgun M, Gemicioglu B, Turktas H. The validation of the Turkish version of Asthma Control Test. Qual Life Res 2012; 227(22): 1773-1779. https://doi.org/10.1007/S11136-012-0309-1

Roxo JPF, Ponte EV, Ramos DCB, Pimentel L, D’Oliveira A Jr., Cruz ÁA. Portuguese-language version of the Asthma Control Test. J Bras Pneumol 2010; 36: 159-166. https://doi.org/10.1590/S1806-37132010000200002

Nguyen K, Zahran H, Iqbal S, Peng J, Boulay E. Factors associated with asthma control among adults in five New England states, 2006-2007. J Asthma 2011; 48: 581-588. https://doi.org/10.3109/02770903.2011.576744

Türk Toraks Derneği, 7 Mayıs 2013 Dünya Astım Günü Basın Bildirisi, Web Sayfası 2013. https://toraks.org.tr/site/ community/news/1513 (accessed November 5, 2020).

Lau S. What is new in the prevention of atopy and asthma? Curr Opin Allergy Clin Immunol 2013; 13: 181-186. https://doi.org/10.1097/ACI.0B013E32835EB7B1

Dunn RM, Busse PJ, Wechsler ME. Asthma in the elderly and late-onset adult asthma. Allergy 2018; 73: 284-294. https://doi.org/10.1111/ALL.13258

Talreja N, Baptist AP. Effect of age on asthma control: results from the National Asthma Survey. Ann Allergy Asthma Immunol 2011; 106: 24-29. https://doi.org/10.1016/J.ANAI.2010.10.017

Temprano J, Mannino DM. The effect of sex on asthma control from the National Asthma Survey. J Allergy Clin Immunol 2009; 123: 854-860. https://doi.org/10.1016/J.JACI.2008.12.009

Roche N, Pribil C, Devillier P, Van Ganse E, Schück S, Doussaint J, Martin J, Nachbaur G, Boucot I. Limited treatment adaptation despite poor asthma control in asthma patients treated with inhaled corticosteroids. J Asthma 2016; 53: 76-85. https://doi.org/10.3109/02770903.2015.1065421

Laforest L, Van Ganse E, Devouassoux G, Bousquet J, Chretin S, Bauguil G, Pacheco Y, Chamba G. Influence of patients’ characteristics and disease management on asthma control. J Allergy Clin Immunol 2006; 117: 1404-1410. https://doi.org/10.1016/J.JACI.2006.03.007

Bardage C, Isacson DGL. Hypertension and health-related quality of life. an epidemiological study in Sweden. J Clin Epidemiol 2001; 54: 172-181. https://doi.org/10.1016/S0895-4356(00)00293-6

Altay B, Avcı İA. Huzurevinde yasayan yaslılarda özbakım gücü ve yasam doyumu arasındaki ilişki. Dicle Med J 2009; 36: 275-282. https://doi.org/10.5798/diclemedj.0921.2009.04

Erdogan T, Karakaya G, Kalyoncu AF. Comorbid diseases in aspirin-exacerbated respiratory disease, and asthma. Allergol Immunopathol (Madr) 2015; 43: 442-448. https://doi.org/10.1016/j.aller.2014.07.008

Çelebi Sözener Z, Aydin Ö, Mungan D, Misirligil Z. Obesity-asthma phenotype: Effect of weight gain on asthma control in adults. Allergy Asthma Proc 2016; 37: 311-317. https://doi.org/10.2500/aap.2016.37.3949

Burgess JA, Matheson MC, Diao F, Johns DP, Erbas B, Lowe AJ, Gurrin LC, Lodge CJ, Thomas PS, Morrison S, Thompson BR, Feather I, Perret JL, Abramson MJ, Giles GG, Hopper JL, Dharmage SC, Walters EH. Bronchial hyperresponsiveness and obesity in middle age: insights from an Australian cohort. Eur Respir J 2017; 50: 1602181. https://doi.org/10.1183/13993003.02181-2016

Naito A, Honma T, Sekizawa K. Quality of life in COPD patients. Respir Circ 2002; 50: 241-245. https://doi.org/10.1016/j.ejcdt.2012.08.012

Sazlidere H, Çeli̇kel S, İnönü H, Doruk S, Yilmaz A, Özyurt H, Erkorkmaz Ü. Astımlı olgularda yoğunlaştırılmış soluk havasında nitrik oksit seviyeleri ile astım kontrol ölçekleri arasındaki ilişkinin değerlendirilmesi. Tüberküloz ve Toraks Derg 2010; 58: 5-15.

Toskala E, Kennedy DW. Asthma risk factors. Int Forum Allergy Rhinol 2015; 5(Suppl 1): S11-S16. https://doi.org/10.1002/ALR.21557

Yildiz F, Dursun AB, Disçi R, Abadoglu O, Atalay F, Ates G, Buyukoglan H, Ceyhan B, Ceylan E, Deveci F, Ediger D, Ekici A, Erdinc M, Gemicioglu B, Goktalay T, Meral M, Mungan D, Ogus C, Ozge C. Prevalence of asthmatic smokers: Turkish experience (PASTE Study). Clin Respir J 2014; 8: 350-356. https://doi.org/10.1111/CRJ.12079

Downloads

Published

2022-04-07

How to Cite

Yalçınkaya, G., & Kılıç, M. (2022). Asthma Control Level and Relating Socio-Demographic Factors in Hospital Admissions. International Journal of Statistics in Medical Research, 11, 19–26. https://doi.org/10.6000/1929-6029.2022.11.03

Issue

Section

General Articles