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ORIGINAL ARTICLE
Year : 2015  |  Volume : 29  |  Issue : 1  |  Page : 3-6

Clinical profile of bronchial asthma patients reporting at respiratory medicine outpatient department of teaching hospital


1 Department of Chest and TB, SMS Medical College, Sitapura, Jaipur, Rajasthan, India
2 Department of Respiratory Medicine, Mahatma Gandhi Medical College, Sitapura, Jaipur, Rajasthan, India

Correspondence Address:
Vikram Kumar Jain
KTR 3 and 4, Mahatma Gandhi Nagar, DCM, Ajmer Road, Jaipur - 302 021, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-6691.162970

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Background: There is limited information available on the clinical profile of asthma patients reporting at teaching hospital. Objective: The objective was to evaluate clinical profile of bronchial asthma patients reporting at teaching hospital. Materials and Methods: A prospective study of bronchial asthma patients over 15 years of age was conducted at Mahatma Gandhi Medical College and Hospital, Jaipur over a year (July 2010 to June 2011). Asthma was diagnosed on detailed history, clinical examination and spirometry having obstructive pattern with reversibility showing increase in forced expiratory volume in 1 st sec by 12% and 200 ml from prebronchodilator value. Besides demographic data, smoking habit, atopic symptoms, and family history suggestive of asthma also collected. Results: Total, 151 cases of bronchial asthma included. Maximum were male (80.8%) and urban (65%). Most cases (52.9%) were in age group of 16-30 years followed by 32.5% in 31-45 years. More than half (55.6%) belonged to the middle class in society. Majority (74.2%) were nonsmokers. Most common symptoms were cough, wheeze, and breathlessness 98.7%, 90.1%, and 88.1%, respectively. Nocturnal awakening was present in 2/3 rd cases. Rhinitis (65%) was most common associated condition. Almost equal number of cases had seasonal and perineal pattern of symptoms, with increased severity mainly in autumn (n = 53) and spring (n = 42). Family history of atopy was present in 1/3 rd patients. Nearly 3/4 th cases were newly diagnosed, and 1/4 th were previously diagnosed. More than 50% of these newly diagnosed asthma cases belonged to moderate severity grade. Among previously diagnosed cases (n = 40), spirometry was used in only 20% cases for diagnosis of asthma, and only 20% had their asthma under control at the time of reporting. Conclusion: Asthma is a disease of young age, with rhinitis as most common associated co-morbidity. Spirometry is poorly used by practitioners in diagnosing asthma with poor control of asthma among previously diagnosed cases. This reflects a lack of awareness of use of spirometry for diagnosis and inadequate advice of treatment.


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