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Year : 2013  |  Volume : 27  |  Issue : 1  |  Page : 27-32

Asthma control among patients in Uyo South-Eastern Nigeria

Department of Internal Medicine, University of Uyo Teaching Hospital, Uyo Akwa Ibom State, South-Eastern, Nigeria

Correspondence Address:
Victor Aniedi Umoh
Department of Internal Medicine, University of Uyo, Uyo Akwa Ibom State, South-Eastern
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-6691.116611

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Background: The prevalence of asthma is increasing in the developing world. Asthma, management guidelines have been instituted to provide recommendations for the optimal control of asthma. This study evaluated the current level of asthma control as reported by the patients, which may be a reflection of adherence to guidelines. Materials and Methods: Asthma patients referred to a respiratory diseases clinic were recruited for the study. The asthma control test (ACT) was administered on the patients and data were also obtained for medication use and disease monitoring. A total ACT score of <20 signified poor control. Results: Out of 78 patients, 70 completed the survey (89.7%). The average age of patients was 46 ± 18 years (mean ± standard deviation). The average ACT score was 14.4 ± 4.8 82.9% of patients had poor control. 57.1% of patients who perceived their asthma to be well or totally controlled were objectively assessed to be poorly controlled. More than half of the patients used short acting β2 agonist alone and only 20% used inhaled corticosteroids for maintenance therapy. Thirty eight patients made unscheduled emergency room visits in the past 12 months and 68.8% could not use their inhaler devises well. Emergency room visits (odds ratio [OR] 9.5) and poor inhaler technique (OR 18.9) was independent predictors of poor asthma control. Conclusion: The current level of asthma control among patients in Uyo is below guideline recommendations. Management of patients did not appear to follow guideline recommendations and patients tend to over-estimate their disease control.

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