Preview

PULMONOLOGIYA

Advanced search

Bronchial asthma in Krasnoyarsk: different methods for evaluation of control

https://doi.org/10.18093/0869-0189-2007-0-2-68-73

Abstract

The purpose of this research was to evaluate asthma control in Krasnoyarsk patients using E.Bateman's criteria, GOAL and ACTTM . We examined 480 patients (both genders; 18 to 70 years old) with asthma of different severity. The patients were divided into 2 groups: the 1st group (n = 1250) was examined by primary care practitioners using the ACT™ alone and received different basic medications, the 2nd group patients (n = 230) had been taught at asthma-schools; they were treated with fixed combination of fluticasone and salmeterol (Seretide) and were tested with E. Bateman's criteria, GOAL and ACTTM . According to the ACTTM , 16 % of the 1st group patients had asthma controlled and 86 % had < 19 points. In the 2nd group, asthma control was achieved in 87 % of the patients. When compared ACT TM with E.Bateman's criteria and GOAL, results were equal. Basic therapy adequate to asthma severity, regular follow-up, continuous education of patients allowed achievement of asthma control. The ACT TM use led to objective results with similar interpretation in various patients which allows assessing asthma control and efficacy of treatment.

About the Authors

I. V. Demko
ГОУ ВПО КРАСГМА Минздравсоцразвития РФ
Russian Federation


N. V. Gordeeva
ГОУ ВПО КРАСГМА Минздравсоцразвития РФ
Russian Federation


M. M. Petrova
ГОУ ВПО КРАСГМА Минздравсоцразвития РФ
Russian Federation


I. P. Artyuhov
ГОУ ВПО КРАСГМА Минздравсоцразвития РФ
Russian Federation


References

1. Чучалин А.Г. (ред.) Глобальная стратегия лечения и профилактики бронхиальной астмы. М.: Атмосфера; 2002.

2. Огородова Л.М., Федорова О.С. Европейские данные в поддержку использования теста по контролю над астмой АСТ™: исследование AIRE. Атмосфера 2005; 4 (19): 46–48.

3. Legoretta A.P. Compliance with national asthma management guidelines and speciality care: A Health Maintenance Organization Experience/ A.P. Legoretta, J ChristianHerman, R.D. O'Connor et al.// Arch. Intern. Med. 1998. — V.158. — P. 457–464.

4. Taylor D. McD., Auble T.E., Calhoun W.J. et al. Current outpatient management of asthma shows poor compliance with International Consensus Guidelines. Chest 1999; 116: 1638–1645.

5. Vollmer W.M., O'Hollaren M., Ettinger K.M. et al. Speciality differences in the management of asthma. A cross-sectional assessment of allergists' patients and generalists' patients in a large HMO. Arch. Intern. Med. 1997; 157: 1201–1208.

6. Rabe K.F., Vermeire P.A., Soriano J.B. et al. Clinical management of asthma in 1999: the Asthma Insights and Reality in Europe (AIRE) study. Eur. Respir. J 2000; 16: 802–807.

7. Cabana M.D., Rand C.S., Powe N.R. et al. Why don't physicians follow clinical practice guidelines? A framework for improvement. J. A. M. A. 1999; 282: 1458–1465.

8. Cockcroft D.W., Swystun V.A. Asthma control versus asthma severity. J. Allergy Clin. Immunol. 1996; 98 (6): 1016–1018.

9. Bousquet J., Knani J., Henry C. et al. Undertreatment in a nonselected population of adult patients with asthma. J. Allergy Clin. Immunol. 1996; 98 (3): 514–521.

10. Guidelines on the management of asthma. Statement by the British Thoracic Society, the Brit. Pediatric Association, the Research Unit of the Royal College of Physicians of London, the King's Fund Centre, the National Asthma Campaign, the Royal College of General Practitioners, the General Practitioners in Asthma Group, the Brit. Associaсion of Accident and Emergency Medicine, and the Brit. Pediatric Respiratory Group. Thorax. 1993; 48 (2, suppl.): 1–S24.

11. Белевский А.С. Тест контроля астмы — "новая игрушка" или важный инструмент? Атмосфера 2005; 1 (16): 33–34.

12. Белевский А.С. По следам публикации. Атмосфера 2005; 2 (17): 40–41.


Review

For citations:


Demko I.V., Gordeeva N.V., Petrova M.M., Artyuhov I.P. Bronchial asthma in Krasnoyarsk: different methods for evaluation of control. PULMONOLOGIYA. 2007;(2):68-73. (In Russ.) https://doi.org/10.18093/0869-0189-2007-0-2-68-73

Views: 305


ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)