[Monitoring and treatment of severe bronchial ashma in adults: results of national multicenter trial NABAT].
OBJECTIVE
To study quality of monitoring, features of a course and therapy of severe bronchial asthma (BA) in Russia.


METHODS
The trial recruited 378 patients with severe bronchial asthma (SBA) in 7 cities of Russia. Each center participating in the study filled in individual case sheets recording demographic, clinical, monitoring, pharmacotherapeutic data. A special focus was on factors influencing the disease course. The chi-square and Mann-Witney criteria were used.


RESULTS
It was found that current recommendations of BA patients' management are not used in full. Most of the patients do not receive adequate therapy. Phenotypes of uncontrolled course of severe BA are prevalent. The key role of adequate management of severe BA patients in control of the disease is shown.


CONCLUSIONS
Wider use of updated recommendations on therapy and monitoring of BA with special focus on patients with uncontrolled course of the disease is urgent. Fulfilment of all the components of management of a patient with bronchial asthma recommended by GINA including the patient education and control over the disease triggers contribute much to effective treatment and control over BA.
Chuchalin
A G
AG
Ogorodova
L M
LM
Petrovskiĭ
F I
FI
Zhestkov
A V
AV
Il'kovich
M M
MM
Martynenko
T I
TI
Rebrov
A P
AP
Reutova
L Iu
LIu
Tereshchenko
Iu A
IuA
Fassakhova
R S
RS
D000328:Adult; D001249:Asthma / Q000175:diagnosis* / Q000188:drug therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D012426:Russia