Total control of asthma: an evaluation in patients of a tertiary hospital.
BACKGROUND
Asthma control is an important goal of international asthma guidelines, but in most reports total control is reached in a small proportion of cases.


OBJECTIVE
To know the degree of asthma control, the percentage of ER visits and hospitalizations in the last month and in the last year, and the type of pharmacologic treatment for asthma in a tertiary hospital.


METHODS
This is an observational study in asthmatic patients from 12 to 60 years old, with more than one year of treatment, who answered the questionnaire of Asthma Control Test (ACT).


RESULTS
A total of 204 patients were included, 116 women and 88 men, with an average age of 24 years. We observed that 19 patients (9.3%) were in total control of asthma: scored 25 ACT points, 88 patients (43.1%) scored 20-24 points (non total control) and 97 patients (47.5%) less than 20 points (asthma not controlled). According to the asthma severity index, 125 patients had intermittent symptoms (61.3%), and persistent symptoms were present in 79 patients. In the previous month 8.3% of patients had ER visits and 2.9% were hospitalized; in the previous year the ER visits and hospitalizations percentages were 33.3% and 14.2%, respectively. Inhaled steroids were used by 12.2% of the patients, long-action beta2 agonists by 9.8% and daily short action beta2 agonists by 28%.


CONCLUSIONS
Total control of asthma was observed in less than 10% of our patients-sample; the majority of them had intermittent asthma; the pattern of medication was inadequate, with misuse of inhaled steroids and an elevated use of inhaled rescue medications.
Departamento de Alergia e Inmunología Clínica, Hospital de Especialidades, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, Ciudad de México. mbecer5@gmail.com
Martín
M
Becerril Angeles
Jesús Erick
JE
Martínez Castro
D000293:Adolescent; D000328:Adult; D018927:Anti-Asthmatic Agents / Q000145:classification / Q000627:therapeutic use; D001249:Asthma / Q000188:drug therapy / Q000453:epidemiology / Q000628:therapy*; D002648:Child; D004363:Drug Utilization; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006782:Hospitals, Special / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult
D018927:Anti-Asthmatic Agents