title: Factors associated with poor asthma control in the outpatient clinic setting.
abstract: OBJECTIVE
  The goal of the study was to assess asthma control using asthma control test (ACT) and to explore the factors that effects asthma control among participants with bronchial asthma in the outpatient clinic setting.
  
  
  METHODS
  This cross-sectional descriptive study was conducted in the outpatient primary care clinic at King Abdulaziz Medical City in Riyadh. Adult patients who were diagnosed with bronchial asthma by their primary treating physician were recruited over a 6-month period. Patients completed the ACT and questionnaires, which identified factors that affect asthma control.
  
  
  RESULTS
  Four hundred asthmatic patients (n = 400) were enrolled, and 70% of these patients were women. Fifty-four percent of patients inappropriately used the inhaler device. The estimated prevalence of uncontrolled asthma at the time of the study was 39.8%. Inappropriate device use by the patient was more frequently associated with uncontrolled asthma (P-value = 0.001). Active smoking (P-value = 0.007), passive smoking (P-value = 0.019), unsealed mattress (P-value = 0.030), and workplace triggers (P-value = 0.036) were also associated with uncontrolled asthma. However, the extent of asthma control did not appear to be related to the existence of regular follow-ups, bedroom carpets, outpatient clinic visits, age, body mass index (BMI), or duration of asthma.
  
  
  CONCLUSIONS
  The present study identified a high prevalence of uncontrolled asthma in the primary outpatient clinic setting and common risk factors that may contribute to poor asthma control.
authors.affiliation: Department of Family Medicine, Pulmonary Division, King Saud University for Health Sciences, Riyadh, Saudi Arabia.
authors.forename: Jamaan M
authors.initials: JM
authors.lastname: Al-Zahrani
authors.affiliation: Department of Health Statistic and Informatics, Pulmonary Division, King Saud University for Health Sciences, Riyadh, Saudi Arabia.
authors.forename: Anwar
authors.initials: A
authors.lastname: Ahmad
authors.affiliation: Department of Medicine, Pulmonary Division, King Saud University for Health Sciences, Riyadh, Saudi Arabia.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Al-Harbi
authors.affiliation: Department of Medicine, Pulmonary Division, King Saud University for Health Sciences, Riyadh, Saudi Arabia.
authors.forename: Ayaz M
authors.initials: AM
authors.lastname: Khan
authors.affiliation: Department of Family Medicine, Pulmonary Division, King Saud University for Health Sciences, Riyadh, Saudi Arabia.
authors.forename: Bader
authors.initials: B
authors.lastname: Al-Bader
authors.affiliation: Department of Medicine, Pulmonary Division, King Saud University for Health Sciences, Riyadh, Saudi Arabia.
authors.forename: Salim
authors.initials: S
authors.lastname: Baharoon
authors.affiliation: Department of Medicine, Pulmonary Division, King Saud University for Health Sciences, Riyadh, Saudi Arabia.
authors.forename: Abdullah Al
authors.initials: AA
authors.lastname: Shememeri
authors.affiliation: Department of Medicine, Pulmonary Division, King Saud University for Health Sciences, Riyadh, Saudi Arabia.
authors.forename: Hamdan
authors.initials: H
authors.lastname: Al-Jahdali
keywords: Asthma; asthma education; control; factors associated with poor asthma control; outpatients; uncontrolled
references.citation: BMC Pulm Med. 2007 May 22;7:8
references.pmid: 17518999
references.citation: JAMA. 1990 Oct 3;264(13):1719-20
references.pmid: 2398613
references.citation: Ann Thorac Med. 2008 Apr;3(2):44-7
references.pmid: 19561904
references.citation: Saudi Med J. 2007 Apr;28(4):569-73
references.pmid: 17457479
references.citation: Ann Allergy Asthma Immunol. 2001 Mar;86(3):292-6
references.pmid: 11289327
references.citation: Eur Respir J. 2000 Nov;16(5):802-7
references.pmid: 11153575
references.citation: Curr Med Res Opin. 2008 Dec;24(12):3443-52
references.pmid: 19032126
references.citation: J Asthma. 2010 Apr;47(3):257-62
references.pmid: 20210612
references.citation: J Occup Environ Med. 2003 Dec;45(12):1234-46
references.pmid: 14665809
references.citation: Saudi Med J. 2008 May;29(5):714-7
references.pmid: 18454220
references.citation: Prim Care Respir J. 2004 Mar;13(1):28-35
references.pmid: 16701634
references.citation: Curr Med Res Opin. 2009 Oct;25(10):2523-31
references.pmid: 19708765
references.citation: BMC Pulm Med. 2012 Dec 17;12:80
references.pmid: 23244616
references.citation: J Asthma. 2003;40(7):803-13
references.pmid: 14626337
references.citation: J Asthma. 2006 Oct;43(8):567-72
references.pmid: 17050219
references.citation: Allergy Asthma Clin Immunol. 2013 Mar 06;9(1):8
references.pmid: 23510684
references.citation: J Asthma. 2005 Oct;42(8):659-65
references.pmid: 16266957
references.citation: J Asthma. 2003 Sep;40(6):673-81
references.pmid: 14579999
references.citation: Clin Respir J. 2014 Oct;8(4):431-6
references.pmid: 24308389
references.citation: BMC Pulm Med. 2006 Nov 30;6 Suppl 1:S2
references.pmid: 17140420
references.citation: Braz J Med Biol Res. 2009 Nov;42(11):1097-103
references.pmid: 19820883