Reassessment of Cases of Uncontrolled Bronchial Asthma in Port-Said Chest Hospital
Michael Moris Farid;
Abstract
ronchial asthma is a heterogenoeous disease defined by the history of respiratory symptoms such as wheeze, shortness of breath, chest tightness and cough that vary over time and in intensity, together with variable expiratory airflow limitation (GINA, 2015).
Asthma affects approximately 300 million people worldwide and is responsible for 250,000 deaths each year. Its current prevalence is about 6–18%. The prevalence of asthma in Egypt in rural and urban areas was 5.34 and 6.58%, respectively, with a total prevalence of 6.09% (El-Mashad et al., 2016).
The causes of poorly controlled asthma may lie in any of four major areas: diagnosis, medications, provoking agents, and presence of comorbid conditions (Bahna and Murray, 2011).
This study aimed to assess causes of improper control of bronchial asthma among patients in Port-Said chest hospital.
This retrospective study was performed on 100 uncontrolled asthmatic patients selected from outpatient clinic or inpatient wards in Port-Said chest hospital, over a period from January to May 2016.
Statistical analysis of the present study results showed the followings:
The most common age range was between 18 & 30 years old among the studied patients.
The majority of the patients were females and non-smokers.
Most of the studied patients had no chronic diseases as only 7%, 13%, and 9% had DM, HTN and IHD respectively, while no one had CLD or CKD.
54% of the patients were receiving irregularly inhalar and 27% receiving nasal spray irregularly. 9% of the studied patients were receiving BB, 4% NSAIDs and no one was receiving ACEI.
83%, and 46% of patients gave family history of bronchial Asthma and allergic rhinitis respectivily, however a smaller percentages of the patients gave family history of atopy, lung fibrosis and lung cancer, 7%, 1% and 1% respectively.
21%, and 45% of the studied patients gave history of GERD and allergic rhinitis respectively.
Prominent BVM was the most common CXR findings among the studied patients (55%), followed by hyperinflation (20%), cardiomegally (16%), reticular infiltration (2%), while no patients had lung masses.
As regards spirometric parameters; most of the patient
Asthma affects approximately 300 million people worldwide and is responsible for 250,000 deaths each year. Its current prevalence is about 6–18%. The prevalence of asthma in Egypt in rural and urban areas was 5.34 and 6.58%, respectively, with a total prevalence of 6.09% (El-Mashad et al., 2016).
The causes of poorly controlled asthma may lie in any of four major areas: diagnosis, medications, provoking agents, and presence of comorbid conditions (Bahna and Murray, 2011).
This study aimed to assess causes of improper control of bronchial asthma among patients in Port-Said chest hospital.
This retrospective study was performed on 100 uncontrolled asthmatic patients selected from outpatient clinic or inpatient wards in Port-Said chest hospital, over a period from January to May 2016.
Statistical analysis of the present study results showed the followings:
The most common age range was between 18 & 30 years old among the studied patients.
The majority of the patients were females and non-smokers.
Most of the studied patients had no chronic diseases as only 7%, 13%, and 9% had DM, HTN and IHD respectively, while no one had CLD or CKD.
54% of the patients were receiving irregularly inhalar and 27% receiving nasal spray irregularly. 9% of the studied patients were receiving BB, 4% NSAIDs and no one was receiving ACEI.
83%, and 46% of patients gave family history of bronchial Asthma and allergic rhinitis respectivily, however a smaller percentages of the patients gave family history of atopy, lung fibrosis and lung cancer, 7%, 1% and 1% respectively.
21%, and 45% of the studied patients gave history of GERD and allergic rhinitis respectively.
Prominent BVM was the most common CXR findings among the studied patients (55%), followed by hyperinflation (20%), cardiomegally (16%), reticular infiltration (2%), while no patients had lung masses.
As regards spirometric parameters; most of the patient
Other data
| Title | Reassessment of Cases of Uncontrolled Bronchial Asthma in Port-Said Chest Hospital | Other Titles | إعادة تقييم لحالات حساسية الصدر الغير مستقرة بمستشفي صدر بورسعيد | Authors | Michael Moris Farid | Issue Date | 2017 |
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