Evaluation of Asthma Control in the Dominican Republic: a Clinical Perspective/ Evaluación del control del asma en República Dominicana: una perspectiva clínica monocéntrica
Introduction: Asthma is a respiratory pathology characterized by chronic and reversible airway inflammation. It is associated with modifiable and non-modifiable risk factors that influence its control and exacerbations. In countries such as Puerto Rico (22.8 %) and Cuba (23 %), the prevalence of ast...
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| Format: | Article |
| Language: | English |
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Respirar
2023-12-01
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| Series: | Respirar |
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| Online Access: | https://respirar.alatorax.org/index.php/respirar/article/view/184/150 |
| _version_ | 1797396952591106048 |
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| author | Liv Torres-Bueno Allyson Rodriguez Roman Luis Ariel López-Zabala Emilia Pamela Almánzar-Santos Loren Denisse Torres-Bueno Anthony Gutiérrez-Martínez Natalia García-Batista |
| author_facet | Liv Torres-Bueno Allyson Rodriguez Roman Luis Ariel López-Zabala Emilia Pamela Almánzar-Santos Loren Denisse Torres-Bueno Anthony Gutiérrez-Martínez Natalia García-Batista |
| author_sort | Liv Torres-Bueno |
| collection | DOAJ |
| description | Introduction: Asthma is a respiratory pathology characterized by chronic and reversible airway inflammation. It is associated with modifiable and non-modifiable risk factors that influence its control and exacerbations. In countries such as Puerto Rico (22.8 %) and Cuba (23 %), the prevalence of asthma is significantly higher than the global prevalence (6.6 %).
Objective: To estimate the asthma status of adult asthmatic patients who attended the emergency or consultation of a center in the Dominican Republic based on absenteeism and the frequency of exacerbations of the pathology.
Methods: An observational cross-sectional study was conducted on patients diagnosed with asthma in a private clinic in the Dominican Republic. Data on asthma presentation and sociodemographic characteristics were collected. A sample size of 95 participants was used. Data was collected safely and analyzed using statistical methods: chi-square tests and logistic regression. Primary and secondary analyses were performed to evaluate asthma control and associated comorbidities.
Results: We obtained a sample of 92 participants of whom, in all control groups, reported having interrupted the purchase of medication due to its cost. Regarding work absenteeism, patients with total control lost 2 working days and patients with very poor control were absent for 9.96 days (p = 0.011). It was also found that patients with longer diagnosis time presented low asthma control (p=0.075).
Conclusion: This project highlights the importance of implementing a comprehensive approach to patients with asthma, in order to reduce the influence of factors that negatively affect the control of the pathology. |
| first_indexed | 2024-03-09T00:58:36Z |
| format | Article |
| id | doaj.art-b5e5d739ed4047aab893811b44b0723c |
| institution | Directory Open Access Journal |
| issn | 2953-3414 |
| language | English |
| last_indexed | 2024-03-09T00:58:36Z |
| publishDate | 2023-12-01 |
| publisher | Respirar |
| record_format | Article |
| series | Respirar |
| spelling | doaj.art-b5e5d739ed4047aab893811b44b0723c2023-12-11T16:42:33ZengRespirarRespirar2953-34142023-12-01154235252https://doi.org/10.55720/respirar.15.4.3Evaluation of Asthma Control in the Dominican Republic: a Clinical Perspective/ Evaluación del control del asma en República Dominicana: una perspectiva clínica monocéntricaLiv Torres-Bueno0https://orcid.org/0000-0001-8241-5215Allyson Rodriguez Roman1https://orcid.org/0000-0002-1611-8885Luis Ariel López-Zabala2https://orcid.org/0000-0001-6689-1908Emilia Pamela Almánzar-Santos3https://orcid.org/0009-0001-1382-715XLoren Denisse Torres-Bueno4https://orcid.org/0009-0003-7240-4178Anthony Gutiérrez-Martínez5https://orcid.org/0000-0003-4567-0123Natalia García-Batista6https://orcid.org/0000-0002-7717-0484Pontificia Universidad Católica Madre y Maestra, Santo Domingo, República Dominicana.Pontificia Universidad Católica Madre y Maestra, Santo Domingo, República Dominicana.Ministerio de Salud Pública. República Dominicana.Pontificia Universidad Católica Madre y Maestra, Santo Domingo, República Dominicana.Pontificia Universidad Católica Madre y Maestra, Santo Domingo, República Dominicana.Pontificia Universidad Católica Madre y Maestra, Santo Domingo, República Dominicana.Ministerio de Salud Pública. República Dominicana; Clínica Universitaria Unión Médica del Norte, Santo Domingo, República Dominicana.Introduction: Asthma is a respiratory pathology characterized by chronic and reversible airway inflammation. It is associated with modifiable and non-modifiable risk factors that influence its control and exacerbations. In countries such as Puerto Rico (22.8 %) and Cuba (23 %), the prevalence of asthma is significantly higher than the global prevalence (6.6 %). Objective: To estimate the asthma status of adult asthmatic patients who attended the emergency or consultation of a center in the Dominican Republic based on absenteeism and the frequency of exacerbations of the pathology. Methods: An observational cross-sectional study was conducted on patients diagnosed with asthma in a private clinic in the Dominican Republic. Data on asthma presentation and sociodemographic characteristics were collected. A sample size of 95 participants was used. Data was collected safely and analyzed using statistical methods: chi-square tests and logistic regression. Primary and secondary analyses were performed to evaluate asthma control and associated comorbidities. Results: We obtained a sample of 92 participants of whom, in all control groups, reported having interrupted the purchase of medication due to its cost. Regarding work absenteeism, patients with total control lost 2 working days and patients with very poor control were absent for 9.96 days (p = 0.011). It was also found that patients with longer diagnosis time presented low asthma control (p=0.075). Conclusion: This project highlights the importance of implementing a comprehensive approach to patients with asthma, in order to reduce the influence of factors that negatively affect the control of the pathology.https://respirar.alatorax.org/index.php/respirar/article/view/184/150asthmatreatment outcomesociodemographic factorsbarriers to access of health servicessymptom flare up |
| spellingShingle | Liv Torres-Bueno Allyson Rodriguez Roman Luis Ariel López-Zabala Emilia Pamela Almánzar-Santos Loren Denisse Torres-Bueno Anthony Gutiérrez-Martínez Natalia García-Batista Evaluation of Asthma Control in the Dominican Republic: a Clinical Perspective/ Evaluación del control del asma en República Dominicana: una perspectiva clínica monocéntrica Respirar asthma treatment outcome sociodemographic factors barriers to access of health services symptom flare up |
| title | Evaluation of Asthma Control in the Dominican Republic: a Clinical Perspective/ Evaluación del control del asma en República Dominicana: una perspectiva clínica monocéntrica |
| title_full | Evaluation of Asthma Control in the Dominican Republic: a Clinical Perspective/ Evaluación del control del asma en República Dominicana: una perspectiva clínica monocéntrica |
| title_fullStr | Evaluation of Asthma Control in the Dominican Republic: a Clinical Perspective/ Evaluación del control del asma en República Dominicana: una perspectiva clínica monocéntrica |
| title_full_unstemmed | Evaluation of Asthma Control in the Dominican Republic: a Clinical Perspective/ Evaluación del control del asma en República Dominicana: una perspectiva clínica monocéntrica |
| title_short | Evaluation of Asthma Control in the Dominican Republic: a Clinical Perspective/ Evaluación del control del asma en República Dominicana: una perspectiva clínica monocéntrica |
| title_sort | evaluation of asthma control in the dominican republic a clinical perspective evaluacion del control del asma en republica dominicana una perspectiva clinica monocentrica |
| topic | asthma treatment outcome sociodemographic factors barriers to access of health services symptom flare up |
| url | https://respirar.alatorax.org/index.php/respirar/article/view/184/150 |
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