Level of asthma control and risk factors for poor asthma control among clinic patients seen at a Referral Hospital in Addis Ababa, Ethiopia
Abstract Objective Uncontrolled asthma negatively impacts patients, families, and the community. The level of symptom control among asthmatics in Ethiopia has not been well studied. We investigated the level of asthma control and risk factors for poor asthma control in clinic patients seen in the la...
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| Language: | English |
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BMC
2017-11-01
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| Series: | BMC Research Notes |
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| Online Access: | http://link.springer.com/article/10.1186/s13104-017-2887-z |
| _version_ | 1811235625149399040 |
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| author | Tewodros H. Gebremariam Amsalu B. Binegdie Abebe S. Mitiku Aschalew W. Ashagrie Kibrom G. Gebrehiwot Dawit K. Huluka Charles B. Sherman Neil W. Schluger |
| author_facet | Tewodros H. Gebremariam Amsalu B. Binegdie Abebe S. Mitiku Aschalew W. Ashagrie Kibrom G. Gebrehiwot Dawit K. Huluka Charles B. Sherman Neil W. Schluger |
| author_sort | Tewodros H. Gebremariam |
| collection | DOAJ |
| description | Abstract Objective Uncontrolled asthma negatively impacts patients, families, and the community. The level of symptom control among asthmatics in Ethiopia has not been well studied. We investigated the level of asthma control and risk factors for poor asthma control in clinic patients seen in the largest public hospital in Ethiopia. Results In this cross-sectional study, we studied all 182 consecutive subjects with a physician diagnosis of asthma who were seen in chest clinic at Tikur Anbessa Specialized Hospital between July and December 2015. Of the 182 subjects, 68.1% were female. The mean age was 52 ± 12 years and the median duration of asthma was 20 ± 12.7 years. One hundred and seventeen subjects (64.3%) had nighttime awakening due to asthma. Fifty-eight (31%) were not using controller medications and 62 (34.6%) had improper inhaler technique. Only 44 (24.2%) subjects had well-controlled asthma. On multivariate analysis, variables associated with uncontrolled asthma included: use of biomass fuel for cooking, longer duration of asthma (> 30 year), incorrect inhalation technique, and asthma exacerbation in the last 12 months. Most asthmatics attending in the largest public hospital in Ethiopia, had uncontrolled asthma. Several risk factors for poor asthma control were identified. Improved asthma control is possible through directed interventions. |
| first_indexed | 2024-04-12T11:55:10Z |
| format | Article |
| id | doaj.art-bc35252f995f4e4fb523e60977316ae1 |
| institution | Directory Open Access Journal |
| issn | 1756-0500 |
| language | English |
| last_indexed | 2024-04-12T11:55:10Z |
| publishDate | 2017-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Research Notes |
| spelling | doaj.art-bc35252f995f4e4fb523e60977316ae12022-12-22T03:34:03ZengBMCBMC Research Notes1756-05002017-11-011011610.1186/s13104-017-2887-zLevel of asthma control and risk factors for poor asthma control among clinic patients seen at a Referral Hospital in Addis Ababa, EthiopiaTewodros H. Gebremariam0Amsalu B. Binegdie1Abebe S. Mitiku2Aschalew W. Ashagrie3Kibrom G. Gebrehiwot4Dawit K. Huluka5Charles B. Sherman6Neil W. Schluger7College of Heath Sciences, Addis Ababa UniversityCollege of Heath Sciences, Addis Ababa UniversityCollege of Heath Sciences, Addis Ababa UniversityCollege of Heath Sciences, Addis Ababa UniversityCollege of Heath Sciences, Addis Ababa UniversityCollege of Heath Sciences, Addis Ababa UniversityAlpert Medical School of Brown UniversityDivision of Pulmonary, Allergy and Critical Care Medicine, Columbia University, College of Physicians and SurgeonsAbstract Objective Uncontrolled asthma negatively impacts patients, families, and the community. The level of symptom control among asthmatics in Ethiopia has not been well studied. We investigated the level of asthma control and risk factors for poor asthma control in clinic patients seen in the largest public hospital in Ethiopia. Results In this cross-sectional study, we studied all 182 consecutive subjects with a physician diagnosis of asthma who were seen in chest clinic at Tikur Anbessa Specialized Hospital between July and December 2015. Of the 182 subjects, 68.1% were female. The mean age was 52 ± 12 years and the median duration of asthma was 20 ± 12.7 years. One hundred and seventeen subjects (64.3%) had nighttime awakening due to asthma. Fifty-eight (31%) were not using controller medications and 62 (34.6%) had improper inhaler technique. Only 44 (24.2%) subjects had well-controlled asthma. On multivariate analysis, variables associated with uncontrolled asthma included: use of biomass fuel for cooking, longer duration of asthma (> 30 year), incorrect inhalation technique, and asthma exacerbation in the last 12 months. Most asthmatics attending in the largest public hospital in Ethiopia, had uncontrolled asthma. Several risk factors for poor asthma control were identified. Improved asthma control is possible through directed interventions.http://link.springer.com/article/10.1186/s13104-017-2887-zPhysician-diagnosed asthmaGINA (global initiative for asthma)Risk factors for asthma control |
| spellingShingle | Tewodros H. Gebremariam Amsalu B. Binegdie Abebe S. Mitiku Aschalew W. Ashagrie Kibrom G. Gebrehiwot Dawit K. Huluka Charles B. Sherman Neil W. Schluger Level of asthma control and risk factors for poor asthma control among clinic patients seen at a Referral Hospital in Addis Ababa, Ethiopia BMC Research Notes Physician-diagnosed asthma GINA (global initiative for asthma) Risk factors for asthma control |
| title | Level of asthma control and risk factors for poor asthma control among clinic patients seen at a Referral Hospital in Addis Ababa, Ethiopia |
| title_full | Level of asthma control and risk factors for poor asthma control among clinic patients seen at a Referral Hospital in Addis Ababa, Ethiopia |
| title_fullStr | Level of asthma control and risk factors for poor asthma control among clinic patients seen at a Referral Hospital in Addis Ababa, Ethiopia |
| title_full_unstemmed | Level of asthma control and risk factors for poor asthma control among clinic patients seen at a Referral Hospital in Addis Ababa, Ethiopia |
| title_short | Level of asthma control and risk factors for poor asthma control among clinic patients seen at a Referral Hospital in Addis Ababa, Ethiopia |
| title_sort | level of asthma control and risk factors for poor asthma control among clinic patients seen at a referral hospital in addis ababa ethiopia |
| topic | Physician-diagnosed asthma GINA (global initiative for asthma) Risk factors for asthma control |
| url | http://link.springer.com/article/10.1186/s13104-017-2887-z |
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