Volume : 08, Issue : 08, August – 2021

Title:

45.ASSESSMENT OF INHALER TECHNIQUES IN ASTHMATIC PATIENTS IN KING ABDULAZIZ SPECIALIST HOSPITAL AND KING FAISAL COMPLEX, TAIF 2021

Authors :

Sarah Musaed Alluheibi, Talal AlMalki, Hind Musaed Alluheibi

Abstract :

Introduction: Uncontrolled asthma continues to be a leading cause of emergency department (ED) visits and hospitalizations. Improper asthma inhaler device use is most certainly one of the leading reasons for uncontrolled asthma and frequent emergency department visits. Methodology: This was a cross-sectional study conducted among asthmatic patients in Taif, Saudi Arabia, to assess the use of inhaler techniques for further proper asthma control in the future. A self-administrated questionnaire was distributed for data collection. Results: A total of 210 patients were included in this study, most of them (64.8%) used MDI devices, 18.1% used Turbuhaler, 8.6% used Diskus, and 8.6% used MDI with spacer. The majority (87.1%) were found to improperly use inhalers. Gender (P=0.000), age (P=0.000), follow-up with a doctor (P=0.000), educational level (P=0.000), being educated about asthma medication (P=0.000), ED visits (P=0.000), and the device used (P=0.026) were significantly associated with the mean score of inhaler use. Conclusion: We found that improper inhaler use was common among asthmatic patients in Taif, Saudi Arabia. Females, younger participants, those who follow-up with PHC physicians, those with a university degree, those who never visited the ED this year, and those who used the Turbuhaler device had the most proper inhaler use significantly.
Keywords: Inhaler techniques; asthma; device; therapy.

Cite This Article:

Please cite this article in press Sarah Musaed Alluheibi et al., Assessment Of Inhaler Techniques In Asthmatic Patients In King Abdulaziz Specialist Hospital And King Faisal Complex, Taif 2021., Indo Am. J. P. Sci, 2021; 08(08).

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References:

1. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention – Updated. 2007. [Last updated on 2015 Jul 08]. Available from: http://www.ginasthma.com .
2. Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Rockville (MD): National Asthma Education and Prevention Program, National Heart Lung and Blood Institute; 2007. National Heart Lung and Blood Institute, National Asthma Education and Prevention Program.
3. Al-Moamary MS, Al-Hajjaj MS, Idrees MM, Zeitouni MO, Alanezi MO, AlJahdal HH, et al: The Saudi initiative for asthma. Ann Thorac Med 2009, 4(4):216–33.
4. Clancy K: British guidelines on the management of asthma. Thorax 2004, 59(1):81–2.
5. Bateman ED, Hurd SS, Barnes PJ, Bousquet J, Drazen JM, FitzGerald M, et al: Global strategy for asthma management and prevention: GINA executive summary. Eur Respir J 2008, 31(1):143–78.
6. Al-Jahdali HH, Al-Hajjaj MS, Alanezi MO, Zeitoni MO, Al-Tasan TH: Asthma control assessment using asthma control test among patients attending 5 tertiary care hospitals in Saudi Arabia. Saudi Med J 2008, 29(5):714–7.
7. Adams RJ, Smith BJ, Ruffin RE: Factors associated with hospital admissions and repeat emergency department visits for adults with asthma. Thorax 2000, 55(7):566–73.
8. Weiss KB, Gergen PJ, Hodgson TA: An economic evaluation of asthma in the United States. N Engl J Med 1992, 326(13):862–6.
9. Blais L, Suissa S, Boivin JF, Ernst P: First treatment with inhaled corticosteroids and the prevention of admissions to hospital for asthma. Thorax 1998, 53(12):1025–9.
10. Broeders ME, Sanchis J, Levy ML, Crompton GK, Dekhuijzen PN: The ADMIT series–issues in inhalation therapy. 2. Improving technique and clinical effectiveness. Prim Care Respir J 2009, 18(2):76–82.
11. Giraud V, Roche N: Misuse of corticosteroid metered-dose inhaler is associated with decreased asthma stability. Eur Respir J 2002, 19(2):246–51.
12. Melani AS, Bonavia M, Cilenti V, Cinti C, Lodi M, Martucci P, et al: Inhaler mishandling remains common in real life and is associated with reduced disease control. Respir Med 2011, 105(6):930–8.
13. Lenney J, Innes JA, Crompton GK: Inappropriate inhaler use: assessment of use and patient preference of seven inhalation devices. EDICI Respir Med 2000, 94(5):496–500.
14. Molimard M, Le Gros V: Impact of patient-related factors on asthma control. J Asthma 2008, 45(2):109–13.
15. Dolovich MB, Ahrens RC, Hess DR, Anderson P, Dhand R, Rau JL, et al: Device selection and outcomes of aerosol therapy: evidence-based guidelines: American college of chest physicians/American college of asthma, allergy, and immunology. Chest 2005, 127(1):335–71.
16. Cochrane MG, Bala MV, Downs KE, Mauskopf J, Ben-Joseph RH: Inhaled corticosteroids for asthma therapy: patient compliance, devices, and inhalation technique. Chest 2000, 117(2):542–50.
17. Coelho AC, Souza-Machado A, Leite M, Almeida P, Castro L, Cruz CS, et al: Use of inhaler devices and asthma control in severe asthma patients at a referral center in the city of Salvador, Brazil. J Bras Pneumol 2011, 37(6):720–8.
18. Lavorini F, Magnan A, Dubus JC, Voshaar T, Corbetta L, Broeders M, et al: Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD. Respir Med 2008, 102(4):593–604.
19. Epstein S, Maidenberg A, Hallett D, Khan K, Chapman KR: Patient handling of a dry-powder inhaler in clinical practice. Chest 2001, 120(5):1480–4 3.
20. Omar Sharif Usmani, Federico Lavorini, Jonathan Marshall William Christopher Nigel Dunlop,3 Louise Heron,4 Emily Farrington,4 and Richard Dekhuijzen5 Critical inhaler errors in asthma and COPD Respir Res. 2018; 19: 10.

21.Yaser M. Al-Worafi, PhD Evaluation of inhaler technique among patients with asthma and COPD in Yemen 2018,13:5.
22. Bharti Chogtu, Sadhana Holla, Rahul Magazine,1 and Asha Kamath2 . Evaluation of relationship of inhaler technique with asthma control and quality of life 2017;49(1):110-115.
23. Maha Al Ammari, MSC, MPH, Khizra Sultana, ETC. A cross- sectional observational study to assess inhaler technique in Saudi hospitalized patients with asthma and chronic obstructive pulmonary disease 2016, 37 (5) 570-574
24. Mark L Levy, P N R Dekhuijzen, ETC 2016 Inhaler technique: facts and fantasies study that Both incorrect inhaler technique and irregular usage of inhaler medication are common causes of poor asthma control. Resp Med 26, 16017 (2016)
25. Hamdan AL-Jahdali, 1,4 Anwar Ahmed,2 Abdullah AL-Harbi, ETC Improper inhaler technique is associated with poor asthma control and frequent emergency department visits All Asth Clin Immun 9, 8 (2013)
26. Emirate of Makkah province. Taif homepage – updated 2014 [ last updated on 2021]. Available from: https://www.makkah.gov.sa/page/taif.
27. Dalcin PD, Grutcki DM, Laporte PP, Lima PB, Menegotto SM, Pereira RP. Factors related to the incorrect use of inhalers by asthma patients. Jornal Brasileiro de Pneumologia. 2014 Jan;40:13-20.
28. Pothirat C, Chaiwong W, Limsukon A, Phetsuk N, Chetsadaphan N, Choomuang W, Liwsrisakun C. Real-world observational study of the evaluation of inhaler techniques in asthma patients. Asian Pac J Allergy Immunol. 2019 Jan 13.
29. Pothirat C, Chaiwong W, Limsukon A, Phetsuk N, Chetsadaphan N, Choomuang W, Liwsrisakun C. Real-world observational study of the evaluation of inhaler techniques in asthma patients. Asian Pac J Allergy Immunol. 2019 Jan 13.