عوامل الخطر لهجمة الربو عند مرضى الربو البالغين في مشفى حلب الجامعي

Abstract EN

Objective : asthma is one of the most common diseases in respiratory medicine, and a major cause of morbidity and hospitalization.

many psychological, social, pathological, and physiological factors can trigger an acute attack in asthmatic patients.

this study aimed to determine the factors that trigger an acute asthma attack in asthmatic patients.

methods a cross-sectional study was applied to patients attending the emergency department, suffering from an acute asthma attack in Aleppo university hospital during the period between January 2019 till January 2020.

pulmonary function tests were performed and bronchial obstruction was assessed according to fev1 forced expiratory values, and patients were divided according to obstruction into three groups (mild, moderate, and severe).

many variables were compared between the three groups to determine the factors that trigger an acute asthma attack in each group of patients.

the data were analyzed statistically via SSPS.

patients with, pulmonary embolism, suspected active pulmonary tuberculosis, chronic obstructive pulmonary disease, advanced heart failure, any obstructive lesion of the bronchi, and patients who were unable to perform a lung function test, were excluded from the study.

results : ninety-eight patients were included in the study (36 men, 62 women), 44.9% of them were diagnosed with asthma by a physician.

median age of patients was 44.31 years.

the study found that the most important affecting factors for acute asthma attack are marital status, periodic follow-up, diagnostic method, educational level, spray coordination, level of PEF, use of ipratropium, and the smoke of wood-burning heater, (p-value 0.002, 0.001, 0.007, 0.001, 0.007, 0.001, 0.028, and 0.030), respectively.

conclusions : the study showed the importance of periodic follow-up for patients with asthma, the need of asthma self-management education (especially effective use of inhaler devise), and the importance of following the international recommendations in treatment of asthma.