Application of asthma control test in patient with Asthma

Abstract EN

BACKGROUND: Bronchial asthma is a chronic inflammatory syndrome that is highly prevalent worldwide, affecting approximately 300 million individuals of all ages OBJECTIVE: to assess Asthma control test in patients with asthma and its association with some individual characteristics, medical history and type of treatments .

METHODS: This was a descriptive observational study involving 80 outpatients with asthma under treatment at the Asthma Outpatient Clinic of the Merjan teaching hospital in Al-Hilla city , Babylon ,Iraq.

The patients were evaluated regarding sociodemographic and clinical characteristics, as well as anthropometric measurements.

The asthma control status was assessed using the asthma control test (ACT).

RESULTS: The overall mean of age of asthmatic patients was (36.58 ± 9.549 years), for BMI was (27.85± 5.87 kg/ m2) and for ACT( 16.912±5.0295).

Out of (80) asthmatic patients 58(72.5%) had poor asthma control ( ACT< 20) compare to 22(27.5%) with well asthma control.

There were significant association between ACT score wither poor control (ACT<20) or well control (ACT=20-25) with residence , BMI and with waist/ hip ratio risk levels and no significant difference between two group regarding age groups, sex, occupation and marital state categories (p-value= 0.990, 0.539,0.181and 0.128) respectively There was significant association between asthma control with onset age of asthma(χ2=13.315, df=2.pvalue=0.001) duration of asthma (p-value=0.002), history of visit emergency room in past year due to asthma (p-value=0.02) were majority of poor asthma control (86.2%) reported such history, type of treatment (pvalue=0.000) , majority of well asthma control group (45.5%) use Ratio ICS/LABA compared with (8.5%) of poor asthma control meanwhile, (46.5%) of the last group use ICS compared to (9%) in well control group use ICS.

and no significant association of family history of asthma , history of hospitalization in past one year between two groups (p-value= 0.990,0.624) respectively.

CONCLUSIONS :this study represent unacceptable high level of asthmatic patient with poor asthma control , with the vast majority of patients not received appropriate diagnosis , treatment and failing to achieve the goals of control set