Clinical management of asthma in 1999: the Asthma Insights and Reality in Europe (AIRE) study
Clinical management of asthma in 1999: the Asthma Insights and Reality in Europe (AIRE) study
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DOI：
10.1183/09031936.00.16580200
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发表时间：
2000-11-01
影响因子：
24.3
通讯作者：
Maier, WC
中科院分区：
文献类型：
--
作者：
Rabe, KF;Vermeire, PA;Maier, WC
哮喘管理指南为哮喘的最佳控制提供了建议。这项调查评估了患者报告的目前哮喘控制水平，这在一定程度上反映了指南建议的实施程度。目前的哮喘患者通过电话对7个欧洲国家的73,880户家庭进行了筛查。指定的受访者接受了关于医疗保健利用、症状严重程度、活动限制和哮喘控制的采访。在3488个家庭中确定了当前的哮喘患者，2803名患者(80.4%)完成了调查。46%的患者报告了白天的症状，30%的患者报告了与哮喘相关的睡眠障碍，至少每周一次。在过去12个月中，25%的患者报告了一次计划外的紧急护理就诊，10%的患者报告了一次或多次急诊室就诊，7%的患者报告在过去4周内过夜，使用处方速效药物的患者(63%)多于吸入皮质类固醇的患者(23%)。患者对哮喘控制的看法与他们的症状严重程度不匹配；大约50%报告严重持续症状的患者也认为他们的哮喘完全或很好地得到了控制。欧洲目前的哮喘控制水平远远达不到长期哮喘管理的目标。患者对哮喘控制的感知与他们实际的哮喘控制是不同的。
Asthma management guidelines provide recommendations for the optimum control of asthma. This survey assessed the current levels of asthma control as reported by patients, which partly reflect the extent to which guideline recommendations are implemented.Current asthma patients were identified by telephone by screening 73,880 households in seven European countries. Designated respondents were interviewed on healthcare utilization, symptom severity, activity limitations and asthma control.Current asthma patients were identified in 3,488 households, and 2,803 patients (80.4%) completed the survey. Forty-six per cent of patients reported daytime symptoms and 30% reported asthma-related sleep disturbances, at least once a week. In the past 12 months, 25% of patients reported an unscheduled urgent care visit, 10% reported one or more emergency room visits and 7% reported overnight In the past 4 weeks, more patients had used prescription quick-relief medication (63%) than inhaled corticosteroids (23%). Patient perception of asthma control did not match their symptom severity; approximately 50% of patients reporting severe persistent symptoms also considered their asthma to be completely or well controlled.The current level of asthma control in Europe falls far short of the goals for longterm asthma management. Patients' perception of asthma control is different from their actual asthma control.