Literature DB >> 15117633

[Do we forget asthma as a chronic illness in our primary care consultations?].

I Alvarez Luque1, X Flor Escriche, M Rodríguez Mas, L Gallego Alvarez, M Fraga Martínez, L Sánchez Pinacho, J Juvanteny Gorgals.   

Abstract

OBJECTIVE: To describe the characteristics of the asthmatic population at our centre through the information gathered from clinical records, the morbidity caused by asthma and the health education given.
DESIGN: Retrospective, descriptive study.
SETTING: Urban primary care team. PARTICIPANTS: Asthma sufferers over 14 registered at the centre (n=284). MAIN MEASUREMENTS: Review of the clinical records and analysis of data on diagnosis, follow-up and control of the illness.
RESULTS: Prevalence of asthmatics at our centre ran at 1.8%. 73.6% (68.5-78.7) were women, whose average age was 51.25 (21.57). 19% were illiterate. The most common kind of asthma was intermittent (14.1%, 10-18.1). Respiratory infections sparked off acute attacks in 15% (11.3-19.7) of cases. 39.8% (31.4-45.5) (n=113) were diagnosed at the health centre. Spirometry was used as a diagnostic test in 23% (15.2-30.8) (n=26) of these 113 patients. The PC doctor participated in monitoring 81.7% (77.2-86.2) of asthma cases. Spirometry was used in the previous 3 years on 45.4% (39.6-51.2). 95% of spirometry tests were conducted at the hospital. As to health education, there was no record of explanations about the concept of asthma or of breathing techniques in 90.1% (86.1-93.4) and 81% (76.4-85.5) of clinical records, respectively.
CONCLUSIONS: High percentage of asthmatics monitored by PC doctors. Under-recording in clinical records of asthma-related action taken. Few additional monitoring tests were conducted. There were few data on health education.

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Year:  2004        PMID: 15117633     DOI: 10.1016/s0212-6567(04)78890-3

Source DB:  PubMed          Journal:  Aten Primaria        ISSN: 0212-6567            Impact factor:   1.137


  2 in total

1.  Why is spirometry underused in the diagnosis of the breathless patient: a qualitative study.

Authors:  Nicola J Roberts; Susan F Smith; Martyn R Partridge
Journal:  BMC Pulm Med       Date:  2011-06-16       Impact factor: 3.317

2.  Comparison of a web-based package with tutor-based methods of teaching respiratory medicine: subjective and objective evaluations.

Authors:  Susan F Smith; Nicola J Roberts; Martyn R Partridge
Journal:  BMC Med Educ       Date:  2007-11-01       Impact factor: 2.463

  2 in total

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