Claudia Crimi1, Raffaele Campisi2, Alberto Noto3, Sabrina Genco4, Giulia Cacopardo5, Santi Nolasco6, Nunzio Crimi7. 1. Respiratory Medicine Unit, A.O.U. "Policlinico-Vittorio Emanuele", Via S. Sofia, 78, 95123, Catania, Italy. Electronic address: dott.claudiacrimi@gmail.com. 2. Respiratory Medicine Unit, A.O.U. "Policlinico-Vittorio Emanuele", Via S. Sofia, 78, 95123, Catania, Italy. Electronic address: raffaelemd@hotmail.it. 3. Anesthesia and Intensive Care, AOU Policinico "G.Martino", Via Consolare Valeria 1, Messina, Italy. Electronic address: alberto.noto@unime.it. 4. Respiratory Medicine Unit, A.O.U. "Policlinico-Vittorio Emanuele", Department of Clinical and Experimental Medicine, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy. Electronic address: gencosabrina@gmail.com. 5. Respiratory Medicine Unit, A.O.U. "Policlinico-Vittorio Emanuele", Department of Clinical and Experimental Medicine, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy. Electronic address: giuliacacopardo@gmail.com. 6. Respiratory Medicine Unit, A.O.U. "Policlinico-Vittorio Emanuele", Department of Clinical and Experimental Medicine, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy. Electronic address: nolascos@hotmail.it. 7. Respiratory Medicine Unit, A.O.U. "Policlinico-Vittorio Emanuele", Department of Clinical and Experimental Medicine, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy. Electronic address: crimi@unict.it.
Abstract
BACKGROUND: The Asthma Control Test (ACT) is a tool that allows physicians to estimate the control of asthma symptoms on each patient in a quick way. METHODS: We conducted a prospective single-center observational study enrolling 97 patients with asthma, selected from the Outpatient Respiratory Service of "Policlinico-Vittorio Emanuele" in Catania. Patients answered the ACT in full autonomy. Subsequently, the physician, blinded to the previous ACT evaluation, administered a new ACT and then assessed patients' medical condition during his/her visit. A second physician evaluated patients' level of symptom control according to GINA guidelines. Agreement in ACT score was analyzed using the Kendall coefficient of concordance (W) for ACT individual items and overall score. The impact of different education levels on the ACT was analyzed with the Mann-Whitney test. MAIN FINDINGS: There was no significant difference in ACT total score obtained by either administration mode (p > 0.05). Responses to ACT single items showed a statistically significant difference between patients with lower and higher education levels in ACT items n°3 and 5, (p < 0.05), with lower education levels influencing patients symptom perception and disease control. Moreover, a significant difference in the evaluation of asthma control was found between ACT and GINA assessment of symptom control (p < 0.05).
BACKGROUND: The Asthma Control Test (ACT) is a tool that allows physicians to estimate the control of asthma symptoms on each patient in a quick way. METHODS: We conducted a prospective single-center observational study enrolling 97 patients with asthma, selected from the Outpatient Respiratory Service of "Policlinico-Vittorio Emanuele" in Catania. Patients answered the ACT in full autonomy. Subsequently, the physician, blinded to the previous ACT evaluation, administered a new ACT and then assessed patients' medical condition during his/her visit. A second physician evaluated patients' level of symptom control according to GINA guidelines. Agreement in ACT score was analyzed using the Kendall coefficient of concordance (W) for ACT individual items and overall score. The impact of different education levels on the ACT was analyzed with the Mann-Whitney test. MAIN FINDINGS: There was no significant difference in ACT total score obtained by either administration mode (p > 0.05). Responses to ACT single items showed a statistically significant difference between patients with lower and higher education levels in ACT items n°3 and 5, (p < 0.05), with lower education levels influencing patients symptom perception and disease control. Moreover, a significant difference in the evaluation of asthma control was found between ACT and GINA assessment of symptom control (p < 0.05).
Authors: Ismael García-Moguel; Ana Rosado; Aída Gómez-Cardeñosa; Mar Gandolfo-Cano; Teresa Robledo Echarren; Maria Del Mar Moro Moro; Mª Del Mar Reaño Martos; Rafael Pineda-Pineda; Marcela Valverde-Monge; Cristina Martin-Arriscado Arroba; Javier Domínguez-Ortega Journal: J Asthma Allergy Date: 2022-05-13
Authors: Ai Theng Cheong; Ping Yein Lee; Sazlina Shariff-Ghazali; Hani Salim; Norita Hussein; Rizawati Ramli; Hilary Pinnock; Su May Liew; Nik Sherina Hanafi; Ahmad Ihsan Abu Bakar; Azainorsuzila Mohd Ahad; Yong Kek Pang; Karuthan Chinna; Ee Ming Khoo Journal: NPJ Prim Care Respir Med Date: 2021-11-29 Impact factor: 2.871
Authors: Luis A Pérez de Llano; Borja G Cosío; Ignacio Lobato Astiárraga; Gregorio Soto Campos; Miguel Ángel Tejedor Alonso; Nuria Marina Malanda; Alicia Padilla Galo; Isabel Urrutia Landa; Francisco J Michel de la Rosa; Ismael García-Moguel Journal: J Asthma Allergy Date: 2022-01-14