Asthma Control in Adults and Children Must be Improved!

Pneumologie
K GuenterU Koehler

Abstract

Medication management of asthma is based on level of asthma control. GINA defined criteria for asthma control include asking about daytime symptoms, limitation of activity, nocturnal symptoms/awakenings and need for reliever treatment. Effective asthma control is necessary for preventing exacerbations and worsening of lung function. Standardized and validated questionnaires such as asthma control test (ACT) help to assess the level of asthma control. Asthma control is classified as controlled, partially controlled or uncontrolled. Multicenter studies like REALISE and AIRE give health care professionals information about effectiveness and adherence to medication over nearly 15 years. Asthma is still poorly controlled in more than 50 % of patients despite the availability of very effective drugs. Low adherence to the treatment, fear of systemic side effects related to long term treatment with inhaled corticosteroids, inadequate knowledge of the disease may be responsible factors for bad asthma control. Optimized tools for disease management and intensified education are necessary for therapeutic success.

Citations

Apr 25, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Amelia LicariGiorgio Ciprandi
May 15, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Wang NaJia Yan-Xia
May 18, 2021·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Susanne KutzoraStefanie Heinze

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