Medication Use in Asthmatic Patients in Communities of Putuo District Shanghai: A Cross-sectional Investigation_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

ChenJialing ¹ , GaoXiaohua ¹ , GaoZhiting ¹ , ZhangFengying ¹ ,  HangJingqing ¹ ,  DavidC. hristiani ²

1. Department of Respiratory Medicine, Shanghai Putuo People's Hospital, Shanghai, 200060, China;
2. ;

Corresponding?author：

HangJingqing, Email: hangjq@hotmail.com; DavidC. hristiani, Email: dchris@hsph.harvard.edu

Keywords：

Asthma; Medicine treatment; Treatment compliance

DOI：

10.7507/1671-6205.2014006

Video：

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Objective To investigate the drug use,symptoms and lung function of asthma patients in communities. Methods A cooperation project of "Cohort Study in Putuo District Health Survey" was conducted by Shanghai Putuo People's Hospital and the Harvard School of Public Health from August 2007 to January 2010 .Home questionnaires were collected in the communities in 13 residential quarters in Changzheng town,Ganquan town in Putuo District,Shanghai. Results A total of 27 042 respondents was inquired,in which there were a total of 488 asthma patients with the total prevalence rate of 1.80 percent. 189 cases (47.49%) frequently used anti-asthma drugs in nearly a year,and 209 cases (52.51%) less frequently used anti-asthma drugs. In the patients frequently using anti-asthma drugs,FEV₁%pred was (65.30±25.78)% with FEV₁%pred ≥80% in 50 cases (32.68%).St. George score was 36.80±28.02 in this subgroup.More symptoms presented in 129 cases(69.73%)in the past year. In the patients less frequently using anti-asthma drugs,FEV₁%pred was (81.55±19.01)% with FEV₁%pred ≥80% in 99 cases (56.57%). St. George score was 7.61±15.56.There were symptoms presented in 42 cases (20.59%) in the past year. Conclusion More than half asthmatic patients do not receive regular medicine treatment in communities in Shanghai. Some patients still suffer from asthma symptoms long with poor St. George score and lung function although frequently using anti-asthma medication,suggesting asthma treatment is not standard.

Citation： ChenJialing, GaoXiaohua, GaoZhiting, ZhangFengying, HangJingqing, DavidC. hristiani. Medication Use in Asthmatic Patients in Communities of Putuo District Shanghai: A Cross-sectional Investigation. Chinese Journal of Respiratory and Critical Care Medicine, 2014, 13(1): 21-23. doi: 10.7507/1671-6205.2014006 Copy

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1. Masoli M,Fabian D,Holt S,et al.The global burden of asthma:executive summary of the GINA Dissemination Committee report.Allergy,2004,59:469-478.
2. Bateman ED,Boushey HA,Bousquet J,et al.Can guideline-defined asthma control be achieved? The Gaining Optimal Asthma ControL Study.Am J Respir Crit Care Med,2004,170:836-844.
3. Koster ES,Raaijmakers JA,Vijverberg SJ,et al.Inhaled corticosteroid adherence in paediatric patients:the PACMAN cohort study.Pharmacoepidemiol Drug Saf,2011,20:1064-1072.
4. Jobin MS,Moisan J,Bolduc Y,et al.Factors associated with the appropriate use of asthma drugs.Can Respir J,2011,18:97-104.
5. 施永美,張鋒英,戴荷蓮,等.上海市普陀區長征鎮學生過敏性疾病流行病學調查.中華全科醫學,2010,8:1436-1438.
6. 宋立強,吳昌歸,孫秀珍,等.陜西省地區級城市哮喘患者的控制現狀及對疾病認知程度的調查.中國呼吸與危重監護雜志,2009,8:351-354.
7. 劉興安,趙禹.支氣管哮喘患者治療依從性對病情轉歸的影響.臨床誤診誤治,2011,24:12-14.
8. 周新,洪建國,辛建保,等.布地奈德/福莫特羅治療哮喘為期三個月的非干預性調研.中國呼吸與危重監護雜志,2009,8:341-344.
9. 中華醫學會呼吸病學分會哮喘學組.支氣管哮喘防治指南(支氣管哮喘的定義、診斷、治療和管理方案).中國哮喘雜志:電子版,2008,2:3-13.
10. 余兵,母雙,何權瀛,等.支氣管哮喘協會會員哮喘病情控制情況的調查,中國呼吸與危重監護雜志,2008,7:342-345.

Chinese Journal of Respiratory and Critical Care Medicine

Medication Use in Asthmatic Patients in Communities of Putuo District Shanghai: A Cross-sectional Investigation

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