Flor Xavier, Alvarez Isabel, Martín Eva, Castan Xavier, Maria Vigatà Josep, Rodríguez Montserrat, Orfila Francesc, Fernández Eladi
Medicina Familiar y Comunitaria CAP Chafarinas, SAP Muntanya, Barcelona, España.
Aten Primaria. 2006 Jun 15;38(1):19-24. doi: 10.1157/13090025.
To check whether treatment of asthma patients at our centre coincides with international criteria (GINA 2002).
Transversal, descriptive study.
Urban primary care team.
Asthma patients over 14 years old.
Review of clinical histories (CH) and analysis of the last prescription between November 2002 and May 2003.
We reviewed 436 CH, of which 395 made up the study group. 71.4% (SD, 66.9-75.8) were women. Average age was 51.4 (SD, 49.2-53.6). Classification of asthma as function of gravity was: intermittent (IA): 30% (25.7-34.3); light persistent (LPA): 24.8% (20.7-28.8); moderate persistent (MPA): 30.7% (26.4-35.1); serious persistent (SPA): 5.05% (3.19-7.54). Unclassified: 9.4% (6.83-12.5). Correct treatment: IA, 69.5% (61.6-77.4); LPA, 22.2% (14.4-30.1); MPA, 46.2% (7.8-54.7); SPA, 72.7% (49.8-89.3). The most common cause of incorrect treatment in all kinds of asthma was the use of international criteria (IC) at inadequate doses: IA, 47.5% (31.5-63.9); LPA, 73.8% (63.1-82.8); MPA, 38.9% (27.6-51.1); SPA, 33.3% (4.3-77.7). The scant use of B2CD.AD was noticeable: IA, 47.5% (31.5-63.9); LPA, 85.7% (76.4-92.4); MPA, 86.7% (74.3-92.1); SPA, 66.7% (22.3-95.7). The most commonly used active principles were salbutamol, salmeterol, budesonide, and montelukast. On overall measurement of good treatment, we found that 48.9% (n = 193) of patients had a correct prescription.
In primary care, light forms of asthma are most commonly monitored. We found low concordance with the GINA 2002 directives. IC are widely used, but often at incorrect doses. We insist on the importance of classifying asthma according to its gravity in order to prescribe the right treatment.
检查我们中心对哮喘患者的治疗是否符合国际标准（《全球哮喘防治创议》2002年版）。
横断面描述性研究。
城市基层医疗团队。
14岁以上的哮喘患者。
回顾临床病史（CH）并分析2002年11月至2003年5月期间的最后一张处方。
我们回顾了436份临床病史，其中395份构成研究组。71.4%（标准差，66.9 - 75.8）为女性。平均年龄为51.4岁（标准差，49.2 - 53.6）。根据病情严重程度对哮喘的分类为：间歇性（IA）：30%（25.7 - 34.3）；轻度持续性（LPA）：24.8%（20.7 - 28.8）；中度持续性（MPA）：30.7%（26.4 - 35.1）；重度持续性（SPA）：5.05%（3.19 - 7.54）。未分类：9.4%（6.83 - 12.5）。正确治疗情况：IA，69.5%（61.6 - 77.4）；LPA，22.2%（14.4 - 30.1）；MPA，46.2%（7.8 - 54.7）；SPA，72.7%（49.8 - 89.3）。各类哮喘治疗不正确的最常见原因是国际标准药物（IC）剂量不足：IA，47.5%（31.5 - 63.9）；LPA，73.8%（63.1 - 82.8）；MPA，38.9%（27.6 - 51.1）；SPA，33.3%（4.3 - 77.7）。β2激动剂使用较少值得注意：IA，47.5%（31.5 - 63.9）；LPA，85.7%（76.4 - 92.4）；MPA，86.7%（74.3 - 9
