Schatz Michael, Mosen David M, Kosinski Mark, Vollmer William M, Magid David J, O'Connor Elizabeth, Zeiger Robert S
Department of Allergy, Kaiser Permanente, San Diego, California 92111, USA.
J Asthma. 2007 May;44(4):341-5. doi: 10.1080/02770900701344421.
The purpose of this study was to identify determinants of asthma control. Questionnaires were completed by a random sample of 570 members of a large managed care organization who were >or=35 years of age with utilization suggestive of active asthma. Asthma control was assessed buy the Asthma Control Test (ACT). Independent relationships were found between lower ACT scores and oral corticosteroid use (p < 0.0001), COPD (p < 0.0001), absence of regular specialist care (p = 0.006), higher BMI (p = 0.01), gastroesophageal reflux (p = 0.02), not being Caucasian (p = 0.04), and low income (p = 0.04).
本研究的目的是确定哮喘控制的决定因素。对一家大型管理式医疗组织中570名年龄≥35岁、有提示活动性哮喘的医疗服务利用记录的成员进行随机抽样，让他们填写问卷。通过哮喘控制测试（ACT）评估哮喘控制情况。发现ACT得分较低与口服糖皮质激素使用（p<0.0001）、慢性阻塞性肺疾病（COPD，p<0.0001）、缺乏定期专科护理（p = 0.006）、较高的体重指数（BMI，p = 0.01）、胃食管反流（p = 0.02）、非白种人（p = 0.04）和低收入（p = 0.04）之间存在独立关联。
