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海湾地区和近东地区哮喘的见解与现状

Asthma insights and reality in the Gulf and the near East.

作者信息

Khadadah M, Mahboub B, Al-Busaidi N H, Sliman N, Soriano J B, Bahous J

机构信息

Faculty of Medicine, Kuwait University, Kuwait City, Kuwait.

出版信息

Int J Tuberc Lung Dis. 2009 Aug;13(8):1015-22.

Abstract

BACKGROUND

Data on the burden of asthma and the quality of asthma control in the Gulf and Near East (GNE) are scarce.

OBJECTIVE

To determine how closely asthma management guidelines are being followed in the GNE.

METHODS

The Asthma Insights and Reality in the GNE (AIRGNE) survey is based on information from 1000 patients with asthma in five countries: Jordan, Kuwait, Lebanon, Oman and the United Arab Emirates (UAE).

RESULTS

Daytime asthma symptoms were reported by 68% of respondents, and 51% reported being woken up by asthma in the preceding 4 weeks. Use of health services in the last 12 months was high, with 23% having been hospitalised and 52% having attended the emergency department. Absence from school and work in the past year was reported by 52% of children and 30% of adults. The highest school absence was observed in Jordan and Lebanon (both 69%), and Jordan had the highest rate of absence from work among adults (46%). The use of peak expiratory flow was very low, and only 17% owned a meter. Overall, 66% of participants had never undergone a lung function test.

CONCLUSION

Current levels of asthma control in the GNE fall far short of the goals specified in guidelines for asthma management.

摘要

背景

关于海湾及近东地区(GNE)哮喘负担和哮喘控制质量的数据稀缺。

目的

确定GNE地区对哮喘管理指南的遵循程度。

方法

GNE地区哮喘认知与现状(AIRGNE)调查基于来自约旦、科威特、黎巴嫩、阿曼和阿拉伯联合酋长国(阿联酋)五个国家的1000名哮喘患者的信息。

结果

68%的受访者报告有白天哮喘症状,51%报告在过去4周内曾因哮喘而醒来。过去12个月内医疗服务利用率较高,23%曾住院治疗,52%曾前往急诊科就诊。52%的儿童和30%的成年人报告在过去一年中有缺课/旷工情况。约旦和黎巴嫩的缺课率最高(均为69%),约旦成年人的旷工率最高(46%)。呼气峰值流速仪的使用率非常低,只有17%的人拥有一台。总体而言,66%的参与者从未进行过肺功能测试。

结论

GNE地区目前的哮喘控制水平远未达到哮喘管理指南规定的目标。

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