Alith Marcela Batan, Gazzotti Mariana Rodrigues, Nascimento Oliver Augusto, Jardim José Roberto
Pulmonary Rehabilitation Center of Escola Paulista de Medicina of Universidade Federal de São Paulo (EPM/Unifesp), São Paulo, Brazil.
Hospital Universitário da USP, Brazil.
World Allergy Organ J. 2020 Apr 1;13(4):100113. doi: 10.1016/j.waojou.2020.100113. eCollection 2020 Apr.
Asthma is a chronic airway inflammatory condition of the airway and is classified as controlled, partially controlled, and uncontrolled. Patients with uncontrolled asthma are at greater risk for hospitalizations and visits to emergencies, and the condition has greater impact on their daily lives. The aim of this study was to evaluate asthma control, the use of health resources, and asthma's impact on the activities of daily living of patients with different age groups in 5 Latin American countries.
This was a retrospective analysis of The Latin America Asthma Insights and Management (LA AIM) study carried out in Argentina, Brazil, Mexico, Venezuela, and Puerto Rico. Asthmatics were splited into 3 age groups: 12-17, >17-40 and > 40 years old. An interview face to face was carried out and patients answered a questionnaire of 53 questions related to 5 main domains of asthma: symptoms, impact of asthma on daily living activities, patients' perceptions of asthma control, exacerbations, and treatment/medication.
A total of 2167 asthmatics were interviewed. There was a low percentage of controlled patients (mean 9%) in all 3 groups with no particular difference among the five countries, but Venezuelan patients had a 71% chance of having uncontrolled asthma (p < 0.001).
In the 3 age groups, patients experienced poor asthma control, with no significant differences among the countries. Patients who used control medication had a greater chance of controlling their asthma, and those who had emergency health care visits had a greater chance of having uncontrolled asthma.
哮喘是一种气道慢性炎症性疾病，分为控制良好、部分控制和未控制三种类型。未控制的哮喘患者住院和急诊就诊风险更高，该疾病对他们的日常生活影响更大。本研究旨在评估拉丁美洲5个国家不同年龄组患者的哮喘控制情况、卫生资源利用情况以及哮喘对其日常生活活动的影响。
这是一项对在阿根廷、巴西、墨西哥、委内瑞拉和波多黎各开展的拉丁美洲哮喘洞察与管理（LA AIM）研究的回顾性分析。哮喘患者被分为3个年龄组：12 - 17岁、>17 - 40岁和>40岁。进行了面对面访谈，患者回答了一份包含53个问题的问卷，这些问题涉及哮喘的5个主要领域：症状、哮喘对日常生活活动的影响、患者对哮喘控制的认知、病情加重情况以及治疗/用药。
共访谈了2167名哮喘患者。所有3个年龄组中控制良好的患者比例都很低（平均9%），5个国家之间没有特别差异，但委内瑞拉患者哮喘未得到控制的几率为71%（p < 0.001）。
在这3个年龄组中，患者的哮喘控制情况较差，各国之间无显著差异。使用控制药物的患者控制哮喘的几率更大，而进行过急诊医疗就诊的患者哮喘未得到控制的几率更大。
