Environmental Exposure and Nonadherence with Medicines Directly Correlate with Exacerbations and Hospitalization for Asthma: A Population-Based Survey from UAEReportar como inadecuado




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ISRN PulmonologyVolume 2012 2012, Article ID 831687, 10 pages

Research Article

Department of Pulmonology and Allergy, Rashid Hospital, P.O. Box 4545, Dubai, UAE

Pulmonary Medicine, Al Qasimi Hospital, Sharjah, UAE

Received 30 November 2011; Accepted 15 January 2012

Academic Editors: A. Celi, C. Flores, A. Miyazato, and A. M. Sciuto

Copyright © 2012 Bassam Mahboub et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Acute severe exacerbation of asthma is directly related with the uncontrolled asthma including noncompliance with the medicines and exposure to the environmental factors. To our knowledge, none of the community-based study has explored the prevalence of asthma and other factors namely, pattern of symptoms, environmental-occupational-housing-behavioral pattern-misperception about asthma, and educational factors contributing to the exacerbation of asthma. We also studied the nonadherence issues related to the management of asthma in the United Arab Emirates UAE. By using European Community Respiratory Health Survey ECRHS questionnaires and pooled data from AIRGNE UAE study, we aimed to determine the above-mentioned factors in the general population by means of a cross-sectional assessment of a random sample of 1,229 participants of which 62.97% were male and 20.01% were UAE nationals, with a mean age ±SD of 32.9 ±14.1 years. Prevalence of individual respiratory symptoms from the ECRHS questionnaire in all participants ranged from 8 to 10%, while those participants aged 20–44 years presented a lower prevalence in all symptoms 𝑃 < 0 . 0 5 . Conclusion. Certain specific persistent environmental factor along with nonadherence to the controller medicines is a significant factor leading to uncontrolled asthma with consequent exacerbations, morbidity-mortality, and health care cost in UAE.





Autor: Bassam Mahboub, Mayank Vats, Shahid Afzal, Walid Sharif, and Mohammed Nizam Iqbal

Fuente: https://www.hindawi.com/



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