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Published on: November 4, 2010
Improving quality of life in asthmatic children
Abla M Albsoul-Younes1, Imad A Al-Doghim, Safan A Al-Safi
1Department of Clinical Pharmacy, Jordan University of Science & Technology, King Hussein Medical Center, Jordan. ablabsou@just.edu.jo
Insights
Switching pediatric asthma patients to a budesonide/formoterol inhaler significantly improved their quality of life and asthma control. This new combination therapy also enhanced pulmonary function tests (PFTs).
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Pharmacotherapy
Background:
- Pediatric asthma management often involves multiple inhalers.
- Assessing quality of life is crucial for treatment efficacy in chronic conditions.
- Budesonide/formoterol is a combination inhaler for asthma treatment.
Purpose of the Study:
- To evaluate changes in quality of life for pediatric asthma patients switched to a budesonide/formoterol single inhaler.
- To assess the impact of this switch on asthma control and pulmonary function.
Main Methods:
- An open-label study involving 30 pediatric patients (6-15 years) with moderate to severe asthma.
- Patients were switched from beclomethasone dipropionate to budesonide 160 mcg/formoterol 4.5 mcg (one inhalation twice daily).
- Evaluations included pulmonary function tests (PFTs), asthma control indicators, and quality of life questionnaires at baseline and during follow-up.
Main Results:
- A significant improvement in health-related quality of life was observed, with overall scores dropping from 1.75 to 0.80 (p<0.001).
- Pulmonary function tests showed significant improvement: FEV1% increased from 62.7% to 87.4% and FVC% from 83.2% to 101.9% (p<0.001).
- Better asthma control was also noted after the switch in therapy.
Conclusions:
- Switching pediatric asthma patients from beclomethasone dipropionate to budesonide/formoterol in a single inhaler improves quality of life.
- The combination therapy also demonstrated positive effects on clinical indices, including pulmonary function and asthma control.
- This suggests budesonide/formoterol is an effective treatment option for improving outcomes in pediatric asthma.
Objective:
To assess quality of life changes in pediatric asthmatic patients switched into a single inhaler device of Budesonide/Formoterol.
Methods:
Thirty pediatric patients (ages 6-15 years) with moderate to severe chronic asthma previously treated with inhaled beclometasone dipropionate at a daily dose of 400 g were selected to participate in an open label study. At the baseline- phase (one month), pulmonary function tests (PFTs), indicators of asthma control, and a quality of life assessment (using a special questionnaire) were evaluated. Patients were initiated on a single inhaler device containing budesonide 160 g/formoterol 4.5 microg, one inhalation twice daily instead of their previous inhaled corticosteroid and followed for two months. PFTs, indicators of asthma control, and a quality of life assessment were evaluated at each visit.
Results:
After switching to the new therapy, patients showed significant changes towards better quality of life in all aspects. The overall score dropped from 1.75+/- 0.04 to 0.80 +/- 0.07 (mean +/- SEM), p< 0.001 (Score scale varies between 0: excellent to 2: very bad Health related quality of life). There was an improvement in the PFTs, where the FEV1% improved from 62.7+/- 2.8 to 87.4 +/- 4.6 (mean +/- SEM), and the FVC% improved from 83.2 +/- 3.5 to 101.9 +/- 5.3 (mean +/-SEM), p < 0.001, and better control of asthma.
Conclusion:
Switching treatment from beclomethasone dipropionate to budesonide/formoterol combination appeared to improve quality of life in the patient population evaluated and in the appropriate clinical indices.
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