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Related Experiment Videos

Asthma control and management: a patient's perspective.

P Manning1, P Greally, E Shanahan

  • 1Medical Committee of Asthma Society of Ireland, 26 Mountjoy Square, Dublin 1. pjmanning@eircom.net

Irish Medical Journal
|February 1, 2006
PubMed
Summary

Asthma management in Ireland falls short of international guidelines. A survey found many patients experience uncontrolled symptoms and require acute care, indicating a need for improved asthma control strategies.

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Area of Science:

  • Pulmonary Medicine
  • Public Health

Background:

  • Irish asthma guidelines, established in 2000, align with Global Initiative for Asthma (GINA) recommendations.
  • The Asthma Insights and Reality in Europe (AIRE) survey methodology was used to assess guideline adherence.

Purpose of the Study:

  • To evaluate the realization of optimal asthma management and control goals in Ireland.
  • To assess healthcare utilization, symptom severity, activity limitations, and asthma control levels among Irish asthma patients.

Main Methods:

  • The Asthma Insights and Reality in Ireland (AIRI) survey interviewed 400 patients with current asthma.
  • Data collected included healthcare utilization (emergency visits, hospitalizations), symptom frequency, and activity limitations.

Main Results:

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  • A significant number of surveyed patients utilized acute services; 27% had emergency visits, and 7% were hospitalized for asthma in the past year.
  • Poor asthma control was evident: 19% reported weekly sleep disturbance, 29% missed work/school, and 37% experienced symptoms during physical activity in the prior 4 weeks.

Conclusions:

  • Asthma management and control levels in Ireland do not meet recommended national and international standards.
  • Findings highlight a gap between GINA guidelines and actual patient outcomes in Ireland, suggesting a need for intervention.