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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

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Published on: November 4, 2010

Trigger recognition and management in poorly controlled asthmatics.

Matthew A Rank¹, Peter Wollan, James T Li

¹Division of Allergic Diseases, Mayo Clinic, Rochester, Minnesota, USA. rank.matthew@mayo.edu

Allergy and Asthma Proceedings

|October 28, 2010

Summary

This summary is machine-generated.

Asthma trigger management in clinical practice shows gaps. Trigger advice was infrequent during outpatient visits, and follow-up on adherence was rare, indicating a need for improved asthma care strategies.

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Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber

Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber

Published on: March 3, 2023

Area of Science:

Pulmonology
Clinical Practice Research
Asthma Management

Background:

Cross-sectional studies indicate suboptimal asthma trigger recognition and management in clinical settings.
Gaps persist between asthma guideline recommendations and actual clinical practice for trigger identification and control.

Purpose of the Study:

To assess the discrepancies between asthma guideline recommendations and clinical practice concerning trigger recognition and management.
To track poorly controlled asthma patients over two years to identify these gaps.

Main Methods:

Retrospective cohort study of 102 children and adults with poorly controlled asthma (2003-2004).
Analysis of 686 asthma-related medical record visits for documented trigger inquiries, avoidance advice, and adherence evaluation.
Data collected from Olmsted County, MN residents.

Main Results:

Trigger inquiries occurred in 83% of visits (average 2.0 triggers/visit), most commonly infection, environmental tobacco smoke, and allergens.
More triggers were queried during exacerbations and in emergency settings compared to outpatient visits.
Trigger management advice was provided in 30% of visits, with adherence evaluated in only 6%.

Conclusions:

Asthma trigger management in routine outpatient visits is infrequent and rarely followed up.
Interventions should focus on improving trigger avoidance advice and adherence monitoring during regular asthma clinic appointments.