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Nocturnal asthma: a study in general practice.

M Turner-Warwick

    The Journal of the Royal College of General Practitioners
    |June 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Nocturnal asthma significantly impacts patients, with most experiencing night waking weekly and many nightly. Patient perception of asthma severity often underestimates the seriousness of these night symptoms.

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    Area of Science:

    • Pulmonology
    • Clinical Medicine
    • Epidemiology

    Background:

    • Nocturnal asthma symptoms are a common and significant issue for many asthma patients.
    • Understanding the prevalence and contributing factors of nighttime asthma exacerbations is crucial for effective management.

    Purpose of the Study:

    • To investigate the prevalence of nocturnal asthma symptoms in a large UK general practice population.
    • To explore the relationship between nocturnal asthma, patient perception of severity, and medication use.

    Main Methods:

    • A questionnaire-based study involving 1199 general practitioners across the UK.
    • Data collected from 7729 consecutive asthma patients prescribed bronchodilator aerosols.

    Main Results:

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    • 73% of patients woke with asthma at least weekly; 39% woke nightly.
    • A significant association exists between perceived asthma severity and nocturnal waking frequency (P < 0.001).
    • 26% of patients waking nightly perceived their asthma as mild, using less medication than severe-perceiving patients.

    Conclusions:

    • Nocturnal asthma symptoms are highly prevalent and potentially underestimated by patients.
    • Specific inquiry into nocturnal waking frequency is recommended for better asthma assessment.
    • Nighttime asthma is correlated with increased medication use and the presence of various triggers.