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Asthma-I: Introduction

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...

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Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
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Asthma-II: Pathophysiology and Classification

Asthma-II: Pathophysiology and Classification

Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:

Asthma-IV: Diagnostic and Management

Asthma-IV: Diagnostic and Management

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Besides the pressure difference between the external environment and the lungs, the airflow rate and ease of pulmonary ventilation are also influenced by three other factors: surface tension of the fluid in the alveoli, compliance of the lungs, and airway resistance.
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Author Spotlight: Self-Assessment Protocol for Predicting Psoriatic Arthritis in Psoriasis Patients

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Factors associated with self-assessed asthma severity.

Dennis Bouhuis¹, Maaike Giezeman¹, Christer Janson²

¹School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

The Journal of Asthma : Official Journal of the Association for the Care of Asthma

|January 27, 2021

Summary

Factors associated with self-assessed moderate or severe asthma include poor asthma control, allergic conditions, sinusitis, and older age. These findings highlight the importance of managing comorbidities and providing extra attention to elderly asthma patients.

Keywords:

Self-assessed asthma severity age allergic rhinoconjunctivitis asthma control level of education sinusitis

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Area of Science:

Respiratory Medicine
Clinical Epidemiology

Background:

Asthma severity assessment traditionally relies on medication needs or patient self-assessment.
Factors influencing self-assessed asthma severity require further exploration for comprehensive patient care.

Purpose of the Study:

To investigate factors associated with self-assessed moderate or severe asthma.
To identify predictors of patient-perceived asthma severity in a primary and secondary care setting.

Main Methods:

A questionnaire-based study involving 1828 asthma patients.
Logistic regression analysis was employed to determine associations with self-assessed asthma severity, stratified by sex.

Main Results:

45% of patients reported moderate to severe asthma.
Independent predictors included older age (>60 years), allergic rhino-conjunctivitis, sinusitis, poor asthma control (Asthma Control Test <20), and prior emergency care visits.
Lower education levels were linked to self-assessed severity in women but not men.

Conclusions:

Poor asthma control, upper airway comorbidities (allergic rhino-conjunctivitis, sinusitis), and older age are significant factors in self-assessed asthma severity.
Integrated management of upper airway conditions and tailored attention for elderly patients are crucial for effective asthma care.