在西班牙的喘和COPD的维护吸入器
Xavier Muñoz1, Jordi Giner2, Antoni Sicras3
1Vall'd Hebrón Hospital, Department of Pneumology, Barcelona, Spain. xavier.munoz@vallhebron.cat.
Respiratory care
|June 21, 2024
概括
在西班牙喘和COPD患者中,吸入器设备的使用因年龄而异,经常在压力计量剂量吸入器 (pMDIs) 和干粉吸入器 (DPIs) 之间切换. 许多患者使用多个吸入器设备,尽管有可用的组合疗法.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 临床药房 临床药房
- 公共卫生 公共卫生
背景情况:
- 喘和COPD的治疗依赖于吸入疗法.
- 压力计量剂量吸入器 (pMDIs) 和干粉吸入器 (DPIs) 是常见的输送设备.
- 了解设备使用模式对于优化患者护理至关重要.
研究的目的:
- 描述pMDIs和DPIs在西班牙喘或COPD患者的使用情况.
- 分析与吸入器选择相关的社会人口学,临床和功能特征.
- 调查pMDIs和DPIs之间的切换模式.
主要方法:
- 追溯性,描述性,全国性,多中心性,观察性研究.
- 利用了一个拥有180万患者的大数据库.
- 包括24,102名喘患者和12,858名接受维持性吸入治疗的慢性慢性病患者.
主要成果:
- 吸入器的使用 (pMDI与DPI) 在喘和COPD中因年龄组而异.
- 老年患者 (≥75岁) 偏爱pMDIs,而中年患者 (40-64岁) 偏爱DPIs.
- 在pMDIs和DPIs之间切换是常见的 (每年21.6%-25%),许多患者使用多个吸入器设备.
结论:
- 在喘和COPD中,吸入器设备的选择受患者年龄的影响.
- 在临床实践中,pMDI和DPI设备之间经常发生切换.
- 观察到单个设备组合疗法的非最佳使用,许多患者使用多种类型的吸入器.
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