Medication Use in Asthmatic Patients in Communities of Putuo District Shanghai: A Cross-sectional Investigation_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

ChenJialing ¹ , GaoXiaohua ¹ , GaoZhiting ¹ , ZhangFengying ¹ ,  HangJingqing ¹ ,  DavidC. hristiani ²

1. Department of Respiratory Medicine, Shanghai Putuo People's Hospital, Shanghai, 200060, China;
2. ;

Corresponding author：

HangJingqing, Email: hangjq@hotmail.com; DavidC. hristiani, Email: dchris@hsph.harvard.edu

Keywords：

Asthma; Medicine treatment; Treatment compliance

DOI：

10.7507/1671-6205.2014006

Video：

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Objective To investigate the drug use,symptoms and lung function of asthma patients in communities. Methods A cooperation project of "Cohort Study in Putuo District Health Survey" was conducted by Shanghai Putuo People's Hospital and the Harvard School of Public Health from August 2007 to January 2010 .Home questionnaires were collected in the communities in 13 residential quarters in Changzheng town,Ganquan town in Putuo District,Shanghai. Results A total of 27 042 respondents was inquired,in which there were a total of 488 asthma patients with the total prevalence rate of 1.80 percent. 189 cases (47.49%) frequently used anti-asthma drugs in nearly a year,and 209 cases (52.51%) less frequently used anti-asthma drugs. In the patients frequently using anti-asthma drugs,FEV₁%pred was (65.30±25.78)% with FEV₁%pred ≥80% in 50 cases (32.68%).St. George score was 36.80±28.02 in this subgroup.More symptoms presented in 129 cases(69.73%)in the past year. In the patients less frequently using anti-asthma drugs,FEV₁%pred was (81.55±19.01)% with FEV₁%pred ≥80% in 99 cases (56.57%). St. George score was 7.61±15.56.There were symptoms presented in 42 cases (20.59%) in the past year. Conclusion More than half asthmatic patients do not receive regular medicine treatment in communities in Shanghai. Some patients still suffer from asthma symptoms long with poor St. George score and lung function although frequently using anti-asthma medication,suggesting asthma treatment is not standard.

Citation： ChenJialing, GaoXiaohua, GaoZhiting, ZhangFengying, HangJingqing, DavidC. hristiani. Medication Use in Asthmatic Patients in Communities of Putuo District Shanghai: A Cross-sectional Investigation. Chinese Journal of Respiratory and Critical Care Medicine, 2014, 13(1): 21-23. doi: 10.7507/1671-6205.2014006 Copy

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8.	周新,洪建国,辛建保,等.布地奈德/福莫特罗治疗哮喘为期三个月的非干预性调研.中国呼吸与危重监护杂志,2009,8:341-344.
9.	中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南(支气管哮喘的定义、诊断、治疗和管理方案).中国哮喘杂志:电子版,2008,2:3-13.
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1. Masoli M,Fabian D,Holt S,et al.The global burden of asthma:executive summary of the GINA Dissemination Committee report.Allergy,2004,59:469-478.
2. Bateman ED,Boushey HA,Bousquet J,et al.Can guideline-defined asthma control be achieved? The Gaining Optimal Asthma ControL Study.Am J Respir Crit Care Med,2004,170:836-844.
3. Koster ES,Raaijmakers JA,Vijverberg SJ,et al.Inhaled corticosteroid adherence in paediatric patients:the PACMAN cohort study.Pharmacoepidemiol Drug Saf,2011,20:1064-1072.
4. Jobin MS,Moisan J,Bolduc Y,et al.Factors associated with the appropriate use of asthma drugs.Can Respir J,2011,18:97-104.
5. 施永美,张锋英,戴荷莲,等.上海市普陀区长征镇学生过敏性疾病流行病学调查.中华全科医学,2010,8:1436-1438.
6. 宋立强,吴昌归,孙秀珍,等.陕西省地区级城市哮喘患者的控制现状及对疾病认知程度的调查.中国呼吸与危重监护杂志,2009,8:351-354.
7. 刘兴安,赵禹.支气管哮喘患者治疗依从性对病情转归的影响.临床误诊误治,2011,24:12-14.
8. 周新,洪建国,辛建保,等.布地奈德/福莫特罗治疗哮喘为期三个月的非干预性调研.中国呼吸与危重监护杂志,2009,8:341-344.
9. 中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南(支气管哮喘的定义、诊断、治疗和管理方案).中国哮喘杂志:电子版,2008,2:3-13.
10. 余兵,母双,何权瀛,等.支气管哮喘协会会员哮喘病情控制情况的调查,中国呼吸与危重监护杂志,2008,7:342-345.

Chinese Journal of Respiratory and Critical Care Medicine

Medication Use in Asthmatic Patients in Communities of Putuo District Shanghai: A Cross-sectional Investigation

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