Improper inhaler technique is associated with poor asthma control and frequent emergency department visits

Allergy, Asthma and Clinical Immunology

Volumn 9, Issue 1, 2013, Pages

  AL Jahdali, Hamdan ^a,c   Ahmed, Anwar ^a   AL Harbi, Abdullah ^a   Khan, Mohd ^a   Baharoon, Salim ^a   Bin Salih, Salih ^a   Halwani, Rabih ^b   Al Muhsen, Saleh ^b  

^a KING SAUD BIN ABDULAZIZ UNIVERSITY FOR HEALTH SCIENCES   (Saudi Arabia)

^b KING SAUD UNIVERSITY   (Saudi Arabia)

^c KING SAUD UNIVERSITY   (Saudi Arabia)

Author keywords

Asthma control; Asthma education; Emergency department; Inhaled corticosteroid; Inhaler devices

Indexed keywords

ADULT; ARTICLE; ASTHMA; CROSS-SECTIONAL STUDY; DISEASE CONTROL; DISEASE DURATION; DISEASE EXACERBATION; EMERGENCY WARD; FEMALE; HUMAN; IMPROPER INHALER TECHNIQUE; INHALATIONAL DRUG ADMINISTRATION; INHALER; MAJOR CLINICAL STUDY; MALE; PATIENT EDUCATION;

EID: 84875311195     PISSN: 17101484     EISSN: 17101492     Source Type: Journal    
DOI: 10.1186/1710-1492-9-8     Document Type: Article

References (34)

1. NIH. National Asthma Education and Prevention Program Expert panel report 3: guidelines for the diagnosis and management of asthma 2007, Bethesda (MD): National Heart, Lung, and Blood Institute. NIH Publication No. 07-4051. NIH Publication No 07-4051, NIH. National Asthma Education and Prevention Program.
2. Turner S, Paton J, Higgins B, Douglas G. British guidelines on the management of asthma: what's new for 2011?. Thorax 2011, 66(12):1104-5. 10.1136/thoraxjnl-2011-200213, 21709166.
3. Gupta RS, Weiss KB. The 2007 national asthma education and prevention program asthma guidelines: accelerating their implementation and facilitating their impact on children with asthma. Pediatrics 2009, 123(Suppl 3):S193-8.
4. Al Frayh AR, Shakoor Z, Gad El Rab MO, Hasnain SM. Increased prevalence of asthma in Saudi Arabia. Ann Allergy Asthma Immunol 2001, 86(3):292-6. 10.1016/S1081-1206(10)63301-7, 11289327.
5. al Frayh AR, Al Nahdi M, Bener AR, Jawadi TQ. Epidemiology of asthma and allergic rhinitis in two coastal regions of Saudi Arabia. Allerg Immunol (Paris) 1989, 21(10):389-93.
6. Al-Moamary MS, Al-Hajjaj MS, Idrees MM, Zeitouni MO, Alanezi MO, Al-Jahdal HH. The Saudi initiative for asthma. Ann Thorac Med 2009, 4(4):216-33. 10.4103/1817-1737.56001, 2801049, 19881170.
7. Clancy K. British guidelines on the management of asthma. Thorax 2004, 59(1):81-2. 1758866, 14694258.
8. Bateman ED, Hurd SS, Barnes PJ, Bousquet J, Drazen JM, FitzGerald M. Global strategy for asthma management and prevention: GINA executive summary. Eur Respir J 2008, 31(1):143-78. 10.1183/09031936.00138707, 18166595.
9. Al-Jahdali HH, Al-Hajjaj MS, Alanezi MO, Zeitoni MO, Al-Tasan TH. Asthma control assessment using asthma control test among patients attending 5 tertiary care hospitals in Saudi Arabia. Saudi Med J 2008, 29(5):714-7.
10. Adams RJ, Smith BJ, Ruffin RE. Factors associated with hospital admissions and repeat emergency department visits for adults with asthma. Thorax 2000, 55(7):566-73. 10.1136/thorax.55.7.566, 1745791, 10856316.
11. Weiss KB, Gergen PJ, Hodgson TA. An economic evaluation of asthma in the United States. N Engl J Med 1992, 326(13):862-6. 10.1056/NEJM199203263261304, 1542323.
12. Blais L, Suissa S, Boivin JF, Ernst P. First treatment with inhaled corticosteroids and the prevention of admissions to hospital for asthma. Thorax 1998, 53(12):1025-9. 10.1136/thx.53.12.1025, 1745145, 10195073.
13. Broeders ME, Sanchis J, Levy ML, Crompton GK, Dekhuijzen PN. The ADMIT series--issues in inhalation therapy. 2. Improving technique and clinical effectiveness. Prim Care Respir J 2009, 18(2):76-82. 10.4104/pcrj.2009.00025, 19475324.
14. Giraud V, Roche N. Misuse of corticosteroid metered-dose inhaler is associated with decreased asthma stability. Eur Respir J 2002, 19(2):246-51. 10.1183/09031936.02.00218402, 11866004.
15. Melani AS, Bonavia M, Cilenti V, Cinti C, Lodi M, Martucci P. Inhaler mishandling remains common in real life and is associated with reduced disease control. Respir Med 2011, 105(6):930-8. 10.1016/j.rmed.2011.01.005, 21367593.
16. Lenney J, Innes JA, Crompton GK. Inappropriate inhaler use: assessment of use and patient preference of seven inhalation devices. EDICI Respir Med 2000, 94(5):496-500.
17. Molimard M, Le Gros V. Impact of patient-related factors on asthma control. J Asthma 2008, 45(2):109-13. 10.1080/02770900701815727, 18350401.
18. Dolovich MB, Ahrens RC, Hess DR, Anderson P, Dhand R, Rau JL. Device selection and outcomes of aerosol therapy: evidence-based guidelines: American college of chest physicians/American college of asthma, allergy, and immunology. Chest 2005, 127(1):335-71. 10.1378/chest.127.1.335, 15654001.
19. Cochrane MG, Bala MV, Downs KE, Mauskopf J, Ben-Joseph RH. Inhaled corticosteroids for asthma therapy: patient compliance, devices, and inhalation technique. Chest 2000, 117(2):542-50. 10.1378/chest.117.2.542, 10669701.
20. Coelho AC, Souza-Machado A, Leite M, Almeida P, Castro L, Cruz CS. Use of inhaler devices and asthma control in severe asthma patients at a referral center in the city of Salvador, Brazil. J Bras Pneumol 2011, 37(6):720-8.
21. Lavorini F, Magnan A, Dubus JC, Voshaar T, Corbetta L, Broeders M. Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD. Respir Med 2008, 102(4):593-604. 10.1016/j.rmed.2007.11.003, 18083019.
22. Epstein S, Maidenberg A, Hallett D, Khan K, Chapman KR. Patient handling of a dry-powder inhaler in clinical practice. Chest 2001, 120(5):1480-4. 10.1378/chest.120.5.1480, 11713123.
23. Lababidi H, Hijaoui A, Zarzour M. Validation of the Arabic version of the asthma control test. Ann Thorac Med 2008, 3(2):44-7. 10.4103/1817-1737.39635, 2700459, 19561904.
24. Sestini P, Cappiello V, Aliani M, Martucci P, Sena A, Vaghi A. Prescription bias and factors associated with improper use of inhalers. J Aerosol Med 2006, 19(2):127-36. 10.1089/jam.2006.19.127, 16796537.
25. Brocklebank D, Ram F, Wright J, Barry P, Cates C, Davies L. Comparison of the effectiveness of inhaler devices in asthma and chronic obstructive airways disease: a systematic review of the literature. Health Technol Assess 2001, 5(26):1-149.
26. Al Zabadi H, El SN. Factors associated with frequent emergency room attendance by asthma patients in Palestine. Int J Tuberc Lung Dis 2007, 11(8):920-7.
27. Takemura M, Kobayashi M, Kimura K, Mitsui K, Masui H, Koyama M. Repeated instruction on inhalation technique improves adherence to the therapeutic regimen in asthma. J Asthma 2010, 47(2):202-8. 10.3109/02770900903581692, 20170330.
28. Giner J, Macian V, Hernandez C. Multicenter prospective study of respiratory patient education and instruction in the use of inhalers (EDEN study). Arch Bronconeumol 2002, 38(7):300-5.
29. Ronmark E, Jogi R, Lindqvist A, Haugen T, Meren M, Loit HM. Correct use of three powder inhalers: comparison between Diskus, Turbuhaler, and Easyhaler. J Asthma 2005, 42(3):173-8.
30. van der Palen J, Klein JJ, Kerkhoff AH, van Herwaarden CL, Seydel ER. Evaluation of the long-term effectiveness of three instruction modes for inhaling medicines. Patient Educ Couns 1997, 32(1 Suppl):S87-95.
31. Larsen JS, Hahn M, Ekholm B, Wick KA. Evaluation of conventional press-and-breathe metered-dose inhaler technique in 501 patients. J Asthma 1994, 31(3):193-9. 10.3109/02770909409044826, 8195061.
32. Interiano B, Guntupalli KK. Metered-dose inhalers. Do health care providers know what to teach?. Arch Intern Med 1993, 153(1):81-5. 10.1001/archinte.1993.00410010105009, 8422202.
33. Basheti IA, Armour CL, Bosnic-Anticevich SZ, Reddel HK. Evaluation of a novel educational strategy, including inhaler-based reminder labels, to improve asthma inhaler technique. Patient Educ Couns 2008, 72(1):26-33. 10.1016/j.pec.2008.01.014, 18314294.
34. Al-Jahdali HH, Al-Zahrani AI, Al-Otaibi ST, Hassan IS, Al-Moamary MS, Al-Duhaim AS. Perception of the role of inhaled corticosteroids and factors affecting compliance among asthmatic adult patients. Saudi Med J 2007, 28(4):569-73.