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Late-breaking study finds aerobic exercise significantly improved asthma …
EurekAlert (press release) MONTRÉAL (October 19, 2015)– Researchers from Hospital du Sacre-Coeur de Montreal, the Montreal Chest Institute, and Concordia University in Montréal, Canada, conducted a 12-week supervised aerobic exercise program for patients with asthma and … |
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Caregiver treatment satisfaction is improved together with children’s asthma control: Prospective study for budesonide monotherapy in school-aged children with uncontrolled asthma symptoms.
Allergol Int. 2015 Oct;64(4):371-6
Authors: Yoshihara S, Kanno N, Fukuda H, Arisaka O, Arita M, Sekine K, Yamaguchi K, Tsuchida A, Yamada Y, Watanabe T, Shimizu T, Nishikawa K, Nishimuta T
Abstract
BACKGROUND: If asthmatic children cannot obtain sufficient control of their disease, not only do they suffer from asthma symptoms, but the daily life activities of their caregivers are also disrupted. We investigated the effectiveness of an inhaled corticosteroid (ICS) for symptom control in previously ICS-untreated school-aged asthmatic children as well as caregiver treatment satisfaction (CTS).
METHODS: A multicenter, open-label, single-arm study on 12-week ICS (budesonide Turbuhaler(®)) monotherapy was undertaken in subjects aged 5-15 years with bronchial asthma not treated with ICS during the previous 3 months. At 0, 4, 8, and 12 weeks after start of ICS administration, Japanese Pediatric Asthma Control Program (JPAC) scores, and CTS scores were summated and lung function measured. At weeks 0 and 12, questionnaires on caregiver anxiety were also assessed.
RESULTS: Seventy-five patients were enrolled, and 69 assessed. Ninety percent of subjects had been treated with asthma controller medication except ICS before study enrollment. JPAC score and CTS score were improved significantly at weeks 4, 8, and 12 (p < 0.001). With regard to CTS, more than half of caregivers showed a perfect score at weeks 8 and 12. There was a significant correlation between JPAC score and CTS score. Lung function and caregiver anxiety were also improved, and good compliance with treatment was observed during the intervention.
CONCLUSIONS: If treating ICS-untreated school-aged asthmatic children with uncontrolled symptoms, ICS monotherapy can improve CTS along with improving asthma control.
PMID: 26433534 [PubMed – in process]
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Zee News |
Aerobic Exercise Improved Some Asthma Symptoms
Medscape Aerobic exercise, in the form of twice-a-week treadmill workouts, improved bronchial hyperresponsiveness in adults with moderate or severe persistent asthma, according to a small study published online June 10 in Thorax. "These results suggest that … Aerobic exercise may cut asthma severity Exercise May Alleviate Severe Asthma Symptoms |
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Reminder system improved ICS adherence in children with asthma
Healio “Current evidence-based guidelines from the National Heart, Lung, and Blood Institute recommend that patients with persistent asthma receive daily controller medication, most often an inhaled corticosteroid (ICS),” Bruce G. Bender, PhD, from the … |
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Tiotropium improved asthma control as add-on therapy to ICS
Healio “Our findings show that in patients with moderate asthma who are receiving medium-dose inhaled corticosteroids, addition of once-daily tiotropium significantly improves lung function and asthma control compared with placebo, and has similar efficacy … |
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HCPLive |
Adherence for Pediatric Asthma Medication Improved with Phone Call Reminders
HCPLive Researchers from Kaiser Permamente examined nearly 1,200 children aged 3 to 12 years for 24 months in order to test a SR intervention to improve adherence to pediatric asthma controller medication. The participants had persistent asthma diagnosis and … |
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Aerospan improved pediatric asthma outcomes, regardless of prior therapy
Healio “The study findings indicate Aerospan is an effective treatment option for patients that require an inhaled steroid, such as those with mild to moderate asthma,” Karafilidis said. “This, coupled with our other data that suggest Aerospan did not … |
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Monitor improved drug adherence in children with asthma
Healio “Use of an electronic monitoring device with an in-built audiovisual reminder significantly improved adherence in school-aged children with asthma, with corresponding improvements in several indicators of asthma control, although we did not note any … |
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Improved Management of Acute Asthma among Pregnant Women Presenting to the Emergency Department.
Chest. 2014 Oct 30;
Authors: Hasegawa K, Cydulka RK, Sullivan AF, Langdorf MI, Nonas SA, Nowak RM, Wang NE, Camargo CA
Abstract
Abstract: Background:A multicenter study in the late 1990s demonstrated suboptimal emergency asthma care for pregnant women in US emergency departments (EDs). After a decade, follow-up data are lacking. We aimed to examine changes in emergency asthma care of pregnant women since the 1990s. Methods:We combined data from four multicenter observational studies of ED patients with acute asthma performed in 1996-2001 (three studies), and 2011-2012 (one study). We restricted the data so that comparisons were based on the same 48 EDs in both time periods. We identified all pregnant patients aged 18 to 44 years with acute asthma. Primary outcomes were treatment with systemic corticosteroids in the ED, and, among those sent home, at ED discharge. Results:Of 4895 ED patients with acute asthma, the analytic cohort comprised 125 pregnant women. Over the two time periods, there were no significant changes in patient demographics, chronic asthma severity, or initial peak expiratory flow. In contrast, ED systemic corticosteroids treatment increased significantly from 51% to 78% across the time periods (OR 3.11; 95%CI 1.27-7.60; P=0.01); systemic corticosteroids at discharge increased from 42% to 63% (OR 2.49; 95%CI 0.97-6.37; P=0.054). In the adjusted analyses, pregnant women in recent years were more likely to receive systemic corticosteroids, both in ED (OR 4.76; 95%CI 1.63-13.9; P=0.004) and at discharge (OR 3.18; 95%CI 1.05-9.61; P=0.04). Conclusions:Over the two time periods, emergency asthma care in pregnant women has significantly improved. However, with one in three pregnant women being discharged home without systemic corticosteroids, further improvement is warranted.
Background: A multicenter study in the late 1990s demonstrated suboptimal emergency asthma care for pregnant women in US emergency departments (EDs). After a decade, follow-up data are lacking. We aimed to examine changes in emergency asthma care of pregnant women since the 1990s.
Methods: We combined data from four multicenter observational studies of ED patients with acute asthma performed in 1996-2001 (three studies), and 2011-2012 (one study). We restricted the data so that comparisons were based on the same 48 EDs in both time periods. We identified all pregnant patients aged 18 to 44 years with acute asthma. Primary outcomes were treatment with systemic corticosteroids in the ED, and, among those sent home, at ED discharge.
Results: Of 4895 ED patients with acute asthma, the analytic cohort comprised 125 pregnant women. Over the two time periods, there were no significant changes in patient demographics, chronic asthma severity, or initial peak expiratory flow. In contrast, ED systemic corticosteroids treatment increased significantly from 51% to 78% across the time periods (OR 3.11; 95%CI 1.27-7.60; P=0.01); systemic corticosteroids at discharge increased from 42% to 63% (OR 2.49; 95%CI 0.97-6.37; P=0.054). In the adjusted analyses, pregnant women in recent years were more likely to receive systemic corticosteroids, both in ED (OR 4.76; 95%CI 1.63-13.9; P=0.004) and at discharge (OR 3.18; 95%CI 1.05-9.61; P=0.04).
Conclusions: Over the two time periods, emergency asthma care in pregnant women has significantly improved. However, with one in three pregnant women being discharged home without systemic corticosteroids, further improvement is warranted.
PMID: 25358070 [PubMed – as supplied by publisher]
View full post on pubmed: asthma
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Vitamin D supplementation improved airway function in patients with asthma
Healio Patients with asthma who were treated with vitamin D and asthma controllers had significantly improved airway function after 24 weeks compared with patients treated with asthma controllers alone, according to recent study results. Researchers studied … |
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