2024-03-28T12:12:54Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00006284
2022-12-15T03:39:37Z
453:456
471:537:568:595
Questionnaire-based Analysis of the Current Status of Adult Bronchial Asthma in Niigata Prefecture : Comparison with the Asthma Guidelines
Questionnaire-based Analysis of the Current Status of Adult Bronchial Asthma in Niigata Prefecture : Comparison with the Asthma Guidelines
SUZUKI, Eiichi
HASEGAWA, Takashi
KOYA, Toshiyuki
MASHIMA, Ichiro
MURAMATSU, Yoshiyuki
KIOI, Satoru
KONDOH, Ariyoshi
ARAKAWA, Masaaki
GEJYO, Fumitake
questionnaire
guidelines for the management of bronchial asthma
sustained-release theophylline
bronchial asthma
Objective : Although inhaled steroids are strongly recommended in several guidelines for the management of bronchial asthma, the actual clinical situation requires clarification. This study presents the current status of adult bronchial asthma by questionnaire-based analysis, and suggests an improved method of assessment for asthma management compared with the guideline strategy. Methodology : Questionnaires were completed by asthmatic patients and their physicians in participating institutions within Niigata Prefecture from September to October 1998. The 3,347 responses were then analyzed. Results : The rate of peak-flow meter per user was only 30.8%. Attacks that were more than moderate were found in less than 10% of subjects, while asthma related symptoms--including coughing--were found in more than 50% of subjects. Emergent events were often existed (unconsciousness attacks; 6.8%, respirator management; 5.9%, aspirin induced attacks; 8.6%, respectively). Although inhaled steroid use reached 62.0%, sustained-release theophylline was used by 76.9% of subjects. Conclusion : Despite satisfactory results in asthma attack control, there is still room for improvement of the peak-flow meter and inhaled steroid use, as well as for alleviating asthma-related symptoms and preventing death related risk factors. Sustained-release theophylline was positioned as a fundamental medication and requires reevaluation as a long-term controller the same as inhaled steroids.
Niigata University School of Medicine
2002-09
eng
departmental bulletin paper
http://hdl.handle.net/10191/1879
https://niigata-u.repo.nii.ac.jp/records/6284
AA00508361
05677734
Acta medica et biologica
Acta medica et biologica
50
3
135
143
https://niigata-u.repo.nii.ac.jp/record/6284/files/KJ00000007332.pdf
application/pdf
2.1 MB
2019-08-06