Características clínico-funcionales de los pacientes asmáticos en una consulta monográfica de neumología / Clinical-functional characteristics of asthmatic patients in a monographic consultation of pneumology

ABSTRACT

Introduction: The purpose of this study was to determine demographic characteristics, lung function, treatment andclinical status of asthmatics patients who were treated in an asthma monographic outpatient consult.Methods: A sample of 50 patients was randomly, select from 400 patients who had visited the asthma monographicoutpatient consult at first time with asthma symptoms. Data were registered from clinical history.Result: The mean age was 40.7 ±18.9, 60% were women. 82% were working people and most of them come from the city.Moreover a 14% were smokers, 24% ex-smokers and the remainders were non-smokers. Mean age of asthma symptomsonset was 24.6 ± 20 years. Family history of asthma and/or atopy was present in 50% cases. Other asthma associated factors were reported in form of sinusitis (10%), eczema (8%), rhinitis (38%), nasal polyposis (8%), AAS intolerance (18%) and gastroesophageal reflux symptoms (6%). An 83% of prick test performed was positive for aeroallergens. A 36% of patients have been previous hospitalized due to asthma within the last year (3 sujects at the critical care unit) and the mean of visits to emergency rooms were 1.4 ±2.04 times. Mean FEV1 was 90 ±21.4% of predicted. Mean of FEV1/FVCratio was 76.6 ± 11.9. A 16% of patients were receiving treatment with short acting β2 agonists alone; other 16% with inhaled corticosteroids (ICSs). Most of patients (57%) were receiving long acting β2-agonists combined with ICSs (54% of total patients were being treated with high doses of ICSs). 14 patients were treated with Cysteinyl leukotrienes inhibitors.Conclusions: We are found an important number of smokers between asthmatics patients. A lot of patients were hospitalized within last year. Most patients were receiving high doses of ICSs (AU)