PMID- 21509289
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20110714
LR  - 20240317
IS  - 2075-0528 (Electronic)
IS  - 2075-051X (Print)
IS  - 2075-051X (Linking)
VI  - 9
IP  - 2
DP  - 2009 Aug
TI  - Management and control of asthma in patients attending a specialist centre in 
      oman.
PG  - 132-9
AB  - OBJECTIVES: The management of asthma by specialists is likely to become more 
      evidence-based. This study analysed the characteristics of patients reporting to 
      a specialist clinic including demographics, dispensed medications and the level 
      of asthma control. METHODS: All consecutive stable asthmatics seen in the adult 
      pulmonary clinics of Sultan Qaboos University Hospital, Oman, between December 
      2005 and November 2006 were prospectively evaluated using a structured assessment 
      protocol. RESULTS: Of the 207 patients, (mean age 40.64 +/-14.8), 72% were females. 
      The majority, 83.1%, had moderate persistent asthma. A positive history of 
      allergic rhinitis, eczema and a family history of asthma were obtained in 58.0%, 
      11.1%, and 50.7% of patients respectively. Total serum immunoglobulin E (IgE) was 
      elevated in 66.7%. Skin testing was positive for more than 2 antigens in 52.3%, 
      with the house dust antigen being reactive in 49%. Inhaled steroids, long-acting 
      beta agonists (LABA), antihistamines and leukotriene receptor antagonists were 
      prescribed in 94.2%, 85%, 54.5% and 11.6% of cases respectively. The majority 
      (40.1%) was receiving medium dose inhaled steroids. Although asthma was 
      controlled in 162 (78.3%), during the previous month 66 (31.9%) patients had 
      visited the emergency department and 31 (15.0%) patients were hospitalised at 
      least once during the previous year. Only 63 (30.4%) patients were using their 
      inhalers correctly. Good compliance with inhaled steroids was observed in only 53 
      (25.6%) patients. CONCLUSION: Allergic comorbidities and a strong family history 
      of asthma were common. Although the level of asthma control in the previous month 
      was high, it was much lower in the long term. The concepts of short term, long 
      term and total control of asthma need to be explored.
FAU - Al-Rawas, Omar A
AU  - Al-Rawas OA
AD  - Department of Medicine, College of Medicine and Health Sciences, Sultan Qaboos 
      University, Muscat, Sultanate of Oman;
FAU - Jayakrishnan, B
AU  - Jayakrishnan B
FAU - Ben Abid, Fatma
AU  - Ben Abid F
FAU - George, Jojy
AU  - George J
FAU - Baddar, Sawsan A
AU  - Baddar SA
FAU - Al-Riyami, Bazdawi M
AU  - Al-Riyami BM
LA  - eng
PT  - Journal Article
DEP - 20090630
PL  - Oman
TA  - Sultan Qaboos Univ Med J
JT  - Sultan Qaboos University medical journal
JID - 101519915
PMC - PMC3074773
OTO - NOTNLM
OT  - Asthma
OT  - Asthma control
OT  - Oman
OT  - Specialist care
EDAT- 2009/08/01 00:00
MHDA- 2009/08/01 00:01
PMCR- 2009/08/01
CRDT- 2011/04/22 06:00
PHST- 2009/02/02 00:00 [received]
PHST- 2009/05/04 00:00 [revised]
PHST- 2009/05/17 00:00 [revised]
PHST- 2009/05/19 00:00 [accepted]
PHST- 2011/04/22 06:00 [entrez]
PHST- 2009/08/01 00:00 [pubmed]
PHST- 2009/08/01 00:01 [medline]
PHST- 2009/08/01 00:00 [pmc-release]
AID - squmj-09-132 [pii]
PST - ppublish
SO  - Sultan Qaboos Univ Med J. 2009 Aug;9(2):132-9. Epub 2009 Jun 30.