A multicenter survey of childhood asthma in Turkey - II: Utilization of asthma drugs, control levels and their determinants

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dc.contributor.authorSoyer O.U.
dc.contributor.authorBeyhun N.E.
dc.contributor.authorDemir E.
dc.contributor.authorYildirim S.
dc.contributor.authorBingöl Boz A.
dc.contributor.authorAltinel N.
dc.contributor.authorCevit O.
dc.contributor.authorKarakaş T.
dc.contributor.authorAnlar Y.
dc.contributor.authorSöüt A.
dc.contributor.authorAltintaş D.
dc.contributor.authorCanitez Y.
dc.contributor.authorBüyükdereli Z.
dc.contributor.authorSekerel B.E.
dc.date.accessioned2024-07-22T08:21:58Z
dc.date.available2024-07-22T08:21:58Z
dc.date.issued2009
dc.description.abstractSoyer OU, Beyhun NE, Demir E, Yildirim S, Bingöl Boz A, Altinel N, Cevit O, Karakaş T, Anlar Y, Söüt A, Altintaş D, Canitez Y, Büyükdereli Z and Sekerel BE. A multicenter survey of childhood asthma in Turkey - II: Utilization of asthma drugs, control levels and their determinants. Pediatr Allergy Immunol 2009: 20: 172-179. © 2008 The Authors Journal compilation © 2008 Blackwell Munksgaard Many surveys worldwide have consistently demonstrated a low level of asthma control and under-utilization of preventive asthma drugs. However, these studies have been frequently criticized for using population-based samples, which include many patients with no or irregular follow-ups. Our aim, in this study, was to define the extent of asthma drug utilization, control levels, and their determinants among children with asthma attending to pediatric asthma centers in Turkey. Asthmatic children (age range: 6-18 yr) with at least 1-yr follow-up seen at 12 asthma outpatient clinics during a 1-month period with scheduled or unscheduled visits were included and were surveyed with a questionnaire-guided interview. Files from the previous year were evaluated retrospectively to document control levels and their determinants. From 618 children allocated, most were mild asthmatics (85.6%). Almost 30% and 15% of children reported current use of emergency service and hospitalization, respectively; and 51.4% and 53.1% of children with persistent and intermittent disease, respectively, were on daily preventive therapy, including inhaled corticosteroids. Disease severity [odds ratio: 12.6 (95% confidence intervals: 5.3-29.8)], hospitalization within the last year [3.4 (1.4-8.2)], no use of inhaled steroids [2.9 (1.1- 7.3)], and female gender [2.3 (1.1-5.4)] were major predictors of poor asthma control as defined by their physicians. In this national pediatric asthma study, we found a low level of disease control and discrepancies between preventive drug usage and disease severity, which shows that the expectations of guidelines have not been met even in facilitated centers, thus indicating the need to revise the severity-based approach of asthma guidelines. Efforts to implement the control-based approach of new guidelines (Global Initiative for Asthma 2006) would be worthwhile. © 2008 Blackwell Munksgaard.
dc.identifier.DOI-ID10.1111/j.1399-3038.2008.00769.x
dc.identifier.issn13993038
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/18865
dc.language.isoEnglish
dc.subjectAdolescent
dc.subjectAdrenal Cortex Hormones
dc.subjectAsthma
dc.subjectChild
dc.subjectDisease Progression
dc.subjectDrug Utilization
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subjectHospitalization
dc.subjectHumans
dc.subjectIncidence
dc.subjectMale
dc.subjectMulticenter Studies as Topic
dc.subjectPractice Guidelines as Topic
dc.subjectPrognosis
dc.subjectRisk Factors
dc.subjectSex Factors
dc.subjectTurkey
dc.subjectbeta adrenergic receptor stimulating agent
dc.subjectcorticosteroid
dc.subjectleukotriene receptor blocking agent
dc.subjectadolescent
dc.subjectadult
dc.subjectalternative medicine
dc.subjectarticle
dc.subjectasthma
dc.subjectchemoprophylaxis
dc.subjectchild
dc.subjectchildhood disease
dc.subjectcross-sectional study
dc.subjectdisease control
dc.subjectdisease severity
dc.subjectdrug utilization
dc.subjectemergency health service
dc.subjectfemale
dc.subjectfollow up
dc.subjectgrape
dc.subjecthealth care utilization
dc.subjecthealth survey
dc.subjecthoney
dc.subjecthospitalization
dc.subjecthuman
dc.subjectinterview
dc.subjectmale
dc.subjectoutpatient department
dc.subjectpredictor variable
dc.subjectpreschool child
dc.subjectpriority journal
dc.subjectquality of life
dc.subjectquestionnaire
dc.subjectschool child
dc.subjectsex difference
dc.subjectsocioeconomics
dc.subjecttea
dc.subjectTurkey (republic)
dc.titleA multicenter survey of childhood asthma in Turkey - II: Utilization of asthma drugs, control levels and their determinants
dc.typeArticle

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