Unscheduled healthcare resource use among asthma patients receiving low-dose inhaled corticosteroids maintenance treatment

Int J Clin Pract. 2005 Sep;59(9):1017-24. doi: 10.1111/j.1742-1241.2005.00615.x.

Abstract

This survey describes asthma control and unscheduled healthcare resource use (HCRU) among patients receiving low-dose inhaled corticosteroids (ICS) alone in five European countries and the USA. Physicians and patients completed forms collecting data on asthma symptoms, sudden increase in chest/respiratory symptoms, asthma-related HCRU, quality of life (QoL) and drug therapy. Fifty-seven per cent of patients on low-dose ICS alone had physician-rated moderate or severe asthma. Only 13% of patients receiving low-dose ICS alone achieved asthma control; 36% reported nocturnal wakening and 22% reported unscheduled healthcare services in the past year. Gender, symptom frequency, episodes of sudden increase in chest/respiratory symptoms and impaired QoL were all related to unscheduled healthcare resource utilisation. Many patients receiving low-dose ICS alone do not have adequate asthma control. Some patient characteristics were found to be significantly different, but not exclusive, between unscheduled healthcare resource users and non-users.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adrenal Cortex Hormones / administration & dosage*
  • Adrenal Cortex Hormones / therapeutic use
  • Adult
  • Anti-Asthmatic Agents / administration & dosage*
  • Anti-Asthmatic Agents / therapeutic use
  • Asthma / drug therapy*
  • Drug Administration Schedule
  • Female
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Needs Assessment
  • Patient Acceptance of Health Care*
  • Quality of Life
  • Treatment Failure

Substances

  • Adrenal Cortex Hormones
  • Anti-Asthmatic Agents