Evaluation of asthma control using Global Initiative for Asthma criteria and the Asthma Control Test in Uganda
SETTING: Chest clinic of a national referral hospital in a resource-limited country.OBJECTIVES: To determine the level of asthma control, factors influencing asthma control and the accuracy of the Asthma Control Test (ACT).DESIGN: We collected demographic and clinical data and administered the Globa...
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| Veröffentlicht in: | The international journal of tuberculosis and lung disease 2014-03, Vol.18 (3), p.371-376 |
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| container_title | The international journal of tuberculosis and lung disease |
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| creator | Serugendo, A. N. Kirenga, B. J. Hawkes, M. Nakiyingi, L. Worodria, W. Okot-Nwang, M. |
| description | SETTING: Chest clinic of a national referral hospital in a resource-limited country.OBJECTIVES: To determine the level of asthma control, factors influencing asthma control and the accuracy of the Asthma Control Test (ACT).DESIGN: We collected demographic and clinical data and
administered the Global Initiative for Asthma (GINA) criteria test and the ACT. The proportions of patients in each of the GINA and ACT control categories (uncontrolled, partly controlled and well controlled) were calculated. Multivariate analysis was performed to identify factors associated
with asthma control. Diagnostic test parameters for the ACT using GINA criteria as gold standard were calculated.RESULTS: Of 88 asthma patients enrolled, 67% were female. The median age was 34 years (range 12-85). Using GINA criteria, respectively 59 (67%), 17 (19%) and 12 (14%)
patients had uncontrolled, partly controlled and well controlled asthma; per ACT, the corresponding figures were respectively 40% (35/88), 43% (38/88) and 17% (15/88). ACT sensitivity, specificity, positive predictive and negative predictive value were respectively 95%, 92%, 99% and 73%. Nasal
congestion was associated with uncontrolled asthma (P = 0.031).CONCLUSION: The majority of the patients at the Mulago Hospital have inadequately controlled asthma, and this is associated with nasal congestion. A simple symptom questionnaire, the ACT, can correctly classify asthma
control. |
| doi_str_mv | 10.5588/ijtld.13.0699 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_crossref_primary_10_5588_ijtld_13_0699</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ingid>iuatld/ijtld/2014/00000018/00000003/art00023</ingid><sourcerecordid>1511397893</sourcerecordid><originalsourceid>FETCH-LOGICAL-c458t-e23fcb47e1ea20cf1f9e2c523eaad1b5d97f8213f4f8ae651510bec3a821ce783</originalsourceid><addsrcrecordid>eNp1kUFv1DAQhSMEoqVw5Ip8QeKSxWPHa-dYLaVUqoSQ2rM1ceytV1mn2M5K8OtxmhRO-DLW6Jtnz3tV9R7oRgilPvtDHvoN8A3dtu2L6hwUiFq2jL4sd8pkzSW0Z9WblA6UMgCQr6sz1mwlFVKdV-HqhMOE2Y-BjI5gyg9HJGYMOY4DmZIPe3I9jB0O5Cb47At5ssSNkVyuaPTZRo8EQ0_yg33u71aJO5sy8YHc7wuAb6tXDodk3631orr_enW3-1bffr--2V3e1qYRKteWcWe6RlqwyKhx4FrLjGDcIvbQib6VTjHgrnEK7VaAANpZw7E0jZWKX1SfFt3HOP6cyhf00SdjhwGDHaekywDwVqqWF7ReUBPHlKJ1-jH6I8ZfGqieLdZPFmvgera48B9W6ak72v4v_expAT6uACaDg4sYjE__OMVEu2WycD8WrnhsQ0Z9GKcYiivaG-1LJvOjJcE5QH0CFbhmJUFa5jUUm3RvHU5D1hmj3v_Wic3LfPmf5iK47MIoNJo-HVDrhXKNMZdaZP4Ah2y3fg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1511397893</pqid></control><display><type>article</type><title>Evaluation of asthma control using Global Initiative for Asthma criteria and the Asthma Control Test in Uganda</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Serugendo, A. N. ; Kirenga, B. J. ; Hawkes, M. ; Nakiyingi, L. ; Worodria, W. ; Okot-Nwang, M.</creator><creatorcontrib>Serugendo, A. N. ; Kirenga, B. J. ; Hawkes, M. ; Nakiyingi, L. ; Worodria, W. ; Okot-Nwang, M.</creatorcontrib><description>SETTING: Chest clinic of a national referral hospital in a resource-limited country.OBJECTIVES: To determine the level of asthma control, factors influencing asthma control and the accuracy of the Asthma Control Test (ACT).DESIGN: We collected demographic and clinical data and
administered the Global Initiative for Asthma (GINA) criteria test and the ACT. The proportions of patients in each of the GINA and ACT control categories (uncontrolled, partly controlled and well controlled) were calculated. Multivariate analysis was performed to identify factors associated
with asthma control. Diagnostic test parameters for the ACT using GINA criteria as gold standard were calculated.RESULTS: Of 88 asthma patients enrolled, 67% were female. The median age was 34 years (range 12-85). Using GINA criteria, respectively 59 (67%), 17 (19%) and 12 (14%)
patients had uncontrolled, partly controlled and well controlled asthma; per ACT, the corresponding figures were respectively 40% (35/88), 43% (38/88) and 17% (15/88). ACT sensitivity, specificity, positive predictive and negative predictive value were respectively 95%, 92%, 99% and 73%. Nasal
congestion was associated with uncontrolled asthma (P = 0.031).CONCLUSION: The majority of the patients at the Mulago Hospital have inadequately controlled asthma, and this is associated with nasal congestion. A simple symptom questionnaire, the ACT, can correctly classify asthma
control.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>DOI: 10.5588/ijtld.13.0699</identifier><identifier>PMID: 24670578</identifier><language>eng</language><publisher>Paris, France: International Union Against Tuberculosis and Lung Disease</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anti-Asthmatic Agents - therapeutic use ; Asthma ; Asthma - diagnosis ; Asthma - drug therapy ; Asthma - physiopathology ; Asthma Control ; Asthma Control Test ; Bacterial diseases ; Biological and medical sciences ; Child ; Chronic obstructive pulmonary disease, asthma ; Cross-Sectional Studies ; Female ; Human bacterial diseases ; Humans ; Infectious diseases ; Investigative techniques of respiratory function ; Investigative techniques, diagnostic techniques (general aspects) ; Lung - drug effects ; Lung - physiopathology ; Male ; Medical sciences ; Middle Aged ; Multivariate Analysis ; Pneumology ; Predictive Value of Tests ; Referral and Consultation ; Reproducibility of Results ; Severity of Illness Index ; Spirometry ; Surveys and Questionnaires ; Treatment Outcome ; Tuberculosis and atypical mycobacterial infections ; Uganda ; Young Adult</subject><ispartof>The international journal of tuberculosis and lung disease, 2014-03, Vol.18 (3), p.371-376</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c458t-e23fcb47e1ea20cf1f9e2c523eaad1b5d97f8213f4f8ae651510bec3a821ce783</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28259627$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24670578$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Serugendo, A. N.</creatorcontrib><creatorcontrib>Kirenga, B. J.</creatorcontrib><creatorcontrib>Hawkes, M.</creatorcontrib><creatorcontrib>Nakiyingi, L.</creatorcontrib><creatorcontrib>Worodria, W.</creatorcontrib><creatorcontrib>Okot-Nwang, M.</creatorcontrib><title>Evaluation of asthma control using Global Initiative for Asthma criteria and the Asthma Control Test in Uganda</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>SETTING: Chest clinic of a national referral hospital in a resource-limited country.OBJECTIVES: To determine the level of asthma control, factors influencing asthma control and the accuracy of the Asthma Control Test (ACT).DESIGN: We collected demographic and clinical data and
administered the Global Initiative for Asthma (GINA) criteria test and the ACT. The proportions of patients in each of the GINA and ACT control categories (uncontrolled, partly controlled and well controlled) were calculated. Multivariate analysis was performed to identify factors associated
with asthma control. Diagnostic test parameters for the ACT using GINA criteria as gold standard were calculated.RESULTS: Of 88 asthma patients enrolled, 67% were female. The median age was 34 years (range 12-85). Using GINA criteria, respectively 59 (67%), 17 (19%) and 12 (14%)
patients had uncontrolled, partly controlled and well controlled asthma; per ACT, the corresponding figures were respectively 40% (35/88), 43% (38/88) and 17% (15/88). ACT sensitivity, specificity, positive predictive and negative predictive value were respectively 95%, 92%, 99% and 73%. Nasal
congestion was associated with uncontrolled asthma (P = 0.031).CONCLUSION: The majority of the patients at the Mulago Hospital have inadequately controlled asthma, and this is associated with nasal congestion. A simple symptom questionnaire, the ACT, can correctly classify asthma
control.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anti-Asthmatic Agents - therapeutic use</subject><subject>Asthma</subject><subject>Asthma - diagnosis</subject><subject>Asthma - drug therapy</subject><subject>Asthma - physiopathology</subject><subject>Asthma Control</subject><subject>Asthma Control Test</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Investigative techniques of respiratory function</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lung - drug effects</subject><subject>Lung - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Pneumology</subject><subject>Predictive Value of Tests</subject><subject>Referral and Consultation</subject><subject>Reproducibility of Results</subject><subject>Severity of Illness Index</subject><subject>Spirometry</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Uganda</subject><subject>Young Adult</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUFv1DAQhSMEoqVw5Ip8QeKSxWPHa-dYLaVUqoSQ2rM1ceytV1mn2M5K8OtxmhRO-DLW6Jtnz3tV9R7oRgilPvtDHvoN8A3dtu2L6hwUiFq2jL4sd8pkzSW0Z9WblA6UMgCQr6sz1mwlFVKdV-HqhMOE2Y-BjI5gyg9HJGYMOY4DmZIPe3I9jB0O5Cb47At5ssSNkVyuaPTZRo8EQ0_yg33u71aJO5sy8YHc7wuAb6tXDodk3631orr_enW3-1bffr--2V3e1qYRKteWcWe6RlqwyKhx4FrLjGDcIvbQib6VTjHgrnEK7VaAANpZw7E0jZWKX1SfFt3HOP6cyhf00SdjhwGDHaekywDwVqqWF7ReUBPHlKJ1-jH6I8ZfGqieLdZPFmvgera48B9W6ak72v4v_expAT6uACaDg4sYjE__OMVEu2WycD8WrnhsQ0Z9GKcYiivaG-1LJvOjJcE5QH0CFbhmJUFa5jUUm3RvHU5D1hmj3v_Wic3LfPmf5iK47MIoNJo-HVDrhXKNMZdaZP4Ah2y3fg</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>Serugendo, A. N.</creator><creator>Kirenga, B. J.</creator><creator>Hawkes, M.</creator><creator>Nakiyingi, L.</creator><creator>Worodria, W.</creator><creator>Okot-Nwang, M.</creator><general>International Union Against Tuberculosis and Lung Disease</general><general>International Union against Tuberculosis and Lung Disease</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140301</creationdate><title>Evaluation of asthma control using Global Initiative for Asthma criteria and the Asthma Control Test in Uganda</title><author>Serugendo, A. N. ; Kirenga, B. J. ; Hawkes, M. ; Nakiyingi, L. ; Worodria, W. ; Okot-Nwang, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c458t-e23fcb47e1ea20cf1f9e2c523eaad1b5d97f8213f4f8ae651510bec3a821ce783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anti-Asthmatic Agents - therapeutic use</topic><topic>Asthma</topic><topic>Asthma - diagnosis</topic><topic>Asthma - drug therapy</topic><topic>Asthma - physiopathology</topic><topic>Asthma Control</topic><topic>Asthma Control Test</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Investigative techniques of respiratory function</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lung - drug effects</topic><topic>Lung - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Pneumology</topic><topic>Predictive Value of Tests</topic><topic>Referral and Consultation</topic><topic>Reproducibility of Results</topic><topic>Severity of Illness Index</topic><topic>Spirometry</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><topic>Tuberculosis and atypical mycobacterial infections</topic><topic>Uganda</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Serugendo, A. N.</creatorcontrib><creatorcontrib>Kirenga, B. J.</creatorcontrib><creatorcontrib>Hawkes, M.</creatorcontrib><creatorcontrib>Nakiyingi, L.</creatorcontrib><creatorcontrib>Worodria, W.</creatorcontrib><creatorcontrib>Okot-Nwang, M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Serugendo, A. N.</au><au>Kirenga, B. J.</au><au>Hawkes, M.</au><au>Nakiyingi, L.</au><au>Worodria, W.</au><au>Okot-Nwang, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of asthma control using Global Initiative for Asthma criteria and the Asthma Control Test in Uganda</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>18</volume><issue>3</issue><spage>371</spage><epage>376</epage><pages>371-376</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>SETTING: Chest clinic of a national referral hospital in a resource-limited country.OBJECTIVES: To determine the level of asthma control, factors influencing asthma control and the accuracy of the Asthma Control Test (ACT).DESIGN: We collected demographic and clinical data and
administered the Global Initiative for Asthma (GINA) criteria test and the ACT. The proportions of patients in each of the GINA and ACT control categories (uncontrolled, partly controlled and well controlled) were calculated. Multivariate analysis was performed to identify factors associated
with asthma control. Diagnostic test parameters for the ACT using GINA criteria as gold standard were calculated.RESULTS: Of 88 asthma patients enrolled, 67% were female. The median age was 34 years (range 12-85). Using GINA criteria, respectively 59 (67%), 17 (19%) and 12 (14%)
patients had uncontrolled, partly controlled and well controlled asthma; per ACT, the corresponding figures were respectively 40% (35/88), 43% (38/88) and 17% (15/88). ACT sensitivity, specificity, positive predictive and negative predictive value were respectively 95%, 92%, 99% and 73%. Nasal
congestion was associated with uncontrolled asthma (P = 0.031).CONCLUSION: The majority of the patients at the Mulago Hospital have inadequately controlled asthma, and this is associated with nasal congestion. A simple symptom questionnaire, the ACT, can correctly classify asthma
control.</abstract><cop>Paris, France</cop><pub>International Union Against Tuberculosis and Lung Disease</pub><pmid>24670578</pmid><doi>10.5588/ijtld.13.0699</doi><tpages>6</tpages></addata></record> |
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| ispartof | The international journal of tuberculosis and lung disease, 2014-03, Vol.18 (3), p.371-376 |
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| subjects | Adolescent Adult Aged Aged, 80 and over Anti-Asthmatic Agents - therapeutic use Asthma Asthma - diagnosis Asthma - drug therapy Asthma - physiopathology Asthma Control Asthma Control Test Bacterial diseases Biological and medical sciences Child Chronic obstructive pulmonary disease, asthma Cross-Sectional Studies Female Human bacterial diseases Humans Infectious diseases Investigative techniques of respiratory function Investigative techniques, diagnostic techniques (general aspects) Lung - drug effects Lung - physiopathology Male Medical sciences Middle Aged Multivariate Analysis Pneumology Predictive Value of Tests Referral and Consultation Reproducibility of Results Severity of Illness Index Spirometry Surveys and Questionnaires Treatment Outcome Tuberculosis and atypical mycobacterial infections Uganda Young Adult |
| title | Evaluation of asthma control using Global Initiative for Asthma criteria and the Asthma Control Test in Uganda |
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