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

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dc.authoridSekerel, Bulent/0000-0001-7402-6850
dc.authoridYıldırım, Sema/0000-0001-7311-519X;
dc.authorwosidSekerel, Bulent/I-9309-2013
dc.authorwosidYıldırım, Sema/GQA-9215-2022
dc.authorwosidBINGOL, AYSEN/C-7056-2016
dc.authorwosidBeyhun, Nazim Ercument/AAO-3072-2021
dc.contributor.authorSoyer, O. U.
dc.contributor.authorBeyhun, N. E.
dc.contributor.authorDemir, E.
dc.contributor.authorYildirim, S.
dc.contributor.authorBoz, A. Bingoel
dc.contributor.authorAltinel, N.
dc.contributor.authorCevit, O.
dc.date.accessioned2024-06-12T10:52:43Z
dc.date.available2024-06-12T10:52:43Z
dc.date.issued2009
dc.departmentTrakya Üniversitesien_US
dc.description.abstractMany 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.en_US
dc.identifier.doi10.1111/j.1399-3038.2008.00769.x
dc.identifier.endpage179en_US
dc.identifier.issn0905-6157
dc.identifier.issn1399-3038
dc.identifier.issue2en_US
dc.identifier.pmid18823358en_US
dc.identifier.startpage172en_US
dc.identifier.urihttps://doi.org/10.1111/j.1399-3038.2008.00769.x
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18795
dc.identifier.volume20en_US
dc.identifier.wosWOS:000264569100010en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofPediatric Allergy And Immunologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAsthmaen_US
dc.subjectBurdenen_US
dc.subjectChildhooden_US
dc.subjectControlen_US
dc.subjectDrugen_US
dc.subjectUnited-Statesen_US
dc.subjectChildrenen_US
dc.subjectComplementaryen_US
dc.subjectManagementen_US
dc.subjectTherapiesen_US
dc.subjectInsightsen_US
dc.subjectRealityen_US
dc.titleA multicenter survey of childhood asthma in Turkey - II: Utilization of asthma drugs, control levels and their determinantsen_US
dc.typeArticleen_US

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