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Volume 18 Issue 4 December 2009

Original Research

Women, patients with severe asthma, and patients attended by primary care physicians, are at higher risk of suffering from poorly controlled asthma

Pages 294-299
*Carlos Badiolaa, Llorenc Badiellab, Vicente Plazac, Luis Prietod, Jesús Molinae, José Ramón Villaf, Enrique Cimasg

a GlaxoSmithKline S.A Medical Department, Tres Cantos, Madrid 28760, Spain

b Universidad Autónoma Barcelona - Statistics, Barcelona, Spain

c Hospital Santa Creu i Sant Pau - Pneumology, Barcelona, Spain

d Hospital Dr. Peset - Allergy, Valencia, Spain

e Centro Salud Francia - Primary Care, Madrid, Spain

f Hospital Niño Jesús - Paediatric Pneumology, Madrid, Spain

g Centro Salud Contrueces - Primary Care, Asturias, Spain

Received 5 September 2008 • Accepted 31 January 2009 • Online 26 June 2009


Abstract
AIM: The aim of this exploratory study was to identify those factors associated with asthma control assessed according to GINA Guidelines. METHOD: 809 (56% female) subjects with asthma were recruited consecutively from both specialist and primary care centres. Asthma control was assessed over a 4-week follow-up period using a composite measure. A multivariate analysis was performed, in which asthma control was included as the dependent variable and several explanatory variables were included as independent variables. RESULTS: Analysis performed on the whole population rendered gender (p=0.003), the type of physician (p<0.001), and age group (p<0.001), as significant factors associated with asthma control. In adults, gender (p=0.001), asthma severity (p<0.001), and type of physician (p<0.001) were significant, and only asthma severity was significant (p=0.043) in children. CONCLUSIONS: After model adjustment, we suggest that being female, suffering from more severe asthma, or being attended by a primary care physician, could pose a significantly higher risk of having poorly controlled asthma in adults.

Cite as: Badiola C, Badiella L, Plaza V, Prieto L, Molina J, Villa JR, Cimas E. Women, patients with severe asthma, and patients attended by primary care physicians, are at higher risk of suffering from poorly controlled asthma. Prim Care Respir J 2009;18(4):294-299. DOI: http://dx.doi.org/10.4104/pcrj.2009.00027

Keywords
Asthma, asthma control, adult asthma, paediatric asthma, women, primary care

* Corresponding author. Carlos Badiola Tel: +34 918037472 Fax: +34 917711795 Email: cbadiola@leti.com
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