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The Influence of Asthma Exacerbations on Health-Related Quality of Life

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Ventilatory Disorders

Part of the book series: Advances in Experimental Medicine and Biology ((NR,volume 873))

Abstract

The purpose of this study was to determine the influence of asthma on the quality of life (QoL) of patients hospitalized for an exacerbation of the disease and those with controlled asthma receiving outpatient treatment, and to establish the patients’ somatic status and the level of health care utilization. This study involved 239 adults with asthma (123 hospitalized patients and 116 outpatients of family physicians). The authors used: WHOQOL-BREF questionnaire and a questionnaire measuring health care utilization. There were no differences in QoL levels between the patients with severe and controlled asthma. The psychological domain was assessed higher by hospitalized patients (p = 0.02). QoL levels correlated negatively with age, place of residence, and marital status, and positively with education. The general QoL level was most strongly influenced by gender, age, education, the number of home visits and interventions of a district nurse, and the somatic index (p < 0.05). Somatic symptoms were more severe in hospitalized patients. The QoL assessment of asthma patients in relation to somatic symptoms, health care services and socio-demographic variables allows better understanding of the complex health situation of patients at various stages of the disease, and tailoring the therapy to individual needs. Patients receiving outpatient treatment require professional psychotherapeutic support.

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References

  • ATS. American Thoracic Society (2004) Key concepts: quality of life resource. American Thoracic Society, New York. Available from: http://www.atsqol.org/key.asp. Accessed 25 Aug 2014

  • Bacon SL, Bouchard A, Loucks EB, Lavoie KL (2009) Individual-level socioeconomic status is associated with worse asthma morbidity in patients with asthma. Respir Res 10:125. doi:10.1186/1465-9921-10-125

    Article  PubMed Central  PubMed  Google Scholar 

  • Bousquet J, Knani J, Dhivert H, Richard A, Chicoye A, Ware JE Jr, Michel FB (1994) Quality of life in asthma. I. International consistency and validity of the SF-36 guestionare. AJRCCM 149:371–375

    CAS  Google Scholar 

  • De Marco R, Pesce G, Marcon A, Accordini S, Antonicelli L, Bugiani M, Casali L, Ferrari M, Nicolini G, Panico MP, Pirina P, Zanolin ME, Cerveri I, Verlato G (2013) The coexistence of asthma and chronic obstructive pulmonary disease (COPD): prevalence and risk factors in young, middle-aged and elderly people from the general population. PLoS ONE 8(5):e62985

    Article  PubMed Central  PubMed  Google Scholar 

  • Dean BB, Calimlin BM, Kindermann SL, Khandker RK, Tinkelmn D (2009) The impact of uncontrolled asthma on absenteeism and health-related quality of life. J Asthma 46(9):861–866

    Article  PubMed  Google Scholar 

  • Doz M, Chouaid C, Com-Ruelle L, Calvo E, Brosa M, Robert J, Decuypère L, Pribil C, Huerta A, Detournay B (2013) The association between asthma control, health care costs, and quality of life in France and Spain. BMC Pulm Med 13:15. doi:10.1186/1471-2466-13-15

    Article  PubMed Central  PubMed  Google Scholar 

  • Ehrs PO, Aberg H, Larsson K (2001) Quality of life in primary care asthma. Respir Med 95:22–30

    Article  CAS  PubMed  Google Scholar 

  • Ferreira LN, Brito U, Ferreira P (2010) Quality of life in asthma patients. Rev Port Pneumol 16(1):23–55

    Article  PubMed  Google Scholar 

  • Frisch MB (1998) Quality of life therapy and assessment in health care. Clin Psychol Sci Pract 5:19–40

    Article  Google Scholar 

  • GINA (2013). Global strategy for asthma management and prevention. Global initiative for asthma. Available from: http://www.ginasthma.org. Accessed 30 July 2014

  • Hanania NA, King MJ, Braman SS, Saltoun C, Wise RA, Enright P, Falsey AR, Mathur SK, Ramsdell JW, Rogers L, Stempel DA, Lima JJ, Fish JE, Wilson SR, Boyd C, Patel KV, Irvin CG, Yawn BP, Halm EA, Wasserman SI, Sands MF, Ershler WB, Ledford DK (2011) Asthma in elderly workshop participants. Asthma in the elderly: current understanding and future research needs-a-report of a National Institute on Aging (NIA) workshop. J Allergy Clin Immunol 128(3 Suppl):4–24

    Article  Google Scholar 

  • Hazell M, Frank T, Frank P (2003) Health related quality of life in individuals with asthma related symptoms. Respir Med 97:1211–1218

    Article  PubMed  Google Scholar 

  • Hutter N, Knecht A, Baumeister H (2011) Health care costs in persons with asthma and comorbid mental disorders: a systematic review. Gen Hosp Psychiatry 33:443–453

    Article  PubMed  Google Scholar 

  • Jaracz K, Kalfoss M, Górna K, Baczyk G (2006) Quality of life in Polish respondents: psychometric properties of the Polish WHOQOL-Bref. Scand J Caring Sci 20(3):251–260

    Article  PubMed  Google Scholar 

  • Juniper EF, Guyatt GH, Ferrie PJ, Griffith LE (1993) Measuring quality of life in asthma. Am Rev Respir Dis 147:832–838

    Article  CAS  PubMed  Google Scholar 

  • Kokot M, Głogowski C, Szewczak A (2004) Cost of asthma exacerbation (COAX). Alergia Astma Immunol 9(2):106–112 (Article in Polish)

    Google Scholar 

  • Laforest L, Pacheco Y, Bartsch P, Vincken W, Petri G, Ernst P, Berard A, Van Ganse E (2005) Correlates of quality of life in patients with asthma. Ann Allergy Asthma Immunol 94(4):473–479

    Article  PubMed  Google Scholar 

  • Maio S, Baldacci S, Simoni M, Angino A, Martini F, Cerrai S, Sarno G, Pala A, Bresciani M, Paggiaro P, Veigi G (2012) Impact of asthma and comorbid allergic rhinitis on quality of life and control in patients of Italian general practitioners. J Asthma 49(8):854–861

    Article  PubMed  Google Scholar 

  • Oguzturk O, Ekici A, Kara M, Ekici M, Arslan M, Iteginli A, Kara T, Kurtipek E (2005) Psychological status and quality of life in elderly patients with asthma. Psychosomatics 46:41–46

    Article  PubMed  Google Scholar 

  • Powell H, Gibson PG (2003) Options for self-management education for adults with asthma. Cochrane Database Syst Rev, Issue 3. Art. No.: CD004107. doi:10.1002/14651858.CD004107

  • Ståhl E, Lindberg A, Sven-Arne Jansson S-A, Eva Rönmark E, Svensson K, Andersson F, Löfdahl C-G, Bo Lundbäck B (2005) Health-related quality of life is related to COPD disease severity. Health Qual Life Outcomes 3:56. doi:10.1186/1477-7525-3-56

    Article  PubMed Central  PubMed  Google Scholar 

  • Urek MC, Tudoric N, Plavec D, Urek R, Koprivc-Milenovic T, Stojic M (2005) Effect of educational programs on asthma control and quality of life in adult asthma patients. Patient Educ Couns 58(1):47–54

    Article  PubMed  Google Scholar 

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Correspondence to B. Mroczek .

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Mroczek, B., Kurpas, D., Urban, M., Sitko, Z., Grodzki, T. (2015). The Influence of Asthma Exacerbations on Health-Related Quality of Life. In: Pokorski, M. (eds) Ventilatory Disorders. Advances in Experimental Medicine and Biology(), vol 873. Springer, Cham. https://doi.org/10.1007/5584_2015_157

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