CLINICAL AND DEMOGRAPHIC PROFILE OF PATIENTS DIAGNOSED AS BRONCHIAL ASTHMA IN A TERTIARY CARE CENTRE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 35
Abstract
BACKGROUND Bronchial asthma is a chronic inflammatory disease of the air ways and is of heterogenous aetiology characterized by episodes of wheeze, chest tightness, cough and shortness of breath. It is one of the most common diseases worldwide and nearly 300 million suffer from attacks of bronchial asthma every year.1 METHODS We have taken a total of one hundred patients diagnosed as bronchial asthma, aged above 18 years and analysed their age, gender, duration of illness, frequency of symptoms, diurnal variation, time of attack of bronchial asthma and season of attack. We analysed the severity with peak flow meter and spirometry and analysed the reversibility of airway obstruction at the time of diagnosis 15 minutes after salbutamol dry powder inhalation. RESULTS Age of the patients ranged from 21 to 60 years. In our study of hundred patients, 55% are females and rest are males. Peak prevalence is seen among both males and females in the 41-60 years age group. 52% patients had 2 to 5 years of history. 31% had less than 2 years of history and 17% showed more than 5 years of history. 33% of the patients had daily attacks with nocturnal symptoms and 19% had attacks more than twice weekly requiring rescue medication. Diurnal variation was seen in 66% of the patients. 59% of the patients had attacks predominantly seen in winter and 14% had attacks throughout the year. 9% of patients showed summer-time attacks of bronchial asthma. 18% had attacks in rainy season. Only 13% patients showed >12% reversibility in FEV1 at the time of enrolment. At the time of enrolment mild obstruction was seen in 21%, moderate obstruction in 33%, and severe obstruction in 44%. Symptoms improved every week. Good response with 80% of patients showing more than 60% FEV1 was seen after 4 weeks of treatment. 20% patients continued to have less than 60% FEV1 and 12% of them have less than 40% FEV1 after 4 weeks of treatment. CONCLUSIONS Asthma occurred predominantly in 40-60 years of age. Females outnumbered males in our study. More than half the patients gave a history of 2-5 years. Half the patients had more than twice weekly attacks. Diurnal variation was seen in two thirds. Winter attacks were predominant in 59% and 14% of patients showed no seasonal variation. More than 12% reversibility was seen in only 13% at the time of admission into the study. 80% of patients improved symptomatically at the end of four weeks.
Authors and Affiliations
Ramakrishna R. , Haribabu R. , Hari Priya S. , Tejaswi J. , Sd. Mehatab Banu, Vamsi Krishna N. , Sushma Lakshmi Y.
Keywords
Related Articles
- EP ID EP670579
- DOI 10.18410/jebmh/2019/487
- Views 118
- Downloads 0
THE EFFECT OF PHOTOTHERAPY ON SERUM IONIZED CALCIUM LEVELS IN NEONATES WITH UNCONJUGATED HYPER BILIRUBINEMIA
AIM: To study the occurance of hypocalcemia in neonates with hyperbilirubinemia after 48 hours of continuous phototherapy and to compare the results between term and preterm neonates. METHODS: This study was performed on...
SUNSHINE VITAMIN
Vitamin is an organic chemical compound which can’t be synthesized in sufficient quantities by an organism and must be obtained from diet. Vitamin D is not essential dietary vitamin in strict sense. 8 It is synthesized i...
STUDY OF PREVALENCE OF DRY EYE IN DIABETES
BACKGROUND Diabetes causes blindness in 20-74 year old persons. Blindness in diabetic patients may due to cataract or retinopathy. Dry eye is one of the ocular surface problem increasingly observed in diabetic patients....
OBSERVATION ON VARIATIONS IN MORPHOLOGY OF UTERINE TUBES IN DIFFERENT AGE GROUPS
Uterine tubes are a pair of musculomembranous tubes which are vital for female fertility. They are not merely conduits for tubal transport. Though there has been considerable advancement and success in IVF, the uterine t...
POSTPARTUM PHYSICAL MORBIDITIES AMONG POSTNATAL MOTHERS IN A TERTIARY CARE CENTRE
BACKGROUND Puerperium refers to the six-week period following childbirth. This is a dynamic period when the physiological changes that occur during pregnancy resolve and the body system return to their pre-pregnant state...