The Most Frequently Associated Signs and Symptoms amongst Patients Reporting to Hospital with Asthma
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: Asthma is a chronic illness which is characterized by inflammation and hyper-responsiveness of airways. It is one of the most common chronic diseases of childhood in developed nations. There are approximately 235 million people in the world who suffer from asthma and more than 100 million people are bound to be affected by 2025. In 50% of school children wheezing is the presenting sign of asthma. Wheezing is high pitched whistling sound produced by the turbulence of airflow. The aim of present study is to study the most common presenting signs and symptoms of patients reporting to the hospitals with asthma. Material and methods: The present prospective study enrolled 50 patients who reported to the Department of Chest diseases and Tuberculosis of Government Medical College, Patiala. Patients of acute, severe asthma were included in this study. A detailed history and clinical examination of the patients were done. Subcutaneous injection of 1 mg of Terbutaline was given and PEFR was recorded before and 20 minutes after injection. The following were taken as criteria for asthma: History, Examination and a 20% increase in PEFR. Analysis of the data was done using SPSS software. Chi square test was applied as a test of significance with P values of less than 0.05 taken as significant. Result: A total of 50 subjects were enrolled aged between 10 to 62 years with the mean age of male being 46.47+-17.90 years and females being 38.07 +- 11.15 years. In this study, the chief complaint of breathlessness was observed in 50 (100%) of patients, wheezing in 48 (96%), cough in 36 (72%) and tightness of chest in 33 (66.0%) of patients URC was reported by 11 (22%) patients while 3 (6.0%) patients reported other symptoms. In this study, we have found that asthmatics were exposed to certain predisposing factors during their childhood. These include kuchha house brooming and dust in 40 (80%), humidity in the house and bathrooms in 36 (72%), congested localities in 36 (72%), exposure to kitchen smoke in 36 (72%), over-crowding in home in 32 (64%) patients, presence of pets/animals/pests in 30 (60%) patients, and 12 (24%) to sofa sets and carpets. Conclusion: In our study, breathlessness and wheezing were the most common presenting symptoms. There was a significant association between precipitation of asthma and Humidity, Kitchen smoke, pets and congested and overcrowded area.
Authors and Affiliations
Achchhar Singh, Jai Kishan, Parvinder Singh
Keywords
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