Hospitalization Due to Not Taking Inhaled Steroid Medications
8, 2004 - NEWSdial.com) The majority of hospitalizations for
asthma may be the result of
people not taking their inhaled steroid medications, according
to new research featured in the December 2004 Journal of Allergy & Clinical
Immunology (JACI). The JACI is the peer-reviewed scientific journal
of the American Academy of Allergy, Asthma & Immunology (AAAAI).
L. Keoki Williams, MD, MPH, and colleagues from the Henry Ford
Health System in Detroit, and the Medical College of Georgia are
the first to study the relationship between medication adherence
and asthma related outcomes in adult patients with asthma. They
examined the records of 405 asthma patients ages 18-50 to determine
if poor adherence to directions for taking inhaled steroids resulted
in poor asthma-outcomes. Researchers analyzed outpatient visits,
emergency department visits, hospitalizations and oral steroid
The study found:
> Overall adherence
to inhaled steroids was approximately 50%.
> Patients who missed
one out of four doses of their prescribed inhaled steroid doubled
their risk of being hospitalized.
> 60% of hospitalizations
could have been prevented had patients taken their inhaled medication
> Poor medication
adherence was also associated with emergency department visits
and the need to use oral steroid medications,
which are associated with more severe asthma.
Inhaled steroids have become the standard in the treatment of
persistent asthma. They have been shown to significantly improve
asthma symptoms and reduce asthma complications. However, adherence
to the prescribed inhaled steroids is poor among adult asthma patients.
While improving medication adherence is difficult, researchers
in the current study suggest that increasing education on the importance
of adherence may result in better asthma control.
the Asthma Section of NEWSdial.com
to the Allergy, Asthma, and Sinusitis Ezine
to December 2004 News Archives