Knowledge of asthmatic disease as a pneumonia protective factor
Enferm Clin (Engl Ed). 2020 Mar-Apr;30(2):108-113.
doi: 10.1016/j.enfcli.2018.11.001.
Epub 2018 Dec 29.
[Article in
English,
Spanish]
Affiliations
- 1 Unidades de Hospitalización, Hospital de Mataró, Consorcio sanitario del Maresme, Mataró, Barcelona, España; Grup d'Estudis del Maresme de la Pneumònia Adquirida a la Comunitat (GEMPAC), Mataró, Barcelona, España; Centro de Investigaciones Biomédicas en Red de Enfermedades Respiratorias (CIBERES), Madrid, España. Electronic address: [email protected].
- 2 Grup d'Estudis del Maresme de la Pneumònia Adquirida a la Comunitat (GEMPAC), Mataró, Barcelona, España; Servicio de Urgencias, Hospital de Mataró, Consorcio Sanitario del Maresme, Mataró, Barcelona, España.
- 3 Servicio de Urgencias, Hospital de Mataró, Consorcio Sanitario del Maresme, Mataró, Barcelona, España.
- 4 Grup d'Estudis del Maresme de la Pneumònia Adquirida a la Comunitat (GEMPAC), Mataró, Barcelona, España; Centro de Investigaciones Biomédicas en Red de Enfermedades Respiratorias (CIBERES), Madrid, España; Departamento de Epidemiología, Investigación y Desarrollo, Hospital de Mataró. Consorcio sanitario del Maresme, Mataró, Barcelona, España; Centro de Investigaciones Biomédicas en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, España.
- 5 Grup d'Estudis del Maresme de la Pneumònia Adquirida a la Comunitat (GEMPAC), Mataró, Barcelona, España; Centro de Investigaciones Biomédicas en Red de Enfermedades Respiratorias (CIBERES), Madrid, España; Servicio de Medicina Interna, Hospital de Mataró, Consorcio sanitario del Maresme, Mataró, Barcelona, España.
- 6 Unidades de Hospitalización, Hospital de Mataró, Consorcio sanitario del Maresme, Mataró, Barcelona, España; Grup d'Estudis del Maresme de la Pneumònia Adquirida a la Comunitat (GEMPAC), Mataró, Barcelona, España.
Abstract
Objective:
To assess whether knowledge of asthmatic disease may be a protective factor against the risk of community-acquired pneumonia (CAP) in people with asthma over the age of 18 who receive inhaled treatment.
Method:
observational study of cases and controls in a population with asthma. One hundred and twenty-three people with asthma diagnosed with pneumonia were recruited according to clinical and radiological criteria (cases), and 246 people with asthma not diagnosed with pneumonia during the past year (controls), matched by age. The main study factor was the assessment of knowledge about asthmatic disease through an ad hoc questionnaire, with seven questions and two possible answers (known, unknown).
Results:
the bivariate analysis shows that knowledge of asthmatic disease has a statistically significant association as a protective factor of CAP. In the multivariate analysis, it shows an association of knowledge of asthmatic disease as a protective factor of CAP (OR=.24), regardless of age, level of studies, functionality, and severity of asthma.
Conclusions:
A good knowledge of asthmatic disease reduces the risk of CAP in asthmatic patients using inhaled treatment.
Keywords:
Asma; Asthma; Compliance and adherence to treatment; Cumplimiento y adherencia al tratamiento; Neumonía; Pneumonia.
Copyright © 2018 Elsevier España, S.L.U. All rights reserved.
MeSH terms
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Adult
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Asthma* / complications
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Asthma* / prevention & control
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Community-Acquired Infections*
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Humans
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Middle Aged
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Pneumonia* / complications
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Protective Factors
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Surveys and Questionnaires