Asthma control in patients receiving inhaled corticosteroid and long-acting beta2-agonist fixed combinations. A real-life study comparing dry powder inhalers and a pressurized metered dose inhaler extrafine formulation
2011

Asthma Control with Different Inhalers

Sample size: 111 publication 10 minutes Evidence: moderate

Author Information

Author(s): Veronika Müller, Gabriella Gálffy, Noemi Eszes, György Losonczy, Andrea Bizzi, Gabriele Nicolini, Henry Chrystyn, Lilla Tamási

Primary Institution: Semmelweis Medical University, Budapest, Hungary

Hypothesis

Does the type of inhaler affect asthma control in patients using fixed combinations of inhaled corticosteroids and long-acting beta-agonists?

Conclusion

Patients using the extrafine BDP/F pMDI had better asthma control compared to those using larger particle DPIs.

Supporting Evidence

  • Asthma control was achieved by 45.9% of patients.
  • Patients using extrafine BDP/F had significantly lower asthma control scores compared to those using DPI.
  • The mean daily ICS dose was significantly lower in the extrafine pMDI group.

Takeaway

This study found that using a special inhaler helps people with asthma breathe better than using other types of inhalers.

Methodology

This was a cross-sectional study assessing asthma control and spirometry in outpatients with moderate to severe persistent asthma.

Potential Biases

The study included current or former smokers, which may influence asthma control outcomes.

Limitations

The study did not assess lung function parameters comprehensively, and the definition of asthma control differed from GINA guidelines.

Participant Demographics

111 patients (81 women, 30 men) aged 18 and older with moderate to severe persistent asthma.

Statistical Information

P-Value

p = 0.031

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2466-11-40

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