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Diagnosis of Asthma in Primary Health Care: A Pilot Study
Some patients with an asthma diagnosis have a poor controlled asthma. One explanation may be an incorrect diagnosis. Aim. The aim of the study was to diagnose and classify patients with non-infectious lower respiratory tract problems in primary health care using internationally applied diagnostic cr...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4003754/ https://www.ncbi.nlm.nih.gov/pubmed/24817894 http://dx.doi.org/10.1155/2014/898965 |
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author | Ringsberg, Karin C. Bjärneman, Paula Larsson, Ronny Wallström, Elisabeth Löwhagen, Olle |
author_facet | Ringsberg, Karin C. Bjärneman, Paula Larsson, Ronny Wallström, Elisabeth Löwhagen, Olle |
author_sort | Ringsberg, Karin C. |
collection | PubMed |
description | Some patients with an asthma diagnosis have a poor controlled asthma. One explanation may be an incorrect diagnosis. Aim. The aim of the study was to diagnose and classify patients with non-infectious lower respiratory tract problems in primary health care using internationally applied diagnostic criteria and diagnostic tests. Patients and Methods. New adult patients visiting a primary health care centre due to lower airway problems were included. The diagnostic tests included FEV(1), FVC, PEF, two questionnaires, methacholine test, and skin prick test. Results. The patients (n = 43) could be divided into four groups: asthma (28%), asthma-like disorder (44%), idiopathic cough (12%), and a nonreversible bronchial obstructive group (16%). The asthma and asthma-like groups showed similar patterns of airway symptoms and trigger factors, not significantly separated by a special questionnaire. Phlegm, heavy breathing, chest pressure/pain, cough, and wheezing were the most common symptoms. Physical exercise and scents were the dominating trigger factors. Conclusions. Nonobstructive asthma-like symptoms seem to be as common as bronchial asthma in primary health care. Due to the similarities in symptoms and trigger factors the study supports the hypothesis that asthma and nonobstructive asthma-like disorders are integrated in the same “asthma syndrome,” including different mechanisms, not only bronchial obstruction. |
format | Online Article Text |
id | pubmed-4003754 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-40037542014-05-11 Diagnosis of Asthma in Primary Health Care: A Pilot Study Ringsberg, Karin C. Bjärneman, Paula Larsson, Ronny Wallström, Elisabeth Löwhagen, Olle J Allergy (Cairo) Clinical Study Some patients with an asthma diagnosis have a poor controlled asthma. One explanation may be an incorrect diagnosis. Aim. The aim of the study was to diagnose and classify patients with non-infectious lower respiratory tract problems in primary health care using internationally applied diagnostic criteria and diagnostic tests. Patients and Methods. New adult patients visiting a primary health care centre due to lower airway problems were included. The diagnostic tests included FEV(1), FVC, PEF, two questionnaires, methacholine test, and skin prick test. Results. The patients (n = 43) could be divided into four groups: asthma (28%), asthma-like disorder (44%), idiopathic cough (12%), and a nonreversible bronchial obstructive group (16%). The asthma and asthma-like groups showed similar patterns of airway symptoms and trigger factors, not significantly separated by a special questionnaire. Phlegm, heavy breathing, chest pressure/pain, cough, and wheezing were the most common symptoms. Physical exercise and scents were the dominating trigger factors. Conclusions. Nonobstructive asthma-like symptoms seem to be as common as bronchial asthma in primary health care. Due to the similarities in symptoms and trigger factors the study supports the hypothesis that asthma and nonobstructive asthma-like disorders are integrated in the same “asthma syndrome,” including different mechanisms, not only bronchial obstruction. Hindawi Publishing Corporation 2014 2014-04-10 /pmc/articles/PMC4003754/ /pubmed/24817894 http://dx.doi.org/10.1155/2014/898965 Text en Copyright © 2014 Karin C. Ringsberg et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Ringsberg, Karin C. Bjärneman, Paula Larsson, Ronny Wallström, Elisabeth Löwhagen, Olle Diagnosis of Asthma in Primary Health Care: A Pilot Study |
title | Diagnosis of Asthma in Primary Health Care: A Pilot Study |
title_full | Diagnosis of Asthma in Primary Health Care: A Pilot Study |
title_fullStr | Diagnosis of Asthma in Primary Health Care: A Pilot Study |
title_full_unstemmed | Diagnosis of Asthma in Primary Health Care: A Pilot Study |
title_short | Diagnosis of Asthma in Primary Health Care: A Pilot Study |
title_sort | diagnosis of asthma in primary health care: a pilot study |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4003754/ https://www.ncbi.nlm.nih.gov/pubmed/24817894 http://dx.doi.org/10.1155/2014/898965 |
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