How asthmatic children dealt with the coronavirus pandemia? Adherence to Controller Medications and Level of Control among Children with Asthma Registered in Mashhad University of Medical Sciences
Publish place: International Journal of Pediatrics، Vol: 11، Issue: 2
Publish Year: 1402
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_INJPM-11-2_008
تاریخ نمایه سازی: 9 اسفند 1401
Abstract:
Background: Coronavirus disease ۲۰۱۹ pandemic had a great effect on the lives of asthmatic children. In this study we assessed changes in medication adherence and asthma control rate among our registered children with pediatric asthma. Methods: This cross-sectional study was conducted on ۱۱۳ patients registered in our asthma and allergy clinic in Mashhad, Iran. We called them via phone and completed a questionnaire on the level of asthma medication adherence and the asthma control test (ACT) before and in the ۶ months after COVID-۱۹ emergence. We investigated the changes in medication adherence and asthma control due to COVID-۱۹ pandemic. Results: A total of ۱۱۳ asthmatic children in the age range of ۱ to ۱۵ (mean, ۷.۰۲±۳.۲۴ years) were included in the study. There were zero confirmed positive cases among them since COVID-۱۹ introduction. The minority of patients (۸.۸%) had weak adherence, most of the children (۳۵.۴%) completed one course of prescribed medications, ۳۳% had longer adherence, and only ۲۵ patients (۲۲.۱%) had full adherence during the pandemic. Overall, our patients experienced better asthma control with a ۱.۵۱ rise in ACT score to arrive in ۲۳.۶۴ points out of ۲۵. They had no asthma exacerbation and emergency visit. Over half of the families compiled the national preventive measures; as ۸۵% of children had followed the stay-at-home order during the first peak of the pandemic. Conclusion: Our patients managed to come to a higher asthma control level despite their generally decreased adherence to medications during the pandemic. COVID-۱۹ not only could not worsen asthma status in our children but surprisingly improved it. This shows that the preventive measures should be strongly applied for the asthmatic population.
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Authors
Nasrin Moazzen
Allergy Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Hamid Ahanchian
Clinical Research Development Unit of Akbar Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Zahra Abbasi Shaye
Community Medicine, Treatment Affairs, Mashhad University of Medical Sciences, Mashhad, Iran
Ahmad Habibi Dashtebayaz
Clinical Research Development Unit of Akbar Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Alireza Peyvandi
Allergy Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
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