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The Korean Academy of Asthma Allergy and Clinical Immunology, Allergy Asthma and Immunology Research, 4(3), p. 217, 2011

DOI: 10.4168/aair.2011.3.4.217

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Current Control and Future Risk in Asthma Management

Journal article published in 2011 by Erika J. Sims, David Price ORCID, John Haughney, Dermot Ryan ORCID, Mike Thomas
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Preprint: policy unknown
Question mark in circle
Postprint: policy unknown
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Published version: policy unknown
Data provided by SHERPA/RoMEO

Abstract

Despite international and national guidelines, poor asthma control remains an issue. Asthma exacerbations are costly to both the individual, and the healthcare provider. Improvements in our understanding of the therapeutic benefit of asthma therapies suggest that, in general, while long-acting bronchodilator therapy improves asthma symptoms, the anti-inflammatory activity of inhaled corticosteroids reduces acute asthma exacerbations. Studies have explored factors which could be predictive of exacerbations. A history of previous exacerbations, poor asthma control, poor inhaler technique, a history of lower respiratory tract infections, poor adherence to medication, the presence of allergic rhinitis, gastro-oesophageal reflux disease, psychological dysfunction, smoking and obesity have all been implicated as having a predictive role in the future risk of asthma exacerbation. Here we review the current literature and discuss this in the context of primary care management of asthma.