Most frequent errors in inhalation technique of patients with asthma treated at a tertiary care hospital

Detalhes bibliográficos
Autor(a) principal: Pessôa,Carlos Leonardo Carvalho
Data de Publicação: 2019
Outros Autores: Mattos,Maria Julia da Silva, Alho,Artur Renato Moura, Fischmann,Marianna Martini, Haerdy,Bruno Mendes, Côrtes,Ana Carolina Castro, Mendes,Flávio de Oliveira, Brignol,Sandra Mara Silva
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Einstein (São Paulo)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082019000200209
Resumo: ABSTRACT Objective: To demonstrate the most frequent errors in inhalation technique in patients with asthma undergoing treatment at a tertiary care hospital. Methods: A cross-sectional study with a convenience sample of asthma patients aged 18 years or over, treated at a pulmonology outpatient clinic of a tertiary care hospital. The assessment of inhalation technique of users of the dry powder inhalers Aerolizer®, Aerocaps and Diskus®, or metered-dose inhalers was based on the manufacturer's instructions for use of each inhaler device. Patients demonstrated the inhalation technique with empty inhaler devices, and it was considered correct when all stages were performed properly, or when errors probably did not interfere with the treatment outcome. Results: Among 71 participants, 43 (60.5%) performed inhalation technique incorrectly. Among metered-dose inhalers and dry powder inhalers users, inhalation technique errors were found in 84.2% and 51.9%, respectively (p=0.013). Errors were more frequent at the exhalation stage (67.4%), followed by breathing in (58.1%) and apnea (51.2%). In the group using dry powder inhalers, the most common errors occurred during exhalation and, for those using metered-dose inhalers, the most compromised stage was aspiration. Conclusion: Errors were more frequent among those using metered-dose inhalers compared with dry powder inhalers. Misconceptions are more common at the expiration stage among users of dry powder inhalers and in aspiration among those on metered-dose inhalers.
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spelling Most frequent errors in inhalation technique of patients with asthma treated at a tertiary care hospitalAsthmaAsthma/therapyInhalationNebulizers and vaporizers/utilizationABSTRACT Objective: To demonstrate the most frequent errors in inhalation technique in patients with asthma undergoing treatment at a tertiary care hospital. Methods: A cross-sectional study with a convenience sample of asthma patients aged 18 years or over, treated at a pulmonology outpatient clinic of a tertiary care hospital. The assessment of inhalation technique of users of the dry powder inhalers Aerolizer®, Aerocaps and Diskus®, or metered-dose inhalers was based on the manufacturer's instructions for use of each inhaler device. Patients demonstrated the inhalation technique with empty inhaler devices, and it was considered correct when all stages were performed properly, or when errors probably did not interfere with the treatment outcome. Results: Among 71 participants, 43 (60.5%) performed inhalation technique incorrectly. Among metered-dose inhalers and dry powder inhalers users, inhalation technique errors were found in 84.2% and 51.9%, respectively (p=0.013). Errors were more frequent at the exhalation stage (67.4%), followed by breathing in (58.1%) and apnea (51.2%). In the group using dry powder inhalers, the most common errors occurred during exhalation and, for those using metered-dose inhalers, the most compromised stage was aspiration. Conclusion: Errors were more frequent among those using metered-dose inhalers compared with dry powder inhalers. Misconceptions are more common at the expiration stage among users of dry powder inhalers and in aspiration among those on metered-dose inhalers.Instituto Israelita de Ensino e Pesquisa Albert Einstein2019-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082019000200209einstein (São Paulo) v.17 n.2 2019reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.31744/einstein_journal/2019ao4397info:eu-repo/semantics/openAccessPessôa,Carlos Leonardo CarvalhoMattos,Maria Julia da SilvaAlho,Artur Renato MouraFischmann,Marianna MartiniHaerdy,Bruno MendesCôrtes,Ana Carolina CastroMendes,Flávio de OliveiraBrignol,Sandra Mara Silvaeng2019-04-26T00:00:00Zoai:scielo:S1679-45082019000200209Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2019-04-26T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false
dc.title.none.fl_str_mv Most frequent errors in inhalation technique of patients with asthma treated at a tertiary care hospital
title Most frequent errors in inhalation technique of patients with asthma treated at a tertiary care hospital
spellingShingle Most frequent errors in inhalation technique of patients with asthma treated at a tertiary care hospital
Pessôa,Carlos Leonardo Carvalho
Asthma
Asthma/therapy
Inhalation
Nebulizers and vaporizers/utilization
title_short Most frequent errors in inhalation technique of patients with asthma treated at a tertiary care hospital
title_full Most frequent errors in inhalation technique of patients with asthma treated at a tertiary care hospital
title_fullStr Most frequent errors in inhalation technique of patients with asthma treated at a tertiary care hospital
title_full_unstemmed Most frequent errors in inhalation technique of patients with asthma treated at a tertiary care hospital
title_sort Most frequent errors in inhalation technique of patients with asthma treated at a tertiary care hospital
author Pessôa,Carlos Leonardo Carvalho
author_facet Pessôa,Carlos Leonardo Carvalho
Mattos,Maria Julia da Silva
Alho,Artur Renato Moura
Fischmann,Marianna Martini
Haerdy,Bruno Mendes
Côrtes,Ana Carolina Castro
Mendes,Flávio de Oliveira
Brignol,Sandra Mara Silva
author_role author
author2 Mattos,Maria Julia da Silva
Alho,Artur Renato Moura
Fischmann,Marianna Martini
Haerdy,Bruno Mendes
Côrtes,Ana Carolina Castro
Mendes,Flávio de Oliveira
Brignol,Sandra Mara Silva
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Pessôa,Carlos Leonardo Carvalho
Mattos,Maria Julia da Silva
Alho,Artur Renato Moura
Fischmann,Marianna Martini
Haerdy,Bruno Mendes
Côrtes,Ana Carolina Castro
Mendes,Flávio de Oliveira
Brignol,Sandra Mara Silva
dc.subject.por.fl_str_mv Asthma
Asthma/therapy
Inhalation
Nebulizers and vaporizers/utilization
topic Asthma
Asthma/therapy
Inhalation
Nebulizers and vaporizers/utilization
description ABSTRACT Objective: To demonstrate the most frequent errors in inhalation technique in patients with asthma undergoing treatment at a tertiary care hospital. Methods: A cross-sectional study with a convenience sample of asthma patients aged 18 years or over, treated at a pulmonology outpatient clinic of a tertiary care hospital. The assessment of inhalation technique of users of the dry powder inhalers Aerolizer®, Aerocaps and Diskus®, or metered-dose inhalers was based on the manufacturer's instructions for use of each inhaler device. Patients demonstrated the inhalation technique with empty inhaler devices, and it was considered correct when all stages were performed properly, or when errors probably did not interfere with the treatment outcome. Results: Among 71 participants, 43 (60.5%) performed inhalation technique incorrectly. Among metered-dose inhalers and dry powder inhalers users, inhalation technique errors were found in 84.2% and 51.9%, respectively (p=0.013). Errors were more frequent at the exhalation stage (67.4%), followed by breathing in (58.1%) and apnea (51.2%). In the group using dry powder inhalers, the most common errors occurred during exhalation and, for those using metered-dose inhalers, the most compromised stage was aspiration. Conclusion: Errors were more frequent among those using metered-dose inhalers compared with dry powder inhalers. Misconceptions are more common at the expiration stage among users of dry powder inhalers and in aspiration among those on metered-dose inhalers.
publishDate 2019
dc.date.none.fl_str_mv 2019-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.31744/einstein_journal/2019ao4397
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dc.publisher.none.fl_str_mv Instituto Israelita de Ensino e Pesquisa Albert Einstein
publisher.none.fl_str_mv Instituto Israelita de Ensino e Pesquisa Albert Einstein
dc.source.none.fl_str_mv einstein (São Paulo) v.17 n.2 2019
reponame:Einstein (São Paulo)
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