Impact de la prise en charge multidisciplinaire sur le contrôle et l’évolution de l’asthme difficile

IF 0.3 4区医学

Revue Francaise d Allergologie Pub Date : 2025-08-11 DOI:10.1016/j.reval.2025.104599

M. Oulad Kouider , A. Fissah , H. Madi , M.S. Aissani , K. Bouchbouch , K. Ouennoughi , A. Bachir Cherif , F. Zedam , L. Zemmour , S. Benzaoui , Z. Boukara , M. Kibboua , S. Alihalassa

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Abstract

Introduction

Although patients with severe asthma constitute only around 5% to 10% of asthmatic patients, they account for almost half of the costs related to this condition. This situation is related to the disease itself and its comorbidities.

Methods

This is a prospective observational study in the academic hospital of Blida in Algeria. Data were collected from May 2019 to November 2021. Only patients who met the criteria of severe asthma according to the definition GINA 2018. The included patients received a multidisciplinary approach along with personalized education.

Results

One hundred and fifty patients were included, and 65.3% of them were women. Among the patients, 93.3% had comorbidities, with chronic allergic rhinitis being the most common allergic comorbidity. Meanwhile, gastroesophageal reflux was the most prevalent non-allergic comorbidity (48.7%). After multidisciplinary care, only 27.3% of the participants continued to have severe asthma.

Conclusion

Patients with severe asthma require personalized education and the collaboration of different specialists.

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多学科护理对哮喘控制和进化的影响

虽然严重哮喘患者仅占哮喘患者的5%至10%，但他们的费用却几乎占到哮喘相关费用的一半。这种情况与疾病本身及其合并症有关。方法在阿尔及利亚Blida学术医院进行前瞻性观察研究。数据收集于2019年5月至2021年11月。根据GINA 2018的定义，只有符合严重哮喘标准的患者。纳入的患者接受多学科治疗和个性化教育。结果共纳入150例患者，女性占65.3%。93.3%的患者有合并症，慢性变应性鼻炎是最常见的过敏性合并症。同时，胃食管反流是最常见的非过敏性合并症（48.7%）。在多学科治疗后，只有27.3%的参与者继续患有严重哮喘。结论重症哮喘患者需要个性化教育和不同专科医师的配合。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revue Francaise d Allergologie Medicine-Immunology and Allergy

自引率

33.30%

发文量

349

期刊介绍： La Revue Française d''Allergologie : un véritable forum pour faire connaître des travaux originaux et permettre la diffusion de l''information auprès de toutes les spécialités concernées par les pathologies allergiques. La Revue Française d''Allergologie (8 numéros par an) est au carrefour de nombreuses spécialités - dermatologie, pédiatrie, ORL, pneumologie, ophtalmologie, médecine interne - qui, toutes, ont à traiter des maladies allergiques. Les symptômes des allergies fondés sur des mécanismes communs sont le plus souvent associés et se succèdent chez un même patient. En forte progression depuis 20 ans, les maladies allergiques sont dans l''attente de perfectionnements et d''avancées thérapeutiques qui permettront aux nombreux patients qui en sont atteints de mieux vivre avec leurs allergies. La Revue Française d''Allergologie se veut donc un véritable forum de discussions et d''échanges entre tous les spécialistes confrontés aux pathologies