社区药房简易哮喘控制筛查工具的性能:横断面和前瞻性纵向分析。

Kate S LeMay, Carol L Armour, Helen K Reddel
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引用次数: 0

摘要

背景:指南建议哮喘管理以哮喘控制评估为基础。目的:描述药房哮喘控制筛查工具(PACS)与哮喘控制问卷(ACQ-6)的性能比较:数据来源于澳大利亚一项社区药房哮喘管理项目的多中心研究,该项目在六个月内进行了三到四次访问。符合条件的参与者哮喘控制未达理想水平,或近期未因哮喘就诊。通过 PACS 工具和 ACQ-6 对基线和六个月的哮喘控制情况进行评估:共有 570 名患者报名参加,其中 398 人(70%)完成了该计划。基线时 ACQ-6 平均得分为 1.58±1.05,6 个月后为 0.96±0.88(n=392)。PACS "控制不佳 "对哮喘控制不佳(ACQ- 6 >1.0)的敏感性和特异性在基线时分别为 0.92 和 0.66,在 6 个月后分别为 0.76 和 0.83。两个工具在六个月时的一致性为中等(κ=0.54)。在研究期间,两种工具都出现了非常明显的变化(p 结论:这项研究表明,在社区药房使用简单的哮喘控制筛查工具是可行的,而且在识别哮喘控制不佳的患者方面具有良好的灵敏度。筛查工具可用于初级保健,以确定需要对其哮喘状况进行更详细评估的患者,而对于长期监测哮喘控制情况而言,连续的控制测量方法更为合适。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Performance of a brief asthma control screening tool in community pharmacy: a cross-sectional and prospective longitudinal analysis.

Performance of a brief asthma control screening tool in community pharmacy: a cross-sectional and prospective longitudinal analysis.

Performance of a brief asthma control screening tool in community pharmacy: a cross-sectional and prospective longitudinal analysis.

Performance of a brief asthma control screening tool in community pharmacy: a cross-sectional and prospective longitudinal analysis.

Background: Guidelines recommend basing asthma management on assessment of asthma control. Validated control tools, while suitable for clinical research, may not be feasible for routine use in primary care.

Aims: To describe the performance of the Pharmacy Asthma Control Screening tool (PACS) compared with the Asthma Control Questionnaire (ACQ-6).

Methods: Data were obtained from a multicentre study of a community pharmacy asthma management programme in Australia, with three or four visits over six months. Eligible participants had suboptimal asthma control or no recent visit to their doctor for asthma. Asthma control was assessed at baseline and at six months with the PACS tool and ACQ-6.

Results: A total of 570 patients were enrolled and 398 (70%) completed the programme. The average ACQ-6 score was 1.58±1.05 at baseline and 0.96±0.88 (n=392) after six months. Sensitivity and specificity of PACS 'poor control' for not well-controlled asthma (ACQ- 6 >1.0) were 0.92 and 0.66, respectively, at baseline and 0.76 and 0.83 at six months. Agreement between the two tools at six months was moderate (κ=0.54). Both tools showed highly significant change during the study (p<0.0001 for each), but agreement between the change in the two tools was only fair (κ=0.31).

Conclusions: This study shows that a simple asthma control screening tool is feasible for use in community pharmacies and has good sensitivity for identifying patients with not well-controlled asthma. Screening tools are useful in primary care to identify patients who require more detailed assessment of their asthma status, whereas for monitoring asthma control over time, a continuous control measure is more appropriate.

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来源期刊
Primary Care Respiratory Journal
Primary Care Respiratory Journal PRIMARY HEALTH CARE-RESPIRATORY SYSTEM
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