Patterns of Asthma Control among Asthmatic Patients Presenting at Tertiary Care Hospital, Larkana
Patterns of Asthma Control among Asthmatic Patients
DOI:
https://doi.org/10.54393/pjhs.v6i2.2563Keywords:
Bronchial Asthma, Wheeze, Spirometer, HospitalAbstract
Asthma is the most prevalent pediatric chronic condition and the leading cause of preventable pediatric hospitalization. Despite its prevalence, asthma is a poorly managed condition. Effective therapies to enhance and sustain asthma control are required. Objective: To determine the frequency of patterns of asthma control among asthmatic patients presenting at a tertiary care hospital, Larkana. Methods: Cross-sectional research was conducted at the Children's Hospital in Larkana between January 21 and June 23. Quantitative and qualitative data were gathered, presented, and evaluated. Effect modifiers were controlled via stratification to determine their impact on the result variable. The chi-square test was used after post-stratification, with a p-value of ≤0.05 considered significant. Results: The study involved 143 patients, with an average age of 7.14 ± 3.49 years and a duration of 25.72 ± 10.24 months, with 72 (50.3%) men and 71 (49.7%) women. Of the 143 patients, 45.5%, 30.1%, and 24.5% had well, partially, and poorly controlled asthma, respectively. Conclusions: It was concluded that 45.5% achieved well-controlled asthma, 30.1% exhibited partial control, and 24.5% had poorly controlled asthma. These findings highlight the need for personalized interventions, emphasizing the importance of exploring factors influencing suboptimal control.
References
Kishanrao S. Asthma in India. International Journal of Pulmonology and Disorders. 2023; 1(1). doi: 10.58489/3066-0955/003.
World Health Organization. The Global Asthma Report. Http://Globalasthmareport.Org/Resources/Global_Asthma_Report_2022.Pdf (2022).
World Asthma Day. Global Initiative for Asthma - GINA. 2024. Https://Ginasthma.Org/World-Asthma-Day 2024/#:~:Text=Asthma%20is%20one%20of%20the.
Taherian MR, Fatemian F, Halimi A, Soleimani Y, Jorjani G, Nozari P et al. Prevalence of Asthma Among Children and Adolescents in WHO’s Eastern Mediterranean Region: A Meta-Analysis of Over 0.5 Million Participants. BioMed Central Public Health. 2024 Aug; 24(1): 2148. doi: 10.1186/s12889-024-18716-2.
Rathod A, Zhang H, Arshad H, Ewart S, Relton C, Karmaus W et al. DNA Methylation and Asthma Acquisition During and Post-Adolescence, An Epigenome-Wide Longitudinal Study. Research Square. 2021 Aug. doi: 10.21203/rs.3.rs-757593/v1.
Muñoz MP, Iglesias V, Saavedra M, Saavedra G, Yohannessen K, Pino P. Urinary Arsenic Concentration and Its Relationship with Bronchial Asthma in Children from Arica, Chile. Toxics. 2022 Oct; 10(10): 625. doi: 10.3390/toxics10100625.
Zuberi FF, Zuberi BF, Salahuddin M. Asthma and Myths: An Online Survey. Pakistan Journal of Medical Sciences. January-March. 2011 Jan; 27(1): 157-61.
Philp JC, Maselli J, Pachter LM, Cabana MD. Complementary and Alternative Medicine Use and Adherence with Pediatric Asthma Treatment. Pediatrics. 2012 May; 129(5): E1148-54. doi: 10.1542/peds.2011-2467
Revicki D, Weiss KB. Clinical Assessment of Asthma Symptom Control: Review of Current Assessment Instruments. Journal of Asthma. 2006 Jan; 43(7): 481-7. doi: 0.1080/02770900600619618.
Onubogu UC and West BA. Childhood Asthma-Pattern, Severity and Control Among Children Seen in an Outpatient Respiratory Clinic in River State University Teaching Hospital, Port Harcourt, Nigeria. Journal of Pediatrics, Perinatology and Child Health. 2020; 4(3): 73-85. doi: 0.26502/jppch.74050044.
Mansoor A, Ather CA, Jehangir HM, Khosa M. To Evaluate the Pattern of Asthma Control Using Asthma Control Test Among Asthmatic Patients Presenting at A Tertiary Care Hospital. Pakistan Journal of Medical and Health Sciences. 2017 Jul;11(3):980. doi:
MF Hashmi, M Tariq, ME Cataletto, EL Hoover. Asthma (Nursing) 2021. Europepmc. Org PMID: 33760519Bookshelf ID: NBK568760
Akinbami LJ, Simon AE, Rossen LM. Changing Trends in Asthma Prevalence Among Children. Pediatrics. 2016 Jan; 137(1). doi: 10.1542/peds.2015-2354.
Centers for Disease Control and Prevention. 2017 Archived National Asthma Data. 2017 Https://Www.Cdc.Gov/Asthma/Archivedata/2017/2017_Archived_National_Data.Html.
Pate CA. Asthma Surveillance—United States, 2006–2018. Morbidity and Mortality Weekly Report. Surveillance Summaries. 2021 Sep; 70(5): 1-32.
Song P, Adeloye D, Salim H, Dos Santos JP, Campbell H, Sheikh A et al. Global, Regional, and National Prevalence of Asthma in 2019: A Systematic Analysis and Modelling Study. Journal of Global Health. 2022 Jun; 12. doi: 10.7189/jogh.12.04052.
Cloutier MM, Dixon AE, Krishnan JA, Lemanske Jr RF, Pace W, Schatz M. Managing Asthma in Adolescents and Adults: 2020 Asthma Guideline Update from the National Asthma Education and Prevention Program. Journal of American and Medical Association. 2020 Dec; 324(22): 2301-17. doi: 10.1001/jama.2020.21974.
Liu AH, Gilsenan AW, Stanford RH, Lincourt W, Ziemiecki R, Ortega H. Status of Asthma Control in Pediatric Primary Care: Results from The Pediatric Asthma Control Characteristics and Prevalence Survey Study (ACCESS). The Journal of Pediatrics. 2010 Aug; 157(2): 276-81. doi: 10.1016/j.jpeds.2010.02.017.
Qin VM, Mcpake B, Raban MZ, Cowling TE, Alshamsan R, Chia KS et al. Rural and Urban Differences in Health System Performance Among Older Chinese Adults: Cross-Sectional Analysis of a National Sample. BioMed Central Health Services Research. 2020 Dec; 20:1-4. doi: 10.1186/s12913-020-05194-6.
Zeru TG, Engidawork E, Berha AB. Assessment of Asthma Control and Quality of Life Among Asthmatic Patients Attending Armed Forces Referral and Teaching Hospital, Addis Ababa, Ethiopia. Pulmonary Medicine. 2020; 2020(1): 5389780. doi: 10.1155/2020/5389780.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Pakistan Journal of Health Sciences

This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments