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https://hdl.handle.net/1822/50208
Título: | Misuse of inhalers devices in clinical practice |
Autor(es): | Araújo, António Manuel da Silva Duarte de Teixeira, Pedro Miguel Silva Costa Afonso Figueiredo, Maria Hespanhol, Venceslau Correia de Sousa, Jaime |
Data: | 6-Set-2017 |
Editora: | European Respiratory Society |
Citação: | António Manuel Silva Duarte De Araújo, Pedro Teixeira, Maria Figueiredo, Venceslau Hespanhol, Jaime Correia-de-Sousa European Respiratory Journal Sep 2017, 50 (suppl 61) PA671 |
Resumo(s): | In COPD, therapeutic success depends on a correct inhalation technique, and the choice of inhaler devices (ID) can be as determinant as the drug itself. We present the preliminary results of an ongoing prospective cross-sectional study aimed to assess the patient’s inhaler technique in COPD patients, diagnosed according to GOLD guidelines. We defined a check-list with five steps for each ID, for a correct inhalation technique, as well as essential steps and critical errors, and patient were asked to demonstrate their inhaler technique. A statistics analysis was then performed. We studied 203 COPD outpatients over 40 years-old (median 67,16 years), performing a total of 336 inhalations (30,4% incorrect). Ten types of IDs were examined, and misuse access according to priming/loading and inhalation procedures. Misuse ranged from 27,6% for soft-mist inhaler to 50,0% for pMDI, and in DPIs group from 0% for Aeroliser® to 48,3% for Handihaler®. Preference reasons for an inhaler were the ease of use (39,8%), their characteristics (25,2%) and seem more practical to use (25,2%). No significant relationship was found between correct use and patient preference (p=.236). There was also no significant relationship between the correct use and the number of inhalers used per patient (p=.531). Despite technological advances, inhalers mishandling remains an important clinical issue. A good inhalation technique depends on the type of ID. Poor coordination and inhalation failure remain cause of pMDI misuse. Soft-mist inhaler is the type of ID with the low rates of incorrect use. Misuse was not associated with multiple inhalers use nor to patient’ preference. |
Tipo: | Resumo em ata de conferência |
Descrição: | Misuse of inhalers devices in clinical practice |
URI: | https://hdl.handle.net/1822/50208 |
DOI: | 10.1183/1393003.congress-2017.PA671 |
Versão da editora: | http://erj.ersjournals.com/content/50/suppl_61/PA671 |
Arbitragem científica: | yes |
Acesso: | Acesso aberto |
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Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
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misuse of inhalers devices in clinical practice _ european respiratory society.pdf | 162,35 kB | Adobe PDF | Ver/Abrir |