Factors Associated with Poor Asthma Control Among Adult Patients Attending Three Tertiary Hospitals in Khartoum State, Sudan 2018

Abstract

Introduction: Asthma constitutes a significant public health problem and its burden in terms of prevalence, morbidity, mortality and economic impact, is high in both developed and developing countries. Research Objectives: The aim was to study the factors associated with poor asthma control among adult patients attending three tertiary hospitals in Khartoum state, 2018 and to determine the level of asthma control among asthma patients Methods: This was a descriptive, cross sectional hospital based study 374 asthmatic from three main Tertiary hospitals; namely Omdurman, Ibrahim Malik and Bahri hospitals to represent the three main localities in Khartoum State, between March 2018 to June 2018. Data were collected by using standardized questionnaire and the Asthma control test (ACT) was used to determine the level of control and the data was processed and analyzed by the Statistical Package for Social Sciences program (SPSS) version 20. Results: The mean age of the subjects was 40.1 years (115.7) and the sex distribution was almost equal, with 198 (52.9%) females. According to ACT score (84.2%) was uncontrolled asthma. Factors associated with poor asthma control included; residence [OR=1.89 (1.04-3.58)], time to reach facility [OR=2.36 (1.11-5.01)], longer asthma duration [0R=2.91(1.47-5.76)], family history of asthma [OR=0.39 (0.21-072)], history of ICU admission or ventilation [0R=4.07 (1.42-11.62)], Adherence to follow up [0R=7.44(1.91-29.00)] and inhaler technique (0R=0.26 (0.14-0.47]. Conclusion: The majority of asthma patients seen at the outpatient's clinics in the three tertiary hospitals in Khartoum have poor asthma control. An integrated approach to improve the management of asthma should be considered. Recommendations: Inhaled corticosteroids are good quality outcomes in asthma management, and achieving better control, efforts should be made to avail affordable and quality assured asthma medications should be increased Asthma knowledge, patients understanding and the important role of preventer medications in controlling asthma. Asthma standardized case management should be adopted by the ministry of health with emphasis on asthma capacity building and training for the working health personnel. Conflict of Interest: No Conflict of Interest Key Words: Asthma Asthma patients Poor asthma control Factors associated Asthma control.