1. Prevalence and Associated Factors of Suboptimal Daily Peak Inspiratory Flow and Technique Misuse of Dry Powder Inhalers in Outpatients with Stable Chronic Airway Diseases
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Xiumin Feng, Qian He, Yuchao Dong, Ding Nan, Chong Bai, Shen Gao, Jingxi Zhang, Wei Zhang, and Wang Zhuo
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medicine.medical_specialty ,pharmacist ,International Journal of Chronic Obstructive Pulmonary Disease ,Pulmonary Disease, Chronic Obstructive ,03 medical and health sciences ,dry powder inhaler ,0302 clinical medicine ,Internal medicine ,Administration, Inhalation ,Outpatients ,Prevalence ,medicine ,risk factors ,Humans ,030212 general & internal medicine ,Medical prescription ,Peak flow meter ,Original Research ,measurement_unit ,Asthma ,COPD ,business.industry ,Incidence (epidemiology) ,Dry Powder Inhalers ,General Medicine ,Peak Inspiratory Flow Rate ,medicine.disease ,Dry-powder inhaler ,inhalation technique ,030228 respiratory system ,measurement_unit.measuring_instrument ,peak inspiratory flow rate ,Airway ,business - Abstract
Nan Ding,1,* Wei Zhang,2,* Zhuo Wang,1 Chong Bai,3 Qian He,4 Yuchao Dong,3 Xiumin Feng,5 Jingxi Zhang,3 Shen Gao1 1Department of Pharmacy, First Affiliated Hospital of Naval Medical University (Changhai Hospital), Shanghai, Peopleâs Republic of China; 2Department of Pharmacy, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, Peopleâs Republic of China; 3Department of Respiratory and Critical Care Medicine, First Affiliated Hospital of Naval Medical University (Changhai Hospital), Shanghai, Peopleâs Republic of China; 4Department of Health Statistics, Faculty of Health Service, Naval Medical University, Shanghai, Peopleâs Republic of China; 5Department of Respiratory and Critical Care Medicine, Changji Branch of First Affiliated Hospital of Xinjiang Medical University, Xinjiang, Peopleâs Republic of China*These authors contributed equally to this workCorrespondence: Shen GaoDepartment of Pharmacy, First Affiliated Hospital of Naval Medical University (Changhai Hospital), No. 168 Changhai Road, Shanghai, 200433, Peopleâs Republic of ChinaTel +86(021)31162331Fax +86(021)31162304Email liullk@126.comJingxi ZhangDepartment of Respiratory and Critical Care Medicine, First Affiliated Hospital of Naval Medical University (Changhai Hospital), No. 168 Changhai Road, Shanghai, 200433, Peopleâs Republic of ChinaEmail jingxizhang2000@126.comPurpose: The present study aimed to investigate the prevalence and associated factors of suboptimal daily peak inspiratory flow (PIF) and technical misuse of three commonly used dry powder inhalers (DPIs) in outpatients with stable chronic airway diseases.Patients and Methods: Included in this study were 85 outpatients with stable asthma, chronic obstructive pulmonary disease (COPD), or asthma-COPD Overlap (ACO) and had previously used any of Turbuhaler® (TUR), Diskus® (DIS), HandiHaler® (HAN) between December 2018 and September 2019. The patientâs daily PIF against the resistance of a specific DPI and operation technique was investigated by two pharmacists by using In-Check DIAL G16 and a checklist.Results: Of the 85 patients, the proportion of patients with a suboptimal daily PIF and technical misuse was 38.8% and 65.9%, respectively. In logistic regression, we observed that the factors that increase the risk for suboptimal daily PIF were age (OR=1.06) and combination with respiratory diseases (OR = 6.59). The factor that decreases the risk for misuse was the higher education level (OR =0.63).Conclusion: Even if patients have received training at the time of initial prescription, the standardization of the use of DPIs by patients in our center was still unoptimistic. Age and combined with respiratory diseases were associated with suboptimal PIF. Higher education level decreased the incidence of technique misuse.Keywords: dry powder inhaler, inhalation technique, peak inspiratory flow rate, pharmacist, risk factors
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- 2021
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