Τίτλος:
Device use errors among patients with asthma and COPD and the role of
training: a real-life study
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background and objectives: Administration of inhaled medication for
asthma and COPD is often difficult and incorrect device use is
associated with unfavorable outcomes. We aimed to evaluate device use
errors in asthma and COPD patients and to associate incorrect use with
the patient’s characteristics and medical history.
Methods: Demographics and medical history were recorded. The use of each
prescribed device was evaluated according to predefined steps.
Results: 607 patients (49.9% male, median age (IQR) 63 (51, 70) years
performed 663 demonstrations (56 patients were using 2 different types
of devices). 51.4% were treated for asthma and 48.6% for COPD. 79.6%
of demonstrations were performed using DPIs. Errors were documented on
41.2% of demonstrations and were associated with the type of device, p
< 0.001. Elderly patients were less frequently using their devices
correctly compared to younger patients, 50.8% vs 62.2%, respectively,
p = 0.007. Correct demonstrations were more among asthmatics compared to
COPD patients 63.1% vs 54.5%, p = 0.024. Incorrect use was associated
with more acute exacerbations in the preceding year [median(IQR), 1(0,
2) vs 1(0, 1)], for incorrect and correct use, respectively, p < 0.001.
Upon demonstration, 15.5% of patients have never been trained (i.e.,
undergone actual demonstrations and observation while using their
device) by anyone. Errors occurred more frequently among patients who
reported not to be trained compared to those who were trained, 67.0% vs
14.6%, respectively, p Conclusion: Device use errors are common and
associated with unfavorable outcomes. Trained patients were more likely
to use the device correctly.
Συγγραφείς:
Papaioannou, I, Andriana
Bartziokas, Konstantinos
Hillas,
Georgios
Fouka, Evangelia
Dimakou, Katerina
Kallieri, Maria
and Tsikrika, Stamatoula
Papadaki, Georgia
Papathanasiou,
Evgenia
Papaporfyriou, Anastasia
Apollonatou, Vasiliki and
Verykokou, Galateia
Mplizou, Myrto
Papakosta, Despina and
Manali, Effrosyni D.
Papiris, Spyridon
Loukides, Stelios
Περιοδικό:
Journal of Postgraduate Medicine
Εκδότης:
TAYLOR & FRANCIS LTD LONDON
Λέξεις-κλειδιά:
Inhalation devices; correct use; asthma; COPD; exacerbations
DOI:
10.1080/00325481.2021.1902188
