Management, asthma control and quality of life in Swedish adolescents with asthma
2005 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 94, no 6, 682-688 p.Article in journal (Refereed) Published
Aim: In Sweden, paediatricians or general practitioners treat most adolescents with asthma. This study compares management, treatment goals and quality of life for adolescents aged 15-18 y in paediatric or primary care. Material and methods: A random sample of patients answered a disease-specific and a quality-of-life (MiniAQLQ) questionnaire. Results: The 146 adolescents in paediatric care had more years with asthma, better continuity of annual surveillance, higher use of inhaled steroids and a stated better knowledge of their asthma than the 174 patients in primary care. No difference could be detected in asthma control or quality of life. Of all 320 adolescents, approximately 20% had woken at night due to asthma symptoms during the last week. About 15% had made unscheduled, urgent care visits and a third had used short-acting beta-agonist relievers more than twice a week. Quality-of-life scores were high and similar in both settings. Conclusions: Swedish adolescents with asthma are managed and treated somewhat differently in paediatric and primary care but with equal and, for the most part, satisfying results. The difference between the two settings probably reflects both differences in severity of asthma and different treatment traditions. For all adolescents, better fulfilment of goals regarding symptoms and exacerbations would be desirable, whereas a good quality of life including normal physical activity seems to have been achieved.
Place, publisher, year, edition, pages
2005. Vol. 94, no 6, 682-688 p.
Adolescent, Asthma/psychology/*therapy, Child, Child Health Services, Comparative Study, Cross-Sectional Studies, Humans, Primary Health Care, Quality of Life, Research Support; Non-U.S. Gov't, Sweden
Respiratory Medicine and Allergy
IdentifiersURN: urn:nbn:se:uu:diva-93779DOI: 10.1080/08035250510025851ISI: 000229836900008PubMedID: 16188769OAI: oai:DiVA.org:uu-93779DiVA: diva2:167363