Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma:

Numerous patients with chronic obstructive pulmonary disease (COPD) and asthma do not use inhaler devices properly, which can contribute to poor disease control. The objective of this study is to assess the technical and safety use of dry powder inhalers (DPIs) versus pressurized metered-dose inhale...

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Main Author: Ramadan, Wijdan H. (author)
Other Authors: Sarkis, Aline T. (author)
Format: article
Published: 2017
Online Access:http://hdl.handle.net/10725/6826
http://dx.doi.org/10.1177/1479972316687209
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
http://journals.sagepub.com/doi/abs/10.1177/1479972316687209
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author Ramadan, Wijdan H.
author2 Sarkis, Aline T.
author2_role author
author_facet Ramadan, Wijdan H.
Sarkis, Aline T.
author_role author
dc.creator.none.fl_str_mv Ramadan, Wijdan H.
Sarkis, Aline T.
dc.date.none.fl_str_mv 2017-12-18T11:31:09Z
2017-12-18T11:31:09Z
2017
2017-12-18
dc.identifier.none.fl_str_mv 1479-9731
http://hdl.handle.net/10725/6826
http://dx.doi.org/10.1177/1479972316687209
Ramadan, W. H., & Sarkis, A. T. (2017). Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma: An observational comparative study. Chronic Respiratory Disease, 1479972316687209.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
http://journals.sagepub.com/doi/abs/10.1177/1479972316687209
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv Chronic Respiratory Disease
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma:
an observational comparative study
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Numerous patients with chronic obstructive pulmonary disease (COPD) and asthma do not use inhaler devices properly, which can contribute to poor disease control. The objective of this study is to assess the technical and safety use of dry powder inhalers (DPIs) versus pressurized metered-dose inhalers (MDIs) in adult patients with COPD or asthma in Lebanon. A concurrent, prospective comparative observational study was conducted at one hospital and 15 community pharmacies in Lebanon. Over a period of 18 months, 246 questionnaires were filled. Patients included were adults with COPD or asthma. Answers were entered into the Statistical Package for Social Sciences software and excel sheet. T-test and correlation were used to analyze the results; 67.8% and 38.4% of those using DPIs and MDIs, respectively, performed the exact technical steps adequately (p = 0.003, relative risk: 2.134, 95% confidence interval: 0.910–4.842). When compared to MDI, a higher percentage of DPI users found their devices easy to use. Moreover, 81.4% of the MDI users found difficulty in coordinating between pressing the canister and inhaling. Rates of exacerbations were significantly higher in MDIs vs. DPI users (59.4% vs. 21.7%). Overall, 44.31% of patients did not receive education from their healthcare professionals about the devices. A significant number of COPD/asthma adult patients do not use their devices properly. Even though DPIs were significantly easier to use, proper education on the technical use of all types of inhalers is needed.
eu_rights_str_mv openAccess
format article
id LAURepo_8c8dcef198ec35c2d2b98243d399b998
identifier_str_mv 1479-9731
Ramadan, W. H., & Sarkis, A. T. (2017). Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma: An observational comparative study. Chronic Respiratory Disease, 1479972316687209.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/6826
publishDate 2017
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
spelling Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma:an observational comparative studyRamadan, Wijdan H.Sarkis, Aline T.Numerous patients with chronic obstructive pulmonary disease (COPD) and asthma do not use inhaler devices properly, which can contribute to poor disease control. The objective of this study is to assess the technical and safety use of dry powder inhalers (DPIs) versus pressurized metered-dose inhalers (MDIs) in adult patients with COPD or asthma in Lebanon. A concurrent, prospective comparative observational study was conducted at one hospital and 15 community pharmacies in Lebanon. Over a period of 18 months, 246 questionnaires were filled. Patients included were adults with COPD or asthma. Answers were entered into the Statistical Package for Social Sciences software and excel sheet. T-test and correlation were used to analyze the results; 67.8% and 38.4% of those using DPIs and MDIs, respectively, performed the exact technical steps adequately (p = 0.003, relative risk: 2.134, 95% confidence interval: 0.910–4.842). When compared to MDI, a higher percentage of DPI users found their devices easy to use. Moreover, 81.4% of the MDI users found difficulty in coordinating between pressing the canister and inhaling. Rates of exacerbations were significantly higher in MDIs vs. DPI users (59.4% vs. 21.7%). Overall, 44.31% of patients did not receive education from their healthcare professionals about the devices. A significant number of COPD/asthma adult patients do not use their devices properly. Even though DPIs were significantly easier to use, proper education on the technical use of all types of inhalers is needed.PublishedN/A2017-12-18T11:31:09Z2017-12-18T11:31:09Z20172017-12-18Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1479-9731http://hdl.handle.net/10725/6826http://dx.doi.org/10.1177/1479972316687209Ramadan, W. H., & Sarkis, A. T. (2017). Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma: An observational comparative study. Chronic Respiratory Disease, 1479972316687209.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttp://journals.sagepub.com/doi/abs/10.1177/1479972316687209enChronic Respiratory Diseaseinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/68262021-03-19T10:43:11Z
spellingShingle Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma:
Ramadan, Wijdan H.
status_str publishedVersion
title Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma:
title_full Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma:
title_fullStr Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma:
title_full_unstemmed Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma:
title_short Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma:
title_sort Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma:
url http://hdl.handle.net/10725/6826
http://dx.doi.org/10.1177/1479972316687209
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
http://journals.sagepub.com/doi/abs/10.1177/1479972316687209