A comparative analysis of errors in inhaler technique among COPD versus asthma patients

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dc.contributor.authorOcaklı, Birsen
dc.contributor.authorÖzmen, İpek
dc.contributor.authorTuncay, Eylem Acartürk
dc.contributor.authorGüngör, Sinem
dc.contributor.authorAltınöz, Hilal
dc.contributor.authorAdıgüzel, Nalan
dc.contributor.authorArbak, Peri Meram
dc.date.accessioned2020-04-30T22:38:37Z
dc.date.available2020-04-30T22:38:37Z
dc.date.issued2018
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionGungor, Sinem/0000-0002-1163-125X; Karakurt, Zuhal/0000-0003-1635-0016en_US
dc.descriptionWOS: 000445530300001en_US
dc.descriptionPubMed: 30288037en_US
dc.description.abstractPurpose: This study was designed to evaluate errors in inhaler technique in COPD vs asthma patients and to investigate the association of poor inhaler technique with patient demographics and clinical variables. Patients and methods: A total of 509 adult patients with COPD (n=328) or asthma (n=181) who were currently using an inhaler device were included in this study. Data on patient demographics, duration of disease, type and duration of inhaler therapy, and assessment of inhaler technique were recorded. Results: Metered dose inhaler (MDI) was the most common type of inhaler used by a similarly high percentage of patients in both COPD (83.2%) and asthma (77.3%) groups. Failure to exhale before inhaling through device (75.8% and 68.5% for MDIs; 73.2% and 71.8% for Aerolizer (R)/Handihaler (R); 53.1% and 66.7% for Turbuhaler (R)) was the most common error in inhaler technique, in both COPD and asthma groups. Device-specific errors in inhaler techniques were more common in asthma patients as compared with COPD patients, particularly for MDIs (P-values ranged from 0.046 to 0.0005), as associated with female gender (failure to press the buttons on both sides of Aerolizer (R)/Handihaler (R), P=0.006), shorter duration of disease (failure to hold MDI or head in a vertical position, P < 0.001, and to keep Turbuhaler (R) upright, P=0.005), and shorter duration of inhaler usage (failure to hold head in a vertical position during MDI usage, P=0.006, and to keep Turbuhaler (R) upright, P=0.012). Conclusion: In conclusion, our findings revealed that errors in inhaler technique in terms of inhalation maneuvers and device handling were similarly common in COPD and asthma patients. Errors in certain device handling maneuvers, particularly with MDIs, were more common among asthma patients than among COPD patients and associated with female gender and shorter durations of disease and inhaler therapy.en_US
dc.identifier.doi10.2147/COPD.S178951en_US
dc.identifier.endpage2947en_US
dc.identifier.issn1178-2005
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2941en_US
dc.identifier.urihttps://doi.org/10.2147/COPD.S178951
dc.identifier.urihttps://hdl.handle.net/20.500.12684/2317
dc.identifier.volume13en_US
dc.identifier.wosWOS:000445530300001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherDove Medical Press Ltden_US
dc.relation.ispartofInternational Journal Of Chronic Obstructive Pulmonary Diseaseen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectchronic obstructive pulmonary diseaseen_US
dc.subjectasthmaen_US
dc.subjectinhaler therapyen_US
dc.subjectinhaler techniqueen_US
dc.subjectmetered dose inhalersen_US
dc.subjectdry powder inhalersen_US
dc.titleA comparative analysis of errors in inhaler technique among COPD versus asthma patientsen_US
dc.typeArticleen_US

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