Originales
Diagnóstico de asma alérgica en consultas de alergología y neumología
Diagnosis of allergic asthma in allergy and pneumology outpatient clinics
Luis Borderíasa, Pilar García-Ortegab, Xavier Badiac,d,
, Jordi Casafonte, Gemma Gambúse, Montserrat Rosetd, el Grupo Prevalair
Autor para correspondencia
xbadia@es.imshealth.com
Correspondencia: Dr. Xavier Badia. Health Outcomes Research Europe-A Unit of IMS. Av. Diagonal, 618, 1C. 08021 Barcelona. España.
Correspondencia: Dr. Xavier Badia. Health Outcomes Research Europe-A Unit of IMS. Av. Diagonal, 618, 1C. 08021 Barcelona. España.
a Hospital San Jorge de Huesca, Servicio de Neumología, Huesca, España
b Hospital Juan XXIII, Unidad de Alergia, Tarragona, España
c Departament d’Epidemiologia Clínica i Salut Pública, Hospital de la Santa Creu i Sant Pau, Barcelona, España
d Health Outcomes Research Europe, Barcelona, España
e Novartis Farmacéutica, Barcelona, España
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"etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff4" ] ] ] 6 => array:1 [ "colaborador" => "el Grupo Prevalair" ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Hospital San Jorge de Huesca, Servicio de Neumología, Huesca, España" "etiqueta" => "a" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Hospital Juan XXIII, Unidad de Alergia, Tarragona, España" "etiqueta" => "b" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Departament d’Epidemiologia Clínica i Salut Pública, Hospital de la Santa Creu i Sant Pau, Barcelona, España" "etiqueta" => "c" "identificador" => "aff3" ] 3 => array:3 [ "entidad" => "Health Outcomes Research Europe, Barcelona, España" "etiqueta" => "d" "identificador" => "aff4" ] 4 => array:3 [ "entidad" => "Novartis Farmacéutica, Barcelona, España" "etiqueta" => "e" "identificador" => "aff5" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Dr. Xavier Badia. Health Outcomes Research Europe-A Unit of IMS. Av. Diagonal, 618, 1C. 08021 Barcelona. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Diagnosis of allergic asthma in allergy and pneumology outpatient clinics" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-10-21" "fechaAceptado" => "2006-03-07" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec646988" "palabras" => array:4 [ 0 => "Prevalencia" 1 => "Asma alérgica" 2 => "Neumología" 3 => "Alergología" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec646989" "palabras" => array:4 [ 0 => "Prevalence" 1 => "Allergic asthma" 2 => "Pneumology" 3 => "Allergy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span><span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Estimar la prevalencia del diagnóstico de asma alérgica en pacientes con asma persistente que acuden a consultas de alergología y neumología y describir el tratamiento clínico de estos pacientes.</p></span> <span><span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se incluyó aleatoria y retrospectivamente a 382 pacientes (12-65 años de edad) con diagnóstico de asma persistente (criterios GINA) que acudieron a las consultas de neumología y alergología. Se definió asma alérgica como la presencia de sensibilización a alérgenos comunes en pruebas cutáneas y/o determinaciones de inmunoglobulina (Ig) E específica. Se recogió también información sobre el tratamiento recibido para el asma.</p></span> <span><span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se realizaron estudios alergológicos en el 99,5 y el 76,5% de los pacientes que acudieron a las consultas de alergología y neumología, respectivamente. Se estableció el diagnóstico de asma alérgica en el 90,6 (intervalo de confianza [IC] del 95%, 86,5-94,7) y el 46,1% (IC del 95%, 39,0-53,2) de los éstos, respectivamente. La prevalencia de diagnóstico de asma alérgica fue mayor entre los pacientes más jóvenes, los varones y los menos graves. El 14,1% de los pacientes de alergología y el 23,0% de neumología presentaban asma persistente grave. Un 24,0% de los pacientes de alergología y un 5,7% de los de neumología se trataban exclusivamente con broncodilatadores.</p></span> <span><span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El diagnóstico de asma alérgica fue muy superior en las consultas de alergología que en las consultas de neumología. Parte de las diferencias pueden ser debidas a una mayor realización de estudios alérgicos en las consultas de alergología, aunque la mayor diferencia probablemente sea debida a los diferentes perfiles de los pacientes que llegan a cada una de estas consultas especializadas.</p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span><span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To estimate the prevalence of diagnosis of allergic asthma in patients with persistent asthma attending allergy or pneumology outpatient clinics and to describe the clinical management of asthma in these patients.</p></span> <span><span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Systematic random sampling was used to retrospectively include 382 patients aged between 12 and 65 years old with a diagnosis of persistent asthma (according to GINA criteria) who had attended allergy or pneumology outpatient clinics during the previous year. Allergic asthma was defined as the presence of sensitization to any common allergen according to the results of specific IgE determinations and/or skin tests. Data on the treatment of asthma were gathered.</p></span> <span><span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Allergy studies were performed in 99.5% of the patients attending allergy centers and in 76.5% of those attending pneumology centers. A diagnosis of allergic asthma was made in 90.6% (95% CI: 86.5-94.7) and 46.1% (95% CI: 39.0-53.2), respectively. The prevalence of allergic asthma was highest in young male patients with less severe asthma. According to the GINA criteria, 14.1% of patients from allergy centres and 23.0% of those from pneumology centers were classified as having severe persistent asthma. Twenty-four percent of patients attending allergy clinics and 5.7% of those attending pneumology centers received bronchodilator treatment exclusively.</p></span> <span><span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Diagnosis of allergic asthma was much higher in allergy clinics than in pneumology centres. Although some of this difference may be due to more frequent performance of allergy studies in allergy clinics, the most probable explanation lies in the differences observed in the profiles of patients attending the two types of center.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Información del artículo
ISSN: 02139111Idioma original: Español
DOI:10.1157/13096519
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