Variability in asthma: symptom perception, care, and outcomes
被引:14
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作者:
Lougheed, M. Diane
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机构:
Queens Univ, Asthma Res Unit,Kingston Gen Hosp, Clin Res Ctr, Div Respirol,Dept Med, Kingston, ON K7L 2V6, CanadaQueens Univ, Asthma Res Unit,Kingston Gen Hosp, Clin Res Ctr, Div Respirol,Dept Med, Kingston, ON K7L 2V6, Canada
Lougheed, M. Diane
[1
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机构:
[1] Queens Univ, Asthma Res Unit,Kingston Gen Hosp, Clin Res Ctr, Div Respirol,Dept Med, Kingston, ON K7L 2V6, Canada
Asthma remains a global respiratory health concern. Substantial variations in asthma outcomes persist in Canada despite the dissemination of national management guidelines. Many factors and their interactions presumably contribute to variations in outcomes, including asthma prevalence, severity, symptom recognition, self-management behaviour, access to care, and management. This article reviews the physiology of symptom perception in asthma, specifically the role of dynamic lung hyperinflation (DH) on the perception of the intensity and quality of dyspnea in asthma, and the link between blunted perception and life-threatening asthma. Additionally, the magnitude and correlates of regional variation in emergency department visit rates and hospitalizations for asthma in Ontario are reviewed.
机构:
Brown Univ, EP Bradley Hosp, Dept Psychiat & Human Behav, E Providence, RI USABrown Univ, EP Bradley Hosp, Dept Psychiat & Human Behav, E Providence, RI USA
Jandasek, Barbara
Nassau, Jack H.
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Brown Univ, EP Bradley Hosp, Dept Psychiat & Human Behav, E Providence, RI USABrown Univ, EP Bradley Hosp, Dept Psychiat & Human Behav, E Providence, RI USA
Nassau, Jack H.
Wamboldt, Marianne Z.
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机构:
Univ Coloroda Denver, Denver, CO USA
Univ Colorado, Hlth Sci Ctr, Denver, CO USABrown Univ, EP Bradley Hosp, Dept Psychiat & Human Behav, E Providence, RI USA
Wamboldt, Marianne Z.
Mansell, Anthony
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Brown Univ, EP Bradley Hosp, Dept Psychiat & Human Behav, E Providence, RI USABrown Univ, EP Bradley Hosp, Dept Psychiat & Human Behav, E Providence, RI USA
Mansell, Anthony
McQuaid, Elizabeth L.
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Brown Univ, EP Bradley Hosp, Dept Psychiat & Human Behav, E Providence, RI USABrown Univ, EP Bradley Hosp, Dept Psychiat & Human Behav, E Providence, RI USA
McQuaid, Elizabeth L.
Steele, Dale
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机构:
Brown Univ, EP Bradley Hosp, Dept Psychiat & Human Behav, E Providence, RI USABrown Univ, EP Bradley Hosp, Dept Psychiat & Human Behav, E Providence, RI USA
Steele, Dale
Fritz, Gregory K.
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机构:
Brown Univ, EP Bradley Hosp, Dept Psychiat & Human Behav, E Providence, RI USABrown Univ, EP Bradley Hosp, Dept Psychiat & Human Behav, E Providence, RI USA