ArticleAllergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology2013
Improper inhaler technique is associated with poor asthma control and frequent emergency department visits.
Article in Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 107 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
THE HCP ELIOT STUDY: Comparing Maintenance of Device Mastery With TURBOHALER© vs. SPIROMAX© in Healthcare Professionals naïve to Both Devices (The Easy Low Instruction Over Time [ELIOT] Study)
The Effect of Video Education on Improving Inhaler Use Technique
Effectiveness of a Mobile Health Intervention in Improving the Technique of Inhaled Medications Among Children With Asthma: A Pilot Study
Therapeutic Drug Monitoring of Corticosteroids/β2-agonists in Hair in Asthmatic Patients: an Open-label Feasibility Study
Who cites it
107 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- A Systematic and Critical Review of Discrete Choice Experiments in Asthma and Chronic Obstructive Pulmonary Disease.The patient · 2022Pooled it
- Pooled it
- Systematic review of association between critical errors in inhalation and health outcomes in asthma and COPD.NPJ primary care respiratory medicine · 2018Pooled it
- Critical inhaler errors in asthma and COPD: a systematic review of impact on health outcomes.Respiratory research · 2018Pooled it
- Device errors in asthma and COPD: systematic literature review and meta-analysis.NPJ primary care respiratory medicine · 2017Pooled it
- Interventions to improve inhaler technique for people with asthma.The Cochrane database of systematic reviews · 2017Pooled it
- Video directly observed therapy to improve inhaler technique among pediatric patients with persistent asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2025Trial
- Improving Adherence in Urban Youth With Asthma: Role of Community Health Workers.The journal of allergy and clinical immunology. In practice · 2022Trial
- Effectiveness of Virtual vs In-Person Inhaler Education for Hospitalized Patients With Obstructive Lung Disease: A Randomized Clinical Trial.JAMA network open · 2020Trial
- Evaluation of inhaler technique and achievement and maintenance of mastery of budesonide/formoterol Spiromax® compared with budesonide/formoterol Turbuhaler® in adult patients with asthma: the Easy Low Instruction Over Time (ELIOT) study.BMC pulmonary medicine · 2018Trial
- A randomised open-label cross-over study of inhaler errors, preference and time to achieve correct inhaler use in patients with COPD or asthma: comparison of ELLIPTA with other inhaler devices.NPJ primary care respiratory medicine · 2016Trial
- Comparison of serious inhaler technique errors made by device-naïve patients using three different dry powder inhalers: a randomised, crossover, open-label study.BMC pulmonary medicine · 2016Trial
- Twelve- and 52-week safety of albuterol multidose dry powder inhaler in patients with persistent asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2016Trial
- Empowering family physicians to impart proper inhaler teaching to patients with chronic obstructive pulmonary disease and asthma.Canadian respiratory journalTrial
- Assessment of the effects of direct/video-observed therapy on pulmonary function test parameters and asthma control test: A single-center prospective randomized pilot study.Pakistan journal of medical sciences · 2026Article
- Assessing the impact of GINA guideline-Concordant medication prescribing on asthma outcomes in a tertiary hospital in Saudi Arabia: a retrospective cohort study.Frontiers in medicine · 2026Article
- The digital gatekeeper: a practical operational framework for differentiating pseudo-severe from severe asthma.Frontiers in medicine · 2026Article
- Asthma Control Among Adults in Saudi Arabia: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2025Review
- Asthma control and opportunities to optimize management and the healthcare provider experience using the AsthmaOptimiser online tool in Dutch general practice: the CAPTURE study.NPJ primary care respiratory medicine · 2025Observational
- Association of Pulmonary Symptoms and Co-Morbidity Diseases with Lung Function in Adult Smokers.International journal of preventive medicine · 2025Article
47 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUncontrolled asthma remains a frequent cause of emergency department (ED) visits and hospital admissions. Improper asthma inhaler device use is most likely one of the major causes associated with uncontrolled asthma and frequent ED visits.
objectivesTo evaluate the inhaler technique among asthmatic patients seen in ED, and to investigate the characteristics of these patients and factors associated with improper use of inhaler devices and its relationship with asthma control and ED visits.
methodsA cross-sectional study of all the patients who visited the ED with bronchial asthma attacks over a 9-month period was undertaken at two major academic hospitals in Saudi Arabia. Information was collected about demographic data and asthma management and we assessed the inhaler techniques for each patient using an inhaler technique checklist.
resultsA total of 450 asthma patients were included in the study. Of these, 176(39.1%) were males with a mean age of 42.3 ±16.7 years and the mean duration of asthma was 155.9 ± 127.1 weeks. The improper use of asthma inhaler devices was observed in 203(45%) of the patients and was associated with irregular clinic follow-ups (p = 0.0001), lack of asthma education (p = 0.0009), uncontrolled asthma ACT (score ≤ 15) (p = 0.001), three or more ED visits (p = 0.0497), and duration of asthma of less than 52 weeks (p = 0.005). Multiple logistic regression analysis revealed that a lack of education about asthma disease (OR =1.65; 95% CI: 1.07, 2.54) or a lack of regular follow-up (OR =1.73; 95% CI: 1.08, 2.76) was more likely to lead to the improper use of an asthma inhaler device.
conclusionImproper asthma inhaler device use is associated with poor asthma control and more frequent ED visits. We also identified many avoidable risk factors leading to the improper use of inhaler devices among asthma patients visiting the ED.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.