Evidence map›Paper›PMID 26839510›Full record

ArticleAsia Pacific family medicine2016

Factors associated with patient visits to the emergency department for asthma therapy in Pakistan.

Muhammad Bilal, Abdul Haseeb, Mohammad Hassaan Khan, Muhammad Saad, Sapna Devi, Mohammad Hussham Arshad, Anusha Alam, Abdullah Muneer Wagley, Khawaja Muhammad Ammar Ali Javed

Open access · hybridAbstract read
In one paragraph

Article in Asia Pacific family medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Asthmatic patient's preferences regarding frequency of physician consultation.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Muhammad BilalDow University Of Health Sciences, Karachi, Pakistan.
Abdul HaseebDow University Of Health Sciences, Karachi, Pakistan.
Mohammad Hassaan KhanAga Khan University Hospital, Karachi, Pakistan.
Muhammad SaadJinnah Postgraduate Medical Centre, Karachi, Pakistan.
Sapna DeviZiauddin University and Hospital, Karachi, Pakistan.
Mohammad Hussham ArshadAga Khan University Hospital, Karachi, Pakistan.
Anusha AlamDepartment of Biological Sciences, The Lyceum, Karachi, Pakistan.
Abdullah Muneer WagleyDepartment of Biological Sciences, Karachi Grammar School, Karachi, Pakistan.
Khawaja Muhammad Ammar Ali JavedDepartment of Biological Sciences, Cedar College, Karachi, Pakistan.
Aga Khan University Hospital · PKDow University of Health Sciences · PKJinnah Postgraduate Medical Center · PKKarachi School for Business and Leadership · PKZiauddin University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute asthma is a chronic condition affecting people of all ages around the world and hence, is one of the leading causes of emergency department (ED) visits and hospital admissions globally. Most of them are related to poor patient practices and a weak healthcare system. The aim of our study was to assess the reasons for the increased usage of the ED by asthmatic patients in Pakistan.

methodsA cross-sectional study was conducted on 600 asthmatic patients reporting to the ED of Civil Hospital Karachi over a 6-month period. The consenting patients were given a questionnaire to fill and the following data was collected: demographic information, duration of the disease, medications prescribed the, frequency of and reasons for outpatient clinic and ED visits for issues related to asthma.

resultAccording to our results most of the participants visited the ED to obtain a nebulized bronchodilator (90 %) or oxygen (79.5 %). Moreover, 44.8 % of the people visited the ED to get treatment without any delay and 24.0 % considered that the severity of asthma does not allow the patient to wait for clinic visits. Strikingly, 92.8 % claimed that inhaled corticosteroid therapy treatment should be stopped when patients feel better. Irregular follow ups with clinics, low education about asthma and an education level higher than a Bachelors degree were the most important factors associated with three or more ED visits per year, p values = 0.0289, 0.0110 and 0.0150 respectively.

conclusionThis study identifies several preventable risk factors responsible for recurrent visits to the ED by asthmatic patients in Pakistan.

Indexed as

AsthmaEmergency departmentInhaled corticosteroidsPakistan

Identifiers

PMID26839510
PMCPMC4736181
OpenAlexW2289853656

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.