ĐẶC ĐIỂM LÂM SÀNG BỆNH NHÂN HEN PHẾ QUẢN CÓ ĐỢT CẤP THƯỜNG XUYÊN ĐIỀU TRỊ NGOẠI TRÚ TẠI BỆNH VIỆN ĐA KHOA QUỐC TẾ HẢI PHÒNG

Abstract

Objective: To describe some clinical characteristics in asthma patients with frequent exacerbations treated as outpatients at Hai Phong International Hospital. Subjects and methods: A descriptive, prospective, longitudinal study was conducted on 60 patients outside of exacerbations who were identified as having frequent exacerbations according to GINA standards (2019) and 60 asthma patients with few exacerbations, treated as outpatients at the Asthma Management Department - Hai Phong International Hospital from January 2020 to May 2023. Patients underwent clinical examination, chest X-ray, spirometry test. Results: The asthma group with frequent exacerbations is more common in women (71.7% compared to 56.7%), later age of onset (43.33% compared to 33.33%), and shorter duration of asthma (26.57 vs. 29.55 years), higher rate of allergy history (73.3% vs. 36.7%) when compared with the asthma group with few exacerbations. The proportions of comorbidities such as chronic rhinosinusitis, GERD, and OSA in the asthma group with frequent exacerbations are higher than in the asthma group with few exacerbations (70% vs. 45%; 38.33% vs. 18.33% and 33.33% vs. 13.33%). The average of ACT score is lower in the frequent exacerbation group than in the control group (21.02 vs 22.27 points). Conclusions: There are differences in gender, allergy history, comorbidities, and control status in the asthma group with frequent exacerbations compared to the asthma group with few exacerbations.