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Asthma Management

description807 papers
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lightbulbAbout this topic
Asthma management refers to the systematic approach to controlling asthma symptoms and preventing exacerbations through the use of medications, lifestyle modifications, and patient education. It encompasses the assessment of asthma severity, the development of individualized treatment plans, and ongoing monitoring to optimize respiratory health and improve quality of life for individuals with asthma.
lightbulbAbout this topic
Asthma management refers to the systematic approach to controlling asthma symptoms and preventing exacerbations through the use of medications, lifestyle modifications, and patient education. It encompasses the assessment of asthma severity, the development of individualized treatment plans, and ongoing monitoring to optimize respiratory health and improve quality of life for individuals with asthma.

Key research themes

1. How are targeted biologic therapies shaping the management of severe asthma phenotypes and endotypes?

This research theme focuses on the evolution of asthma management from broad-spectrum treatments toward personalized therapies that specifically target distinct immunological pathways and asthma endotypes. Understanding severe asthma phenotypes, characterized by different inflammatory markers such as eosinophilia and IgE levels, has enabled the development and use of biological agents like anti-IgE and anti-IL-5 antibodies. These advances are critical for improving outcomes in patients with treatment-refractory severe asthma who do not adequately respond to conventional pharmacotherapies.

Key finding: The identification of distinct asthma endotypes based on inflammatory patterns, particularly the "Th2-high" phenotype characterized by eosinophilia and elevated IgE, has shifted management toward precision medicine.... Read more
Key finding: The guidelines emphasize a stratified approach for severe asthma management, recommending biological therapies guided by phenotypic markers such as blood eosinophils, FeNO, and specific IgE. They highlight the need for... Read more
Key finding: This review stresses the importance of confirming diagnosis and addressing modifiable factors before escalation. It outlines the heterogeneity in severe asthma inflammatory profiles and the promise of monoclonal antibodies... Read more
Key finding: Implementation of a systematic protocol including oral corticosteroids and combination inhaled corticosteroids plus long-acting beta-agonists with multidisciplinary adherence strategies led to asthma control in approximately... Read more

2. What is the role and efficacy of non-pharmacological and adjunct therapies, including self-management and physiotherapeutic interventions, in improving asthma control?

This theme investigates the integration of non-pharmacological treatments such as breathing exercises, patient self-management education, psychological support, and advanced adjuncts in acute and refractory asthma management. Recognizing asthma as a complex, multi-dimensional disease with psychosocial components and variable clinical trajectories, this approach addresses unmet needs beyond pharmacology to enhance quality of life, symptom control, and reduce exacerbations.

by Anne Bruton and 
1 more
Key finding: Breathing exercises, once controversial due to insufficient evidence, have garnered endorsement as an add-on therapy in asthma management. Effective breathing training programs improve symptoms and quality of life in patients... Read more
Key finding: A community-based asthma self-management program based on a patient-centered 'credit card' plan resulted in sustained reduction of asthma morbidity and healthcare utilization two years post-intervention. Patients... Read more
Key finding: Asthma worsenings, prevalent even among well-controlled patients, represent a window for early intervention to prevent exacerbation. Single inhaler maintenance and reliever therapy with ICS/LABA has proven effective in... Read more
Key finding: For children with refractory status asthmaticus unresponsive to standard therapies, adjunct treatments such as intravenous magnesium, heliox, ketamine, and noninvasive ventilation are discussed. While evidence remains limited... Read more

3. How do diagnostic accuracy, phenotypic differentiation, and comorbidities influence asthma management and control in clinical practice?

This area focuses on the challenges of accurately diagnosing asthma, differentiating among phenotypes especially in pediatric populations, and addressing comorbid conditions and behavioral factors that impact disease control. It underscores the importance of using objective diagnostic tools, recognizing asthma mimickers, and integrating a comprehensive patient evaluation to optimize treatment strategies and reduce misdiagnosis or inappropriate therapy.

Key finding: The paper highlights the critical importance of confirming asthma diagnosis, especially in children with poor control, to avoid misdiagnosis and over-treatment. It emphasizes exploring differential diagnoses and comorbidities... Read more
Key finding: This review advocates a multifaceted diagnostic approach, including spirometry, FeNO, skin prick tests, and advanced methodologies like artificial neural networks, to improve diagnostic sensitivity and specificity. It... Read more
Key finding: The article advances control-based management as central to asthma care, highlighting that overreliance on short-acting β2 agonists is insufficient and potentially harmful. It draws attention to the evolving understanding... Read more
Key finding: National guideline recommendations prioritize confirming asthma diagnosis through clinical history supported by spirometry and bronchodilator reversibility testing, noting limitations of each. Guidelines discourage reliance... Read more
Key finding: This guideline emphasizes asthma's heterogeneity, advocating phenotype recognition to inform treatment. It stresses the importance of patient education, correcting inhaler technique, and defining asthma control beyond... Read more

All papers in Asthma Management

Asthma is a respiratory disease that affects millions of people and has become one of the major causes of death worldwide. Early predictions of asthma can help health workers take the necessary precautions to prevent further... more
Asthma is one of the most common chronic respiratory diseases in childhood and is characterized by chronic airway inflammation, bronchial hyperresponsiveness, and variable airflow obstruction. It causes recurrent episodes of wheezing,... more
Asthma among university students requires effective self-management supported by appropriate health information. However, there is a limited understanding of students' information needs and how they apply such information in daily life... more
Asthma among university students requires effective self-management supported by appropriate health information. However, there is a limited understanding of students’ information needs and how they apply such information in daily life... more
BackgroundEvidence suggests a causal relationship between obesity and asthma; however, the underlying mechanisms remain unknown. Substance P (SP), involved in neurogenic inflammation by acting through its receptor NK1‐R, seems to... more