Evaluation of Asthma Control And Treatment Adherance In Asthma Patients

We aimed to evaluate asthma control status and treatment adherance in real life. <bold>Methods:</bold> Outpatient clinic patients between the ages of 18-65 and who signed the consent form, were prospectively included. Demographic data, clinical history, Asthma control test(ACT) and Morisky Medication Adherance Scale(MMAS) were evaluated. According to their ACT score, patients were grouped as Group1=ACT 0-2(Well Controlled and partly controlled asthma), Group2= ACT 3-4(Uncontrolled Asthma). In MMAS 0-2 point is a low treatment adherence while 3-4 is a high treatment adherence. <bold>Results:</bold> The average age of a total of 233 patients was 47,82±11.24 years. Between Group1 n=158(%67,8) and Group 2 n=75(%32,2) were no difference in terms of age, gender, pack-year and comorbidities. In the Group2; while active smoking(p:0.023), emergency, polyclinic and family physician visits (p0.001,0.0035,0.002, respectively), neutrophil count-percentage (p:0.001,0.043 respectively) were higher, FEV1/FVC%(p0.004) and MMAS(p0.003) were lower. In addition, the frequency of urticaria was higher, while MART treatment regimen was lower in Group2. With ACT; while pack-year (p0.029,r+0.143), emergency admission (p0.002,r+0.199), outpatient admission (p0.014,r+0.162,p0.008r+0.174), neutrophil count-percentage (p0.0001,r0.243,p0.043r0.138 respectively) were positively correlated, The Morisky Medication Adherance Scale score (p0.002 r-0.204), FVC (p0.021 r-0.155), FEV1% (p0.015 r-0.163), MEF25-75% (p0.024 r-0.168), number of COVID vaccinations (p0.01 r-0.168) was found negatively correlated. <bold>Conclution:</bold> Active smoking, pack years, low respiratory functions, frequent health care visits and low treatment compliance are associated with uncontrolled asthma.