Review on Moderate to Severe Asthma in Primary Care
Faisal Suliman Algaows *
King Abdulaziz Medical City, National Guard, Iskan PHC, Saudi Arabia.
Abdulaziz Fahhad Alanazi
King Salman Specialist Hospital, Saudi Arabia.
Gheed Khalid Bamousa
Imam Abdulrahman Bin Faisal University, Saudi Arabia.
Areej Hassan Alatawi
Tabuk University, Saudi Arabia.
Bassam Ghazi Ahmed
King Abdelaziz University, Rabigh, Saudi Arabia.
Khlood Awad Alshammari
Taibah University, Saudi Arabia.
Hashim Mohammed Albuhayri
King Abdelaziz University, Rabigh, Saudi Arabia.
A. Bahadi Omnia Abdullah
Alnawariyah PHC, Saudi Arabia.
Mohammed Saleh Safar Almalki
Primary Healthcare, Saudi Arabia.
Hanouf Abdullah Alhusayni
King Abdulaziz Specialized Hospital in Taif, Saudi Arabia.
Mohammed Ibrahim Saleh Alsaeed
Al Baha University, Resident at King Abdulaziz Military Hospital, Saudi Arabia.
Abdullah Suwaymil Alrashdi
KKH, Ha’il, Saudi Arabia.
Meshari Nada S Alotaibi
C3 Huraymla General Hospital, Saudi Arabia.
Sajjad Ahmed Mohammed Alabbad
Alomran General Hospital, Alahsa, Saudi Arabia.
Osama Alsallum Alanazi
Arar Maternity and Pediatric Hospital, Saudi Arabia.
*Author to whom correspondence should be addressed.
Abstract
Asthma is a chronic condition characterized by wheezing, coughing, and shortness of breath due to airway inflammation and hyper-responsiveness. Severe asthma accounts for a considerable amount of asthma-related costs, although being less common than milder asthma. According to a review of US studies, the expenses for people with severe asthma are roughly 1.7- to 5-fold higher than for people with mild asthma. A subspecialized severe asthma services provides the benefit of an organized, variety of approaches to validate the diagnosis, asthma severity and phenotype, and risk factors and comorbidities management. This multimodal approach frequently comprises a team of respiratory physicians, nurses, and support health specialists, such as physiotherapists, speech therapists, nutritionists, and clinical psychologists. In addition to evaluation and monitoring for common comorbidities, they provide physician review, lung function testing, blood tests, inhaler optimization, and general illness awareness. This review aims to overview approach to diagnosis and management of moderate to severe asthma in primary care settings.
Keywords: Asthma, wheezing, comorbidities management, primary care