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This study explored the patterns of corticosteroid use for motives other than asthma in adult patients who have asthma.
Approximately 40% of asthma patients were found to receive
at least one dose of systemic corticosteroids for reasons likely other than
asthma during the follow-up (median 4.1 years).
This study explored the patterns of corticosteroid use for
motives other than asthma in adult patients who have asthma.
A retrospective review of the records of people (≥18 years
old) having asthma who were followed up for >one year was done. The patterns
and reasons for systemic corticosteroid usage during follow-up were explored.
Furthermore, factors associated with systemic corticosteroid usage for reasons
likely other than asthma were determined.
Out of 568 asthma patients evaluated, 326 (57.4%) were given
systemic corticosteroids for some reason. Out of 326 participants, 120 (36.8%)
were administered corticosteroids for motives apart from asthma. The
multivariable assessment indicated that factors like eosinophilic
granulomatosis with polyangiitis, rheumatoid arthritis, other collagen vascular
disorders, malignancy, and chronic rhinosinusitis were positively linked with
corticosteroid usage for non-asthma reasons in people with asthma.
For better management of asthma, physicians must be aware of
exposure of their asthmatic patients to corticosteroids for motives apart from
asthma. This will ascertain that the noxious events are not missed. In
addition, it would reduce underestimation of asthma severity and assist in
lowering systemic corticosteroid use.
Respiration
Use of Systemic Corticosteroids for Reasons Other than Asthma in Subjects with Asthma
Keisuke Watanabe et al.
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