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- W2780099760 abstract "Introduction: Inhalation medication plays an important role in the treatment of chronic obstructive pulmonary disease (COPD). We aim to compare the inhalation technique and satisfaction of four inhalers (Respimat, Ellipita, Breezhaler, Metered-Dose Inhaler[MDI]) and also investigate the prevalence and the factors associated with inhaler misuse. Methods: We prospectively assessed the patients with a diagnosis of stable COPD, who received inhalation therapy at least 3 months. Patients were asked to demonstrate their inhaler technique and interviewed regarding the satisfaction of inhalation devices. We also evaluated the clinical factors associated with inhaler misuse. Results: Up to 61.8% (55 of 89) of patients made at least one essential mistake in their inhalation techniques. The critical mistakes were distributed among all inhalers, ranging from 1.09 errors/person for Respimat, 0.8 error/person for Ellipita, 0.7 error/person for Breezhaler and 1.45 errors/person for MDI. Without exhalation before inhalation is most common mistake (49%). The satisfaction score of inhalers were 3.83 of Respimat, 4.3 of Ellipita, 4.0 of Breezhaler and 3.73 of MDI. Of them, MDI had higher error rate and lower satisfaction score compared to Breezhaler (p=0.042) and Elliptia (p=0.057), respectively. We also found that older patients (p=0.024), patients with hand tremor (p=0.031), severe dental defect (p=0.004) and lower education level (p=0.017) were associated with inhaler misuse. Conclusions: The incorrect inhalation technique is common in COPD patients. Older patients with hand tremor, severe dental defect and lower education patients were the potential risk factors." @default.
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- W2780099760 date "2017-09-01" @default.
- W2780099760 modified "2023-09-28" @default.
- W2780099760 title "Assessment of the technique in different inhalation devices and investigating the factors associated with inhaler misuse in COPD patients" @default.
- W2780099760 doi "https://doi.org/10.1183/1393003.congress-2017.pa525" @default.
- W2780099760 hasPublicationYear "2017" @default.
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