Variability in asthma: symptom perception, care, and outcomesThis paper is one of a selection of papers published in this Special Issue, entitled Young Investigators' Forum.

Author:

Lougheed M. Diane1

Affiliation:

1. Asthma Research Unit, Clinical Research Centre, Kingston General Hospital, Division of Respirology, Department of Medicine, Queen’s University, 102 Stuart Street, Kingston, ON K7L 2V6, Canada (e-mail: Lougheed@kgh.kari.net).

Abstract

Asthma remains a global respiratory health concern. Substantial variations in asthma outcomes persist in Canada despite the dissemination of national management guidelines. Many factors and their interactions presumably contribute to variations in outcomes, including asthma prevalence, severity, symptom recognition, self-management behaviour, access to care, and management. This article reviews the physiology of symptom perception in asthma, specifically the role of dynamic lung hyperinflation (DH) on the perception of the intensity and quality of dyspnea in asthma, and the link between blunted perception and life-threatening asthma. Additionally, the magnitude and correlates of regional variation in emergency department visit rates and hospitalizations for asthma in Ontario are reviewed.

Publisher

Canadian Science Publishing

Subject

Physiology (medical),Pharmacology,General Medicine,Physiology

Reference49 articles.

1. Anderson, G.M. 1996. Common conditions considered sensitive to ambulatory care (asthma and congestive heart failure). Variations in selected procedures and medical diagnoses by year and region. Edited by V. Goel, J.I. Williams, G.M. Anderson, P. Blackstien-Hirsch, C. Fooks, and C.D. Naylor. The ICES Practice Atlas, Canadian Medical Association, Ottawa. pp. 104–110.

2. Symptom Perception and Respiratory Sensation in Asthma

3. Poorly perceived asthma.

4. Blunted Perception and Death from Asthma

5. Dyspnoea at rest and at the end of different exercises in patients with near-fatal asthma

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