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Table 1 Factors associated with increased risk of poor asthma control in adults and the pediatric population

From: The evidence on tiotropium bromide in asthma: from the rationale to the bedside

Determinants for poor control

Pediatric

Adults

Clinical and functional

 Exacerbations in the previous year (previous 12 months)

X

X

 Hospitalizations in the previous year (previous 12 months)

X

X

 Respiratory infections (previous 12 months)

X

 Oral corticosteroid use (previous 12 months)

X

X

 SABA prescriptions (1x200 dose canister/month)

X

 Healthcare utilization

X

X

 Poor lung function

X

 Sputum or blood eosinophilia

X

 Variability of asthma control

X

X

 ACQ-7 < 15

X

X

Demographic

 Female

 

X

 Age (40 to 64 years old)

 

X

Comorbidities

 GERD

 

X

 Obesity

X

X

 Overweight

X

 Low birth weight

X

 OSA-sleep disordered breathing

X

X

 Allergic rhinitis

X

X

 Congestive heart failure

X

 Drug exposure

X

Psychological

 Anxiety and depression

 

X

 Misperception of disease

X

X

 Low expectations

X

 Poor knowledge of disease

X

X

 Parent related severity of disease

X

Patient-independent

 Doctor-related attitudes

 

X

Patient-dependent

 Weight gain

 

X

 Low adherence

 

X

 Poor inhaler technique

 

X

 Active and past smoking

 

X

 Passive smoking

X

  1. As for gender-related risk, different authors demonstrated an association with poor asthma control and both female and male gender (mild and severe exacerbations for female gender and higher SABA usage for males). ACQ-7, Asthma control questionnaire; SABA, Short acting β2 agonists; mo, months. Data are from [3, 31,32,33,34,35,36,37,38,39,40,41,42,43]