Global Initiative for Asthma (GINA) guidelines: 15 years of application

2009 ◽  
Vol 5 (3) ◽  
pp. 239-249 ◽  
Author(s):  
Claus Kroegel
Keyword(s):  
Global Initiative For Asthma ◽  
Global Initiative ◽  
Gina Guidelines

scholarly journals Assessment of Asthma Control and Severity among Children According to Global Initiative for Asthma Guidelines in Sulaimani City-Iraq

2016 ◽  
Vol 12 (3) ◽  
pp. 160
Author(s):  
Adnan M. H. Hamawandi ◽  
Kosar M Ali ◽  
Ali Z. Naji
Keyword(s):  
Asthma Control ◽  
Objective Assessment ◽  
Asthma Management ◽  
Persistent Asthma ◽  
Cross Sectional ◽  
Asthmatic Children ◽  
Global Initiative For Asthma ◽  
Severe Persistent Asthma ◽  
Global Initiative ◽  
Gina Guidelines

Background: Asthma is a common and potentially serious chronic disease that imposes a substantial burden on patients, their families and the community. Objective: Assessment of the level of asthma control and severity in asthmatic children in Sulaimani city according to the global initiative for asthma (GINA) guidelines. Methods: A cross-sectional study of 82 patients who are known cases of asthma, aged 5 – 15 years , from 1st of March 2014 to 1st of August 2014. Results: Out of 82 patients in our study, 20.8%were classified as having intermittent asthma all of them have well controlled asthma, 42.7% of those classified as having mild persistent asthma 65.7% of them have well controlled asthma, 26.8% of those classified as having moderate persistent asthma 54.5% of them have partly controlled asthma, and 9.8%of those classified as having severe persistent asthma the majority of them 87.5% have uncontrolled asthma and none of them reached to the controlled asthma level according to GINA guidelines. Regarding the peak expiratory flow (PFT) we notice that 58.8% of asthmatic children who were classified as having intermittent severity, their PEF measurements ranged between 160- 250 l/min while those with severe persistent asthma 75% of them have readings between 50-150 l/min. Conclusion: Current levels of asthma control in the Sulaimani city fall far short of the goals specified in the GINA guidelines for asthma management. Also there is a strong correlation between PEF measurements and the level of asthma severity,

Evaluation of treatment pattern with Global Initiative for Asthma (GINA) guidelines in patients of bronchial asthma

2019 ◽  
Vol 10 (3) ◽  
pp. 28-32
Author(s):  
Shreyas Ramchandra Burut ◽  
◽  
Ruchi Doongarshi Shah ◽  
Ramchandra B. Burute ◽  
Sunita Jaiprakash Ramanand ◽  
...  
Keyword(s):  
Bronchial Asthma ◽  
Treatment Pattern ◽  
Global Initiative For Asthma ◽  
Global Initiative ◽  
Gina Guidelines

scholarly journals Asthma in young and elderly: The differences

2012 ◽  
Vol 9 (1) ◽  
pp. 19-25
Author(s):  
J Kishan ◽  
K Garg
Keyword(s):  
Lung Diseases ◽  
Drug Usage ◽  
Factors Affecting ◽  
Age Related ◽  
Global Initiative For Asthma ◽  
Quality Of Life Indicators ◽  
Global Initiative ◽  
Gina Guidelines ◽  
Elderly Asthmatics

Introduction: Asthma is considered as disease of childhood but may continue in elderly or elderly may be diagnosed as asthmatic for the fi rst time. Asthma in elderly may differ from young with respect to diagnosis and management on account of psychosocial and economic differences and age related changes which may further be enhanced because of comorbidities and interactions between the drugs used for comorbidities. Methodology: Young and elderly asthmatics were compared with regards to Symptoms, Severity (Global Initiative for Asthma: GINA guidelines), Accessibility to treatment, Co-morbidities, Inhalational techniques, Compliance and factors affecting compliance and; Outcome measures. These patients were followed up periodically for above said parameters. Results: Salient differences noted in elderly vs young were: higher GINA scoring (Moderate Persistent: 30% vs 10%), baseline non-compliance (60% vs 30%), non-compliance due to cost and memory (80% vs 26.7%), incorrect technique of inhalation (69.6% vs 42.4%), comorbidities (98% vs 38%) and concomitant drug usage (68% vs 40%). There were differences in symptoms and quality of life indicators. There was signifi cant improvement in various parameters in both groups, especially the young if counseled properly. Conclusion: Signifi cant differences exist between elderly and young asthmatics. SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS 2012; IX (1) 19-25 DOI: http://dx.doi.org/10.3126/saarctb.v9i1.6961

Bronchial asthma: fundamental changes in the new GINA guidelines (2019)

2020 ◽  
pp. 46-50
Author(s):  
Aleksey Vodovozov ◽  
Keyword(s):  
Bronchial Asthma ◽  
Inhaled Corticosteroids ◽  
Evidence Base ◽  
Quality Level ◽  
Global Initiative For Asthma ◽  
Adequate Quality ◽  
Global Initiative ◽  
Common Clinical Practice ◽  
New Guidelines ◽  
Gina Guidelines

The new guidelines of the Global Initiative for Asthma (GINA) has inspired a heated discussion among experts. The next version was published in 2018, but its revision appeared as early as in 2019. This is primarily due to the revision of the attitude towards short-acting beta-2-agonists, however, the approaches have changed significantly at other stages of bronchial asthma treatment as well, especially at the early stages. The emphasis has been placed on low-dose inhaled corticosteroids, as they have accumulated an evidence base at an adequate quality level. In fact, the 2019 GINA proposals are reduced to discontinuation of the common clinical practice and switching to fundamentally different approaches to the management of bronchial asthma, especially its mild form.

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