ID 106043
Author
Ishiura, Yoshihisa The Department of Internal Medicine, Toyama City Hospital
Fujimura, Masaki Respiratory Medicine, Kanazawa University Hospital
Yamamoto, Hiroki The Department of Internal Medicine, Toyama City Hospital
Shiba, Yasutaka The Department of Internal Medicine, Toyama City Hospital
Ohkura, Noriyuki The Department of Internal Medicine, Toyama City Hospital
Kasahara, Kazuo Respiratory Medicine, Kanazawa University Hospital
Ishida, Youichi The Department of Internal Medicine, Toyama City Hospital
Keywords
Asthma control test
bronchial asthma
exacerbation
disaster
earthquake
Content Type
Journal Article
Description
On March 11, 2011, a 9.0-magnitude earthquake struck east Japan, following tsunami. Many people are forced to live in evacuation shelters without enough life-saving drugs. Asthma control for management of health crisis is required, because asthma exacerbation is a major cause of morbidity, can need acute care and results in death. However, it remains obscure what parameter should be used in primary clinic of evacuation shelters. The objective of this study is to elucidate the practical efficacy of asthma assessment tool in primary clinic for victims of this disaster. Asthma control test (ACT), a brief and patient-based tool to evaluate asthma control, was conducted for 17 patients with asthma in evacuation shelters at Tohoku district. Total sum of ACT scores were significantly decreased after this disaster. Significant decreases were observed for the items ; “Asthma keeps you from getting much done at work”, “Shortness of breath”, “Asthma symptoms wake you up” and “Patient rating of control”. ACT, an easy and practicable tool, clearly demonstrated the asthma exacerbation in evacuation shelters without the use of lung function testing. ACT may contribute to the management of health crisis not only for this East Japan disaster but also for the other forthcoming unavoidable disasters.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
60
Issue
1-2
Start Page
61
End Page
65
Sort Key
61
Published Date
2013-02
FullText File
language
eng
TextVersion
Publisher