More children miss a critical step when using spacer with mouthpiece versus spacer with mask
WEDNESDAY, April 24, 2019 (HealthDay News) — Many children with asthma, especially older children using a spacer with mouthpiece, miss a critical step in inhaler technique, according to a study published online April 8 in the Journal of Hospital Medicine.
Waheeda Samady, M.D., from the Ann and Robert H. Lurie Children’s Hospital of Chicago, and colleagues conducted a prospective cross-sectional study in a tertiary children’s hospital involving 113 children aged 2 to 16 years admitted for an asthma exacerbation. The authors assessed inhaler technique demonstrations, including adherence to critical steps such as removing the cap, attaching to a spacer, taking six breaths, and holding their breath for five seconds.
The researchers found that 55 percent of the children had uncontrolled asthma and 42 percent missed a critical step in inhaler technique. Missing a critical step occurred among more patients using a spacer with mouthpiece compared with a spacer with mask (75 versus 36 percent). Those children missing a critical step in inhaler technique were also older (7.8 versus 5.8 years). After adjustment for other clinical covariates, patients using the spacer with mouthpiece were significantly more likely to miss a critical step (odds ratio, 6.95).
“Improper inhaler technique can contribute to children having uncontrolled asthma and needing to come to the hospital for their asthma,” Samady said in a statement. “Our study suggests that as health care providers we can do a better job showing patients and families the correct inhaler and spacer technique, and checking it frequently to ensure they master it.”
One author disclosed financial ties to the biopharmaceutical industry.
Copyright © 2019 HealthDay. All rights reserved.