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Response of patients with chest tightness variant asthma with routine asthma treatment regimen: A 1-year multicenter, prospective, real-world study.


ABSTRACT:

Background

Asthmatic patients with chest tightness as their only presenting symptom (chest tightness variant asthma [CTVA]) have clinical characteristics of eosinophilic airway inflammation similar to those of classic asthma (CA); however, whether CTVA has similar response to antiasthma treatment as compared with CA remains unclear.

Objective

The response of 76 CTVA patients to standard asthma treatments with inhaled corticosteroids with long-acting beta-agonists was explored in a 52-week multicenter, prospective, real-world study.

Results

After 52 weeks of treatment with therapy regimens used for CA, the mean 5-point Asthma Control Questionnaire (ACQ-5) score decreased markedly from 1.38(first administration) to 0.71 (52 weeks, mean decrease: 0.674, 95%CI: 0.447-0.900, P<.001).The mean asthma quality-of-life questionnaire (AQLQ) score increased from 5.77 (first administration) to 6.20 (52 weeks, mean increase: 0.441, 95% CI 0.258-0.625, P<.001). Furthermore, at week 52, FVC, FEV1 %, the diurnal variation in PEFand the PD20-FEV1 were significantly improved. Subgroup analysis revealed that the patients at first administration in the responsive group had higher ACQ-5 scores than those in the nonresponsive group (P < .05).

Conclusion

In conclusion, patients with CTVA had a good therapeutic response to the guideline-recommended routine treatment (containing inhaled corticosteroids). The association between the treatment response and the severity of CTVA suggested that CTVA patients with higher ACQ-5 scores had better therapeutic effects.

SUBMITTER: Yan F 

PROVIDER: S-EPMC7503098 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Publications

Response of patients with chest tightness variant asthma with routine asthma treatment regimen: A 1-year multicenter, prospective, real-world study.

Yan Fugui F   Li Wen W   Guan Wei-Jie WJ   Chen Min M   Qiu Chen C   Tang Wei W   Liu Xiansheng X   Xiang Xudong X   Li Jing J   Jin Meiling M   Dai Yuanrong Y   Chen Ping P   Wu Xiaohong X   Qiu Zhongmin Z   Dong Liang L   Zhao Limin L   Lin Xiaoping X   Wu Changgui C   Wu Bin B   Yuan Yalian Y   Shi Fei F   Zhang Ting T   Zhou Jun J   Xie Min M   Fang Xiaoyu X   Zhang Hongliang H   Xiao Bing B   Xian Mo M   Wang Jian J   Qiu Zhangwei Z   Lin Jie J   Ji Bingbing B   Zhou Yong Y   Li Yu Y   Liu Chunhong C   Chen Yiping Y   Zeng Yiming Y   Zeng Yiming Y   Liu Lingli L   Hua Wen W   Huang Huaqiong H   Zhou Jiesen J   Hu Yue Y   Che Luanqing L   Ying Songmin S   Chen Zhihua Z   Zhong Nanshan N   Shen Huahao H  

Clinical and translational medicine 20200901 5


<h4>Background</h4>Asthmatic patients with chest tightness as their only presenting symptom (chest tightness variant asthma [CTVA]) have clinical characteristics of eosinophilic airway inflammation similar to those of classic asthma (CA); however, whether CTVA has similar response to antiasthma treatment as compared with CA remains unclear.<h4>Objective</h4>The response of 76 CTVA patients to standard asthma treatments with inhaled corticosteroids with long-acting beta-agonists was explored in a  ...[more]

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