Valerie G. Press|Vineet M. Arora|Lisa M. Shah|Stephanie Lewis|Krystal Ivy|Jeffery Charbeneau|Sameer Badlani|Edward Naurekas|Antoinette Mazurek|Jerry A. Krishnan
Misuse of Respiratory Inhalers in Hospitalized Patients with Asthma or COPD
University of Chicago|University of Chicago|Prevea Health|University of Chicago|University of Chicago|University of Chicago|University of Chicago|University of Chicago|University of Chicago|University of Chicago
patients asked assume greater responsibility care including use medications transitions hospital home unfortunately medications dispensed via respiratory inhalers patients asthma chronic obstructive pulmonary disease copd difficult useto examine rates inhaler misuse determine patients asthma copd differed ability learn use inhalers correctlya crosssectional prepost intervention study two urban academic hospitalshospitalized patients asthma copda subset participants received instruction correct use respiratory inhalersuse metered dose inhaler mdi diskus devices assessed using checklists misuse mastery device defined 75 100 steps correct respectively insufficient vision defined worse 2050 eyes lessthan adequate health literacy defined score 2336 short test functional health literacy adults stofhlaonehundred participants enrolled copd n 40 asthma n 60 overall misuse common 86 mdi 71 diskus rates inhaler misuse participants copd versus asthma similar participants copd versus asthma twice likely insufficient vision 43 vs 20 p 002 threetimes likely lessthan adequate health literacy 61 vs 19 p 0001 participants insufficient vision likely misuse diskus devices 95 vs 61 p 0004 participants 100 able achieve mastery mdi diskus devicesinhaler misuse common correctable hospitalized patients copd asthma hospitals implement program assess teach appropriate inhaler technique overcome barriers patient selfmanagement including insufficient vision transitions hospital home