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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Inhaler Errors in the CRITIKAL Study: Type, Frequency, and Association with Asthma Outcomes
|
|---|---|
| Published in |
The Journal of Allergy and Clinical Immunology: In Practice, March 2017
|
| DOI | 10.1016/j.jaip.2017.01.004 |
| Pubmed ID | |
| Authors |
David B. Price, Miguel Román-Rodríguez, R. Brett McQueen, Sinthia Bosnic-Anticevich, Victoria Carter, Kevin Gruffydd-Jones, John Haughney, Svein Henrichsen, Catherine Hutton, Antonio Infantino, Federico Lavorini, Lisa M. Law, Karin Lisspers, Alberto Papi, Dermot Ryan, Björn Ställberg, Thys van der Molen, Henry Chrystyn |
| Abstract |
Poor inhaler technique has been linked to poor asthma outcomes. Training can reduce the number of inhaler errors, but it is unknown which errors have the greatest impact on asthma outcomes. The CRITical Inhaler mistaKes and Asthma controL study investigated the association between specific inhaler errors and asthma outcomes. This analysis used data from the iHARP asthma review service-a multicenter cross-sectional study of adults with asthma. The review took place between 2011 and 2014 and captured data from more than 5000 patients on demographic characteristics, asthma symptoms, and inhaler errors observed by purposefully trained health care professionals. People with asthma receiving a fixed-dose combination treatment with inhaled corticosteroids and long-acting beta agonist were categorized by the controller inhaler device they used-dry-powder inhalers or metered-dose inhalers: inhaler errors were analyzed within device cohorts. Error frequency, asthma symptom control, and exacerbation rate were analyzed to identify critical errors. This report contains data from 3660 patients. Insufficient inspiratory effort was common (made by 32%-38% of dry-powder inhaler users) and was associated with uncontrolled asthma (adjusted odds ratios [95% CI], 1.30 [1.08-1.57] and 1.56 [1.17-2.07] in those using Turbohaler and Diskus devices, respectively) and increased exacerbation rate. In metered-dose inhaler users, actuation before inhalation (24.9% of patients) was associated with uncontrolled asthma (1.55 [1.11-2.16]). Several more generic and device-specific errors were also identified as critical. Specific inhaler errors have been identified as critical errors, evidenced by frequency and association with asthma outcomes. Asthma management should target inhaler training to reduce key critical errors. |
X Demographics
The data shown below were collected from the profiles of 61 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 15 | 25% |
| United Kingdom | 10 | 16% |
| United States | 5 | 8% |
| Chile | 1 | 2% |
| Singapore | 1 | 2% |
| Canada | 1 | 2% |
| Korea, Democratic People's Republic of | 1 | 2% |
| Philippines | 1 | 2% |
| Argentina | 1 | 2% |
| Other | 1 | 2% |
| Unknown | 24 | 39% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 45 | 74% |
| Practitioners (doctors, other healthcare professionals) | 9 | 15% |
| Scientists | 6 | 10% |
| Science communicators (journalists, bloggers, editors) | 1 | 2% |
Mendeley readers
The data shown below were compiled from readership statistics for 247 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Korea, Republic of | 1 | <1% |
| Unknown | 246 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Other | 29 | 12% |
| Researcher | 26 | 11% |
| Student > Master | 22 | 9% |
| Student > Bachelor | 22 | 9% |
| Student > Ph. D. Student | 18 | 7% |
| Other | 49 | 20% |
| Unknown | 81 | 33% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 86 | 35% |
| Pharmacology, Toxicology and Pharmaceutical Science | 26 | 11% |
| Nursing and Health Professions | 15 | 6% |
| Engineering | 7 | 3% |
| Agricultural and Biological Sciences | 6 | 2% |
| Other | 23 | 9% |
| Unknown | 84 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 271. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 October 2023.
All research outputs
#135,269
of 25,732,188 outputs
Outputs from The Journal of Allergy and Clinical Immunology: In Practice
#29
of 4,361 outputs
Outputs of similar age
#3,042
of 321,983 outputs
Outputs of similar age from The Journal of Allergy and Clinical Immunology: In Practice
#1
of 72 outputs
Altmetric has tracked 25,732,188 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,361 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.5. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 321,983 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 72 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 98% of its contemporaries.