Critical inhaler technique errors in Swedish patients with COPD: a cross-sectional study analysing video-recorded demonstrations

Abstract A correct use of inhaler devices is essential in chronic obstructive pulmonary disease (COPD) treatment. Critical errors were studied by analysing 659 video-recorded demonstrations of inhaler technique from 364 COPD patients using six different inhaler device models. The majority of the inc...

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Autores principales:	Johanna Sulku, Kristina Bröms, Marieann Högman, Christer Janson, Karin Lisspers, Andrei Malinovschi, Håkan Melhus, Björn Ställberg, Elisabet I. Nielsen
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/9b96afd5e978491f9db07f1b12b2cda5
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spelling	oai:doaj.org-article:9b96afd5e978491f9db07f1b12b2cda52021-12-02T14:11:27ZCritical inhaler technique errors in Swedish patients with COPD: a cross-sectional study analysing video-recorded demonstrations10.1038/s41533-021-00218-y2055-1010https://doaj.org/article/9b96afd5e978491f9db07f1b12b2cda52021-02-01T00:00:00Zhttps://doi.org/10.1038/s41533-021-00218-yhttps://doaj.org/toc/2055-1010Abstract A correct use of inhaler devices is essential in chronic obstructive pulmonary disease (COPD) treatment. Critical errors were studied by analysing 659 video-recorded demonstrations of inhaler technique from 364 COPD patients using six different inhaler device models. The majority of the included patients used two (55%) or more (20%) device models. Overall, 66% of the patients made ≥1 critical error with at least one device model. The corresponding numbers for patients using 1, 2 and ≥3 device models were 43%, 70% and 86%, respectively. The only factor associated with making ≥1 critical error was simultaneous use of two (adjusted odds ratios (aOR) 3.17, 95% confidence interval (95% CI) 1.81, 5.64) or three or more (aOR 8.97, 95% CI 3.93, 22.1) device models. In conclusion, the proportion of patients making critical errors in inhaler technique was substantial, particularly in those using several different device models. To obtain optimal COPD treatment, it is important to assess a patient’s inhaler technique and to minimise the number of inhaler device models.Johanna SulkuKristina BrömsMarieann HögmanChrister JansonKarin LisspersAndrei MalinovschiHåkan MelhusBjörn StällbergElisabet I. NielsenNature PortfolioarticleDiseases of the respiratory systemRC705-779ENnpj Primary Care Respiratory Medicine, Vol 31, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 Johanna Sulku Kristina Bröms Marieann Högman Christer Janson Karin Lisspers Andrei Malinovschi Håkan Melhus Björn Ställberg Elisabet I. Nielsen Critical inhaler technique errors in Swedish patients with COPD: a cross-sectional study analysing video-recorded demonstrations
description	Abstract A correct use of inhaler devices is essential in chronic obstructive pulmonary disease (COPD) treatment. Critical errors were studied by analysing 659 video-recorded demonstrations of inhaler technique from 364 COPD patients using six different inhaler device models. The majority of the included patients used two (55%) or more (20%) device models. Overall, 66% of the patients made ≥1 critical error with at least one device model. The corresponding numbers for patients using 1, 2 and ≥3 device models were 43%, 70% and 86%, respectively. The only factor associated with making ≥1 critical error was simultaneous use of two (adjusted odds ratios (aOR) 3.17, 95% confidence interval (95% CI) 1.81, 5.64) or three or more (aOR 8.97, 95% CI 3.93, 22.1) device models. In conclusion, the proportion of patients making critical errors in inhaler technique was substantial, particularly in those using several different device models. To obtain optimal COPD treatment, it is important to assess a patient’s inhaler technique and to minimise the number of inhaler device models.
format	article
author	Johanna Sulku Kristina Bröms Marieann Högman Christer Janson Karin Lisspers Andrei Malinovschi Håkan Melhus Björn Ställberg Elisabet I. Nielsen
author_facet	Johanna Sulku Kristina Bröms Marieann Högman Christer Janson Karin Lisspers Andrei Malinovschi Håkan Melhus Björn Ställberg Elisabet I. Nielsen
author_sort	Johanna Sulku
title	Critical inhaler technique errors in Swedish patients with COPD: a cross-sectional study analysing video-recorded demonstrations
title_short	Critical inhaler technique errors in Swedish patients with COPD: a cross-sectional study analysing video-recorded demonstrations
title_full	Critical inhaler technique errors in Swedish patients with COPD: a cross-sectional study analysing video-recorded demonstrations
title_fullStr	Critical inhaler technique errors in Swedish patients with COPD: a cross-sectional study analysing video-recorded demonstrations
title_full_unstemmed	Critical inhaler technique errors in Swedish patients with COPD: a cross-sectional study analysing video-recorded demonstrations
title_sort	critical inhaler technique errors in swedish patients with copd: a cross-sectional study analysing video-recorded demonstrations
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/9b96afd5e978491f9db07f1b12b2cda5
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Critical inhaler technique errors in Swedish patients with COPD: a cross-sectional study analysing video-recorded demonstrations

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