Systematic Review of Errors in Inhaler Use: Has Patient Technique Improved Over Time?
TLDR
In this paper, a systematic search for articles reporting direct observation of inhaler technique by trained personnel covered the period from 1975 to 2014, and the authors aimed to assess the most common errors in inhaler use over the past 40 years in patients treated with MDIs or dry powder inhalers (DPIs).About:
This article is published in Chest.The article was published on 2016-08-01 and is currently open access. It has received 370 citations till now. The article focuses on the topics: Metered-dose inhaler & Dry-powder inhaler.read more
Citations
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Journal ArticleDOI
Inhaler Errors in the CRITIKAL Study: Type, Frequency, and Association with Asthma Outcomes
David Price,Miguel Román-Rodríguez,R. Brett McQueen,Sinthia Bosnic-Anticevich,Victoria Carter,Kevin Gruffydd-Jones,John Haughney,Svein Høegh Henrichsen,Catherine Hutton,Antonio Infantino,Federico Lavorini,Lisa M Law,Karin Lisspers,Alberto Papi,Dermot Ryan,Björn Ställberg,Thys van der Molen,Henry Chrystyn +17 more
TL;DR: Specific inhaler errors have been identified as critical errors, evidenced by frequency and association with asthma outcomes, and Asthma management should target inhaler training to reduce key critical errors.
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Critical inhaler errors in asthma and COPD: a systematic review of impact on health outcomes
Omar S. Usmani,Federico Lavorini,Jonathan Marshall,W. Dunlop,Louise Heron,Emily Farrington,Richard Dekhuijzen +6 more
TL;DR: Wide variations in how critical errors are defined are shown, and the evidence shows an important association between inhaler errors and worsened health outcomes, and a need for a consensus on defining critical and non-critical errors.
Journal ArticleDOI
Device errors in asthma and COPD: systematic literature review and meta-analysis.
Henry Chrystyn,Job van der Palen,Job van der Palen,Raj Sharma,Neil Barnes,Bruno Delafont,Anadi Mahajan,Mike Thomas +7 more
TL;DR: While Chrystyn’s team found high critical error rates reported across all devices, their meta-analysis and systematic review highlighted significant gaps in knowledge regarding different inhalers and associated error rates, and how these affect clinical outcomes.
Journal ArticleDOI
Drug delivery to the lungs: challenges and opportunities
TL;DR: Owing to the advantages offered by the pulmonary route, the challenges that the route poses are worth addressing, and if successfully addressed, the pulmonary routes offers huge opportunities, often fulfilling unmet clinical needs.
Journal ArticleDOI
Effectiveness and success factors of educational inhaler technique interventions in asthma & COPD patients: a systematic review
S. Klijn,Mickaël Hiligsmann,Silvia M. A. A. Evers,Miguel Román-Rodríguez,Thys van der Molen,Job F M van Boven +5 more
TL;DR: Educational interventions to improve inhaler technique are effective on the short-term but periodical intervention reinforcement and longer follow-up studies, including clinical relevant endpoints and cost-effectiveness, are recommended.
References
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