Difficult to treat asthma Phenotypes of severe asthma Clinical features Pathophysiology High altitude treatment Moeilijk te behandelen astma Fenotypen van ernstig astma Klinische kenmerken Pathofysiologie Hooggebergte behandeling
Conditions
Interventions
Integrated multidisciplinary assesment of the asthma-control status, asthma history, asthma specific health status,
co-morbidity, asthma- triggering factors, medication need, lungfunction,
inflammati
Sponsors
Vereniging Nederland Davos
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 18-80 year 2. Difficult to treat asthma, defined as uncontrolled asthma despite the chronic use of > 1600 mcg inhaled beclomethason equivalent plus longacting beta-2 agonists or oral steroids. 3. Smoking history 9%.
Exclusion criteria
Exclusion criteria: Exclusion for treatment in Davos: 1. Active cardio-vascular disease 2. Active and acute psychiatric disease in need of treatment by a psychiatrist.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement in Asthma-control (ACQ) and FEV1 and decrease in mean oral steroid maintenance dose. | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement in Asthma related Quality of Life (AQLQ), rhinosinusitis score (RSOM-31) fatique score (CIS-Fatique), body mass index (BMI), residual volume as percentage of total lung capacity (RV/TLC), exhaled nitric oxide (FeNO), changes in levels of 25-hydroxyvitamin D and 1.25-(OH)2 vitamin D. | — |
Contacts
Public ContactLous H.M. Rijssenbeek-Nouwens
Nederlands Astmacentrum Davos HermanBurckhartstrasse 7260
Outcome results
None listed