Assessment of Risk Factors for Acute Asthma Attack in Asthmatic Patients: A Hospital Based Study

  • Ganeshee Lal Sharma Assistant Professor, Department of T. B & Chest, Government Medical College, Barmer, Rajasthan, India.
  • Gordhan Singh Choudhary Associate Professor, Department of T. B & Chest, Government Medical College, Barmer, Rajasthan, India.
Keywords: Asthma, gender, smoke


Background: Asthma is categorized by the hyper activeness of the lower respiratory tract area. There is occurrence of specific signs and symptoms such as chest tightness, cough and wheeze. In major portion of the cases, the patient is symptomatic before the age of 5 years and the incidence of subjects becoming symptomatic after 40 years of age is only 25%. The chances of different respiratory conditions like asthma, COPD and rhinitis differs amongst different nations and also amongst areas of same country. The present study was conducted to determine the risk factors for acute asthma attack amongst asthmatic subjects.

Methods: The present hospital based prospective survey was conducted in the department of T. B & Chest, Government Medical College, Barmer, Rajasthan, India. The study variables that were included in the study were history of smoking, crowing at home, age, gender, presence of pets, Kachha house etc. All the information was recorded in a tabulated form and analyzed statistically using SPSS software. For statistical analysis, chi square test was used. Probability value of less than 0.05 was regarded as significant. Results: The study consisted equal percentage of females and males. From the table we can conclude that majority of the subjects were illiterate. Tertiary level educated subjects made the least count amongst the study population. Smoking was a risk factor amongst 56.7% of the cases and 22.2% of the controls. Congested locality was a risk factor amongst 72.2% of the cases and 27.8% of the controls Conclusion: The study draws to the conclusion that there are various precipitating factors for acute asthma attack. In our study there was a no gender predisposition. The major risk factor was smoke, either as smoking or kitchen smoke.


Download data is not yet available.


1. Global Initiative for Asthma. The global strategy for asthma management and prevention. GINA; 2002.
2. Austin JB, Kaur B, Anderson HR, et al. Hay fever, eczema, and
wheeze: a nationwide UK study (ISAAC, international study of
asthma and allergies in childhood). Arch Dis Child 1999;81: 225– 6. 230.
3. Faniran AO, Peat JK, Woolcock AJ. Prevalence of atopy, asthma symptoms and diagnosis, and the management of asthma: comparison of an affluent and a non-affluent country. Thorax 1999;54:606–610.
4. Weissman DN. Epidemiology of asthma: severity matters. Chest 2002;121:6–8.
5. von Mutius E. The increase in asthma can be ascribed to cleanliness. Am J Respir Crit Care Med 2001;164:1106 –1107.
6. Al Frayh AR, Shakoor Z, Gad El Rab MO, Hasnain SM. Increased prevalence of asthma in Saudi Arabia. Ann Allergy Asthma Immunol 2001;86:292–296.
7. Masoli M, Fabian D, Holt S, Beasley R. The global burden of asthma: executive summary of the GINA Dissemination Committee report. Allergy 2004; 59(5): 469-78
8. Alves Gda C, Santos DN, Feitosa CA, Barreto ML. Community violence and childhood asthma prevalence in peripheral neighborhoods in Salvador, Bahia State, Brazil. Cad Saude Publica 2012; 28(1): 86-94.
9. Cooper PJ, Rodrigues LC, Barreto ML. Influence of poverty and infection on asthma in Latin America. Curr Opin Allergy Clin Immunol 2012; 12(2): 171-8.
10. de Cassia Ribeiro Silva R, Assis AM, Cruz AA, Fiaccone RL, Dinnocenzo S, Barreto ML, et al. Dietary Patterns and Wheezing in the Midst of Nutritional Transition: A Study in Brazil. Pediatr Allergy Immunol Pulmonol 2013; 26(1): 18-24.
11. Silva Rde C, Assis AM, Goncalves MS, Fiaccone RL, Matos SM, Barreto ML, et al. The prevalence of wheezing and its association with body mass index and abdominal obesity in children. J Asthma 2013; 50(3): 267-7
12. Horwood LJ, Fergusson DM, Shannon FT. Social and familial factors in the development of early childhood asthma. Pediatrics 1985;75(5):859–68.
13. Godfrey S. What is asthma?. Arch Dis Child. 1985;60(11):997.
14. Center for Disease Control [homepage on the Internet] Washington DC. (Cited 2008 Jan. 11). Summary health statistics for U.S. adults: National health interview survey 2006. Available from
15. Weiss K B, Budetti P. Examining issues in health care delivery for
asthma. Med Care 1993; 31: MS9-MSI9.
16. Strachan D P, Anderson H R, Limb E S, O'Neill A, Wells N.
Anational survey of asthma prevalence, severity, and treatment in
Great Britain. Arch Dis Child 1994; 70: 174-78.
17. Global Forum for Health Research. Equitable access. Research
challenges for health in developing countries. A report on Forum 11, 29 October – 2 November 2007, Beijing, People’s Republic of China. World Health Organization, Geneva, 2008.
18. Poyser MA, Nelson H, Ehrlich RI, et al. Socioeconomic deprivation and asthma prevalence and severity in young adolescents. Eur Respir J 2002; 19: 892–898.
19. Asher MI, Montefort S, Bjorksten B, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet 2006; 368: 733–743.
20. Strachan DP. Hay fever, hygiene and household size. BMJ 1989; 299: 1259–1260.
21. Braun-Fahrla ̈nder C, Riedler J, Herz U, et al. Environmental exposure to endotoxin and its relation to asthma in school-age children. N Engl J Med 2002; 347: 869–877.
22. Anwar H, Jaffer NH, Al-Sadri E. Asthma Knowledge among asthmatic school students. Oman medical journal 2008;23(2):90.
23. Al-Riyami B, Al-Rawas, Al-Riyami OA, Jasim AA, Mohammed AJ. A relatively high prevalence and severity of asthma, allergic rhinitis and atopic eczema in schoolchildren in the Sultanate of Oman.Respirology. 2003;8(1):69-76.
24. Boskabady MH. Kolahdoz GH. Prevalence of Asthma symptoms among the adult population in the city of Mashhad (north-east of Iran).Respirology. 2002;7(3):267-272.
25. van der Merwe L, de Klerk A, Kidd M, Bardin PG, van Schalkwyk EM. Case-control study of severe life threatening asthma (SLTA) in a developing community.Thorax. 2006;61(9):756-60.
26. Dagoye D, Bekele Z, Woldemichael K, Nida H, Yimam M, Venn AJ, et al. Domestic risk factors for wheeze in urban and rural Ethiopian children. QJM. 2004;97(8):489-98.
28. Gbadero DA, Johnson AW, Aderele WI, Olal-eye OD. Microbial inciters of acute asthma in urban Nigerian children. Thorax. 1995;50(7):739-45.
29. Geiser MM RP. Risk factors precipitating exacer-bations in adult asthma patients presenting at kalafong hospital pretoria. SA Fam Pract. 2008;50(4):67.
30. Emerman CL, Cydulka RK. Behavioral and envi-ronmental factors associated with acute exacerbation of asthma. Ann Allergy Asthma Immunol. 1998;81(3):239-42.
How to Cite
Sharma G, Choudhary G. Assessment of Risk Factors for Acute Asthma Attack in Asthmatic Patients: A Hospital Based Study. IABCR [Internet]. 29Dec.2018 [cited 23Jan.2019];4(4):46-8. Available from: