Majalah Kedokteran Nusantara The Journal Of Medical School
Vol 50, No 1 (2017): The Journal of Medical School

Hubungan antara Asthma Control Test (ACT) dengan spirometri sebagai alat pengukur tingkat kontrol asma

Efzah Efzah (Divisi PulmonologiAlergi dan lmunologi Departemen llmu Penyakit Dalam Fakultas Kedokteran-Universitas Sumatera Utara (FKUSU) Rurnah Sakit Umum Pusat (RSUP) Haji Adam Malik Medan)
Zuhrial Zubir (Divisi PulmonologiAlergi dan lmunologi Departemen llmu Penyakit Dalam Fakultas Kedokteran-Universitas Sumatera Utara (FKUSU) Rurnah Sakit Umum Pusat (RSUP) Haji Adam Malik Medan)



Article Info

Publish Date
05 Mar 2018

Abstract

Introduction :Asthma is a chronic respiratory disease that still a serious health problem worldwide. IIis nown that there is no cure for asthma, but tile disease can be c:ontrolled in some pati1:m.k;l111rn:1 t;u11lrulis fucuses on the adequacy therapy. GINA guideline for theassessment of asthma control using gauges lung ruriction, but this evaluation is difficult because of lack of facilities spir:imetry as a measure of lung function in primary care.Asthma control tool that is simple,efficient, easy and necessary for asthma patients. Asthma Control Test (ACT)is a screening test In the form :if a questionnaire :in a clinical assessment of patients withasthma. Method : This study wa cross se·::tionalstudy,in 61 patients with asthma were taken by consecutive samplin£. The whole subject of study conduct ACT questionnaire and splrometry followed by examination. The analysis data using the ROC curve for diagnostic value and Pearson correlation test. Result :61 subjects,39 ternale and 22 male subjects with a mean age of 54.44 yea•s. Based on thevalue of the subject ACT consists of 31.1% is well controllec, partly controlled 21.3% and 47.5"/, is not controlled. AC r cutoff values •'3f•'3fbased on ttiose receiver operating characteristic (ROC) to distinguishbetween normaland FEV1 <80% was 21.5 with 71.4% sensitivity and 96.3% specificity. By using the Pearson correlation test founo a significant ccrrelation between the ACT with FEV1 (p <0.001), showed modera:e positive correlatic•n (r= 0.5li3). Conclusion : There is a significart relationship between asthma controltest (ACT) with spirometry with moderate positive correlation. So that ACT can be used to assess asthma control in health facilities were spirometry not availab'e. Keyword: asthma bronchial, level of asthma i:ontrol, asthma confrol test (ACT), spirometry

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