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It is time to end our love affair with short-acting β2-agonists in asthma

Michael G. Crooks, Shoaib Faruqi
ERJ Open Research 2022 8: 00353-2022; DOI: 10.1183/23120541.00353-2022
Michael G. Crooks
1Respiratory Research Group, Hull York Medical School, University of Hull, Kingston upon Hull, UK
2Hull University Teaching Hospitals NHS Trust, Kingston upon Hull, UK
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  • For correspondence: michael.crooks@nhs.net
Shoaib Faruqi
2Hull University Teaching Hospitals NHS Trust, Kingston upon Hull, UK
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Tables

  • TABLE 1

    Summary of the association between short-acting β2-agonist (SABA) overuse (three or more SABA canisters per year compared with fewer than three canisters per year) and exacerbations in a selection of SABA in Asthma (SABINA) programme studies

    First author [ref.]CountryPopulation size (n)Prevalence of SABA overuse (% patients)Association between SABA overuse and asthma exacerbations
    Noorduyn [8]Canada115 478SABA overuse was associated with an increased mean±sd exacerbation rate
     Alberta107 44428.00.31±0.86 versus 0.17±0.62
     Nova Scotia803439.40.46±1.11 versus 0.3±1.36
    Nwaru [14]Sweden365 32430Positive association observed between number of SABA cannisters issued and exacerbation risk (hazard ratio (95% CI))
    ≤2 cannisters: 1.00
    3–5 cannisters: 1.26 (1.24–1.28)
    6–10 cannisters: 1.44 (1.41–1.46)
    ≥11 cannisters: 1.77 (1.72–1.83)
    Bloom [12]UK574 91338SABA overuse was associated with increased risk of exacerbation across asthma severities(adjusted hazard ratio (95% CI))
    BTS steps 1 and 2: 1.2 (1.16–1.24)
    BTS steps 3–5: 1.24 (1.20–1.28)
    Bateman [10]Multicountry835138SABA overuse was associated with increased exacerbation incidence (adjusted incidence rate ratio (95% CI))
    3–5 cannisters: 1.40 (1.24–1.58)
    6–9 cannisters: 1.52 (1.33–1.74)
    10–12 cannisters: 1.78 (1.57–2.02)
    ≥13 cannisters: 1.92 (1.61–2.29)

    BTS: British Thoracic Society.

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    It is time to end our love affair with short-acting β2-agonists in asthma
    Michael G. Crooks, Shoaib Faruqi
    ERJ Open Research Oct 2022, 8 (4) 00353-2022; DOI: 10.1183/23120541.00353-2022

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    It is time to end our love affair with short-acting β2-agonists in asthma
    Michael G. Crooks, Shoaib Faruqi
    ERJ Open Research Oct 2022, 8 (4) 00353-2022; DOI: 10.1183/23120541.00353-2022
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