Abstracts for NAPCON 2025
Unknown authors
Abstract
No. 01 Exploring the pattern and preferences of anti-inflammatory reliever in asthma management across India Abhishek D. Sabale1, S. Phadnis1, D. Ghorpade1, S. Madas1, S. Bhalare1, M. Lopez2, S. Nair2, V. Naik2, J. Gogtay2, S. Salvi1 1Pulmocare Research and Education Foundation, Pune, Maharashtra, India, 2Cipla Ltd, Mumbai, Maharashtra, India Background: AIR combines inhaled corticosteroids (ICS) with fast acting bronchodilators like salbutamol or formoterol and are beneficial for reducing exacerbations and improving compliance as compared to traditional SABA relievers. However, there is limited empirical evidence from India regarding its usage and the factors influencing its adoption by healthcare professionals. Objective: To understand doctors’ prescribing patterns and preferences for anti-inflammatory relievers and their role in asthma management. Methods: Clinicians (pulmonologists, general physicians and paediatricians) in India were randomly selected and invited to participate in this study. Data was collected through a structured study instrument, using both self-administered questionnaires and telephonic interviews with doctors. Results: Among the 404 doctors who participated in this study, 52.0% were pulmonologists, 35.6% were physicians and 12.4% were paediatricians. On an average, 73% of the asthma patients received a reliever medication. AIR was prescribed to an average of 72.5%, while SABA was prescribed to 27.5% asthmatic patients. 29.2% of doctors prescribed only AIR as reliever while 70.3% doctors prescribed SABA or AIR. Table 1 shows the prescribing patterns of different AIR combinations. 85.1% of doctors opined that efficacy of AIR therapy was better than SABA alone.Table 1: AIR combinations used by different practitionersConclusion: A total of 29.2% doctors prescribed only AIR as reliever therapy. Budesonide-Formoterol combination was the most commonly prescribed AIR. The concept of AIR is well-accepted in India, however, there is scope to further improve the uptake. Acknowledgment: This study was supported by Cipla Ltd. India. Abstract No. 02 Factors associated with respiratory symptoms in urban slums of Pune city: Findings from a cross-sectional health survey Asmita Gaikwad1, M. Barne1, S. Madas1, V. Das2, M. Dhawale1, A. Shaikh1, P. Shinde1, A. Sabale1, S. Salvi1 1Pulmocare Research and Education Foundation, Pune, Maharashtra, India, 2Chest Research and Training Pvt. Ltd., Pune, Maharashtra, India Introduction: India has a population of 1·3 billion people of which 15% lives in slums as per a report by committee on slum statistics/census. India accounts for 18% of the global population but contributes to a disproportionate 30.2% of the global burden of chronic respiratory diseases. We aimed to study the prevalence and risk factors associated with respiratory symptoms in the urban slums in Pune City. Materials and Methods: We conducted a cross-sectional, interviewer administered, questionnaire-based study among men and women >18 years of age in the urban slums of Pune City. The questionnaire included questions on respiratory symptoms and the factors that were associated with them. Results: We screened 3862 (M: F = 39%: 61%), age > 18 yrs, 93 % from urban slums. Prevalence of current respiratory symptoms in this population is as per the Figure 1. The factors that were associated with respiratory symptoms are depicted in Table 1.Figure 1: Prevalence of current respiratory symptomsTable 1: Factors that were associated with respiratory symptoms in our studyConclusion: Our study shows that dhoop, agarbatti, loban, mosquito coil, use of biomass fuel, passive smoker in the house, smoker (self), family or past history of asthma or TB were associated with a high risk of respiratory symptoms. Respiratory symptoms were also significantly associated with presence of anaemia, hypertension, diabetes and obesity. We also found that presence of a separate kitchen and presence of one or more window in the house were negatively associated with respiratory symptoms. Keywords: Poor indoor air quality, respiratory symptoms, separate kitchen Abstract No. 03 An Observational Study on Respiratory Morbidity and Lung Function Assessment in 2450 Traffic Police Personnel in Bengaluru City - The Largest Occupational Health Screening Study of Traffic Police Personnel in India Benin Rajesh, Hariprasad Kalpakam, Rohit Vadala, Sameer Bansal, Anmol Thorbole, Ravindra Mehta Vaayu Chest and Sleep Specialists, Bengaluru, Karnataka, India Background: Vehicular traffic emission is one of the largest sources of air pollution in metros. Progressive deterioration in air quality leads to significant morbidity and mortality by affecting multiple organ systems, exponentially increased in high-risk populations. Specifically, occupational exposure to vehicular pollution is a significant health risk to traffic policemen, and affects lung function and cardiovascular health. Aim: This cross-sectional point-prevalence study aimed to screen traffic police personnel (TPP) in Bengaluru city for respiratory and general health. Methods: A comprehensive respiratory health screening project for TPP was done in Bengaluru, from 1-12-23 to 30-8-24. Symptoms, mask usage, smoking history, prior co-morbidities, BMI, vitals, random blood sugar and spirometry were assessed. Results: 2450 TPP were screened over 10 months, 91% males. Mean age was 38.84 years (range 26-59; SD-8.62). The participants had an average of 13.45 years of service (range 3-28; SD-7.82). Majority of them did not use masks (n = 1370, 55%) during working hours. The average air quality index (AQI) estimated during the study period was 115. There were 5% active smokers (n = 131). The average BMI was 25.8 kg/m2, and 47% were overweight (n = 891), 11% obese (n = 206). Diabetes mellitus was noted in 14% (n = 343), 50% of them with uncontrolled sugars. Hypertension was noted in 15% (n = 367), 25% uncontrolled. Cough was the most commonly reported symptom (13%). Spirometry showed early lung function impairment (Preserved Ratio with Impaired Spirometry-PRISM) in 28% (n = 513) and obstructive pattern in 1% (n = 20). Conclusions: This is the largest occupational health screening study of TPP’s in the Indian literature, and one of the largest in global literature. Significant respiratory and general health issues were noted, and likely reflects the situation in other major metros of the country. There is an imperative need for interventions to protect the health of TPP’s in Bengaluru. Implementing protective measures such as use of face masks, regular screenings, promoting a healthier lifestyle, and comprehensive follow-up of affected individuals are major interventions required at an individual and policy level. Acknowledgements: Shri MN Anucheth, IPS, Joint Commissioner of Police, Traffic, Bengaluru City. Mrs. Nandita Sanghani, Dr. Nanda Sanjay, Mrs. Roopa Chillamkurti and other volunteers at Vaayu who helped selflessly in the initiative. Keywords: Lung function, occupational health, pollution, traffic police personnel Abstract No. 04 Kartagener’s syndrome: A case series Chittal Palaniappan, Somanath Dash, Raghavendra Rao, Madhu Harsha Department of Respiratory Medicine, GSL Medical College, Rajahmundry, Andhra Pradesh, India Introduction: Kartagener’s syndrome is an autosomal recessive genetic disorder with triad of Situs Inversus, Chronic this there is of to We report of this syndrome among them were associated with Methods: patients with who to our on with history of with were included in this study. On the of Kartagener’s syndrome was Results: included in this study, Among one is of age years is Among one is of age years other are of years were associated with done for one was other was done for one in as of chronic with the in them. but of in of are as there is for issues is not a in Keywords: Abstract No. in from an Indian study on the with and as by lung and spirometry Ghorpade1, S. V. P. S. S. S. A. M. J. S. 1Pulmocare Research and Education Foundation, Pune, Maharashtra, India, Maharashtra, India, Chest Maharashtra, India, India, of and India, Maharashtra, India, Research and Pune, Maharashtra, India, Ltd, Mumbai, Maharashtra, India Background: is an which affects of the affects only the asthma is as an of asthma that has asthma is reported in to 50% of its prevalence and the of as a The of in asthma has significant for as therapy aimed at the to symptoms and improve such as spirometry and more lung is as an for Methods: from across India, who were of the for Lung Research in the study. was using the and spirometry was using among asthmatic patients their was using of for or for the prevalence of and was also using spirometry the patients. Results: of from asthmatic were for the of which had the asthma with more and than asthma as in Table 1. The prevalence of and by spirometry has in Table 1: and Spirometry and asthmatic The early of is better with lung is for that the of patients with Abstract No. pattern and of lung patients in a Department of Respiratory Medicine, India Introduction: Lung a of mortality by and genetic This study to the patterns and of lung patients at a Methods: The study was conducted in the Department of Respiratory at the The of committee of was the study. and were per patients were further for of lung by or and and further was Results: Majority of patients were males. The most symptom was of A significant were with history of was the most was the most of the patients had with the most Among was the most of the total while did not the study conducted by A. only of patients for were in the study by were in of our study, were the most at by at and at reported a prevalence of This the genetic and the need for early and Keywords: Abstract No. and of in patients with obstructive in A study Medical Mumbai, Maharashtra, India Introduction: to of and has a This study the use of in patients and its on Methods: Medical of patients with for exacerbations of in were The study was conducted at in India from an Results: of were The age was with was the in patients by asthma in A total of patients had a history of and had received as while combination therapy with and was for on of The was for an average of 13.45 in the for and in the for SABA was required in them on the or while required in the or was in patients. and in patients in patients with reported in as or in combination with an for exacerbations in Keywords: Abstract No. the role of in patients with exacerbations of obstructive from to Medical Mumbai, Maharashtra, India Introduction: exacerbations of obstructive bronchodilators are commonly multiple however, a of A questionnaire survey was conducted to its use in patients. Methods: A structured survey was to physicians exacerbations from 10 The survey was by a of in management. Results: the physicians invited to participate in the physicians most physicians bronchodilators as the with the for exacerbations regarding the of therapy in exacerbations in to the of physicians while for therapy This at The of supported using or for patients. the and therapy for 1: for obstructive preferences in is for in and use therapy is the and during follow-up Our the role of in in Keywords: survey Abstract No. of and in the of lung from function at a Department of Medicine, of Medicine, Mumbai, Maharashtra, India Objective: function are in and lung This study to the of in 1 and at of across lung and Methods: A of was patients with a of lung chronic obstructive lung and Data on and other were was to the and of to in and was using and and were Results: in in obstructive and diseases. However, for early in asthma and showed but to in with both were but for the of in early and in with both and a more of lung in Keywords: obstructive lung lung spirometry Abstract No. 10 To study and of in respiratory patients with to Department of Respiratory Medicine, Medical College, Pune, Maharashtra, India Background: is a in in to its and with a of However, in patients with respiratory such as is as of are associated with This study the and of in patients. To the of a in the in patients with respiratory To the and of associated with in patients with respiratory Methods: This study was conducted from to at a respiratory patients years with respiratory with to Medical were for in and and the were were or Results: a of patients with respiratory who with an was in patients of the total The to a in in patients of total of 10 patients had a among the patients was only patients had a patients while patients to their the of in and improving in respiratory patients. was in like and which The was with significant other than in which was with the in respiratory the of and significantly improve Keywords: respiratory Abstract No. Study of as a for management of with in patients of M. Department of Respiratory Medicine, Medical College, Karnataka, India Introduction: is a major of mortality in is a of cardiovascular risk and The presence of is associated with and cardiovascular has a with cardiovascular and than is to a of and a to patients with at increased cardiovascular of the To the presence of and of patients with of Methods: Study This is a collected from patients for to the respiratory of in J. J. M. M. with history of respiratory other than other or were Study were on of and and and collected from at the of prior to of with were were in as by Study the patients and the of as need for to the on of patients and was by was as a of in a using a and are both reported as the of patients an as as the of per per were using the or as and were reported as were compared by with are reported as of was at were using for Results: with required a more and had of on for was associated with a risk of at with required more were had more to the more more BMI, more more use of and prior to This a role for in the of patients with at increased risk of that need early interventions and management. Abstract No. in A for lung from D. P. S. A. S. A. of and Sleep Medicine, India, India, India, of of India Background: Lung and chronic obstructive are major health with risk factors like of in their as a for which in lung and Methods: We conducted a cross-sectional study with patients and lung patients 10 was for using and The global and to the Results: Among the the of current smokers was in the in the and 18 in the lung The average BMI was for for and for lung patients. We from and lung from 18 were to lung from with and in significant as a for lung from The its in and However, to its and are Abstract No. A study on in patients for and on Medical College, India Introduction: and are with mortality of and Research that need for for on for there is in on in patients with who by This study to and Methods: was study. in Study was for from to is Study population were patients in and of with for both on and Results: our study of had and had high with and were were in of the and of the were in of the and of the were in of the and of the This study for and their of and of such patients on during a in presence of Keywords: respiratory syndrome Abstract No. and of a for and Medical of Medical and India Introduction: from is for a is to in This study the of a using to the or of Methods: This study patients with on was to or and were a one to a total of The of the was compared to in of and Results: significantly with The a of and of in from The as a of screening which physicians in the of the Keywords: Abstract No. spirometry from a study in India S. S. Madas1, Abhishek Sabale1, Ghorpade1, Research and Training Pune, Maharashtra, India, India, India, Chest and Pradesh, India, Lung India, Chest India, Karnataka, India, India, Chest and Pradesh, India, Medical India, Chest and India, Ltd, Mumbai, Maharashtra, India, Research and Education Foundation, Pune, Maharashtra, India Background: Spirometry is for lung and is the for lung function However, a for significant and and Methods: this cross-sectional, prevalence study, the by spirometry and patients for the for the The study was conducted across 10 in India, in Pradesh, Karnataka, Pradesh, and Results: The study included of and patients F = to the who one who was to to The average spirometry were and the average was The for spirometry were obstructive and to the pulmonologists, the use of spirometry management in and in of patients. The spirometry reported that of patients found to the to to to and to other of patients reported with the issues and of patients a for a lung to the of a significant of patients found spirometry to This the need for more to traditional spirometry for lung function Keywords: lung lung function obstructive function, Abstract No. the A in the S. P. Department of Medicine, Medical College, India Background: The is a of from and to and and of the are in the of or as an of are to their and to in with of by for months, of of and of of like over and history the and of for the past showed in of and of and with with was on 1 of showed significant with of and showed significant in of The case the and the of a an its and Abstract No. impairment in To the with spirometry S. Department of Respiratory Medicine, of Medical Bengaluru, Karnataka, India Introduction: is as the of the with with and respiratory a role in of the and are is also associated with function of the this study the the and the spirometry in patients. Methods: is a study conducted in of over a of at The study was done on patients 18 to other lung and lung Results: The by increased with the of in The of were significantly of in as compared to individuals with with to spirometry A significant is found with that as a and to the of and in Keywords: spirometry Abstract No. 18 An of A to disorder S. M. Raghavendra Department of Respiratory Medicine, of Medical Bengaluru, Karnataka, India Background: and are by of is a of is by the uncontrolled of in the to affecting our case study, this of with A with and that had for one a in the A was and showed of the presence of a and A was which had with was on the working of multiple with The case report the of early of with as the and of with significantly improve the and quality of for patients with Abstract No. with a on lung A case series Department of Medicine, D. Mumbai, Maharashtra, India Introduction: has with a for and patients. has of lung fast with high and our case series of and 1: A of lung on and presence of a lung and lung A case of and has over and air on the of in the with presence of the and the also helped this to and the a A also a of and of A and a 25% was also with and air a and a A obese a from the to the in and with and noted in the and and interventions like and of The of and has further its and has by with a that and Abstract No. of a in improving in patients with lung for lung A. of and Sleep Medicine, India of Medical India, of India of Medical India, of India of Medical India, and India of Medical India, of India of Medical India Introduction: in chronic respiratory symptoms, quality of and Lung is the of management. has improving of was to study of a on using were quality of symptom spirometry and and for Methods: study on patients with lung for A and was and were at and 1 of of the Results: patients were and by patients patients for at 18 of the Significant in for and and for patients. the 18 patients for and were for for from a with in quality of and and for Abstract No. A A case report of with P. P. Medical College, Karnataka, India Introduction: is a to on organ in and is or and from both occupational and The are respiratory and A years with of for 10 with significant past history and On showed high in over lung with history and history of for from the traditional with and from past 1 of showed in showed high with A to other but with for and blood and showed This case report the and in a with The on an and the of in Abstract No. A study of questionnaire with index in screening of obstructive in India P. M. Medical College, Karnataka, India Introduction: syndrome is or during leads to increased respiratory and is risk for and has with syndrome and prevalence of in for its high and limited in This study the of to screen for and compared with the index and their 1. the of of individual and the and with in the individual and of the and the in Methods: study conducted among patients who are risk for on screening in to the who in to Medical from to Results: screened patients % had the patients reported at one the most were and showed increased than to screen of the increased and for both an increased and which was better than of a than and to their The and compared to the with did not a more and for screening compared to Abstract No. A study to in blood among patients as a of S. Department of Respiratory Medicine, Medical and India Introduction: Chronic obstructive is a lung by chronic respiratory symptoms to in that The chronic of is to or to as an of and its are of of the and the this is the the There are other which which need to with of is a to the of and this not the of function and in patients who are in at in risk and and Aim: To the Ratio in blood among patients as a of The of the study 1. To the in blood among To the of with of and used to with Methods: a patients were with of in the respiratory and also patients the Respiratory were as study Data like BMI, and are a is to other Results: has with and used as a of in to of with as used to an in patients. and are increased among the patients compared to the patients. both used to the of the and also an is to both used in to the of is also found to a significant with and is found to more in the patients compared to the is a from used as a of among and also to an Abstract No. and prevalence of asthma in Indian A study using lung and spirometry Madas1, Abhishek Research and Pune, Maharashtra, India, Maharashtra, India, Chest Maharashtra, India, India, of and India, Maharashtra, India, Ltd, Mumbai, Maharashtra, India, Research and Education Foundation, Pune, Maharashtra, India Background: asthma is an of asthma which is associated with more of the uncontrolled and This of asthma has to more than of However, there is limited on the prevalence of in the Indian asthmatic Aim: We aimed to study the prevalence of among Indian using lung and Methods: from across India, who were of the for Lung Research were invited to participate in this study. The study asthmatic patients their lung and spirometry were with a questionnaire that on risk symptoms and was conducted using the while spirometry was using that the by the and the Respiratory was using of or Results: of from asthmatic were for the The prevalence of using of > > and > for were reported to and was reported to The prevalence of and was reported to and of and of were while and were was significantly more among obese and overweight = and a was asthmatic = The burden of among across in India was using the of of Abstract No. and of compared to in A S. V. Medical and Mumbai, Maharashtra, India Introduction: of the combinations are better symptom in compared to This study efficacy of of with in patients with Methods: of (n = with 10 with prior to screening were to or for Results: in from to was more with = with with = by with with = was with = from was with with = by in = significant in exacerbations were exacerbations were the were most were were with in exacerbations to patients with significantly with was to Keywords: Abstract No. symptoms to Department of Medicine, and Research Mumbai, Maharashtra, India Introduction: a in high-risk populations. with other respiratory This study to and to better of this Methods: This study patients with and had respiratory as on The and were to Results: A of 10 patients age with a of was included in the study. patients had diabetes and were The most was by with of 10 required and to other patients which to is to but has respiratory is in patients and is associated with significant and and to Keywords: Abstract No. for in Indian population India Introduction: The of obstructive is by However, the of questionnaires in Indian The study the of with like Objective: To the for and in Indian patients for Methods: We a questionnaire which aimed at at a which more for an Indian The patients were selected on a that was done and the study was on patients over a Results: showed the with was also significantly associated with BMI was associated with but compared to and and BMI and The the as a as to a significant in with to a in but the with used the of the is the for in an Indian Keywords: Abstract No. and of syndrome in India Background: syndrome is among