TY - JOUR T1 - Bronchial Thermoplasty in Severe Asthmatics: Pre and Post Anxiety Levels JF - Respiratory Care VL - 63 IS - Suppl 10 SP - 3022725 AU - Abdullah Alismail AU - Sandeep Nayak AU - Paul Casillas AU - David Lopez AU - Laren Tan Y1 - 2018/10/01 UR - http://rc.rcjournal.com/content/63/Suppl_10/3022725.abstract N2 - Background: In adult populations with asthma, the reported incidence of anxiety disorder ranges from 6.5% to 24%. In addition, 5-10% of asthmatics are considered difficult to control requiring a disproportionate high level of health care resources. For these difficult-to-control persistent asthma patients, bronchial thermoplasty (BT), an outpatient bronchoscopic treatment procedure can be performed to improve asthma. Although the prevalence of anxiety in asthmatics maybe high, contrary to what has been reported, we hypothesize that BT does not increase pre-procedural anxiety levels. To our knowledge, this study is the first to measure levels of anxiety pre-BT utilizing a validated anxiety scoring system. Methods: In this prospective study, subjects were surveyed using the Burn Anxiety Inventory questionnaire to measure pre-BT procedural anxiety just before each of the three sessions. Subjects rated their symptoms based on three major categories (Anxiety Feeling, Anxiety Thoughts, and Physical Symptoms) that were summed up to a score that ranges between 0-99. In addition, Asthma Control Test (ACT) were administered before BT (baseline) and after completion of all three sessions of BT. Result: A total of 22 subjects were enrolled in this study with mean age of 49. 7 ± 15.65. 11 (50%) subjects completed all 3 BT procedures. Patients anxiety level at baseline was found to be higher prior to BT1 compared to the last BT . ACT was also found to increase. A non-parametric test showed a significant decrease in their anxiety level (P<0.001, table 1). There was significant improvement in reported ACT tests, Pre and Post BT from 11 ± 6. 7 to 17 ± 5. 4 (P<0.05).Conclusions: These findings from our ongoing study suggest that pre-procedural anxiety levels in severe asthmatics decrease as patients progress with BT procedures. Also, ACT score after the third BT procedure is significantly higher compared to the ACT Score before the first BT procedure. Improvement in asthma control could potentially affect anxiety level. A Large cohort is needed to validate these findings which may help enrich overall objective data about BT and assist clinicians in guiding evidence based practice. View this table:Burn Anxiety Scale results at baseline and pre every Bronchial Thermoplasty procedure. ER -