scholarly journals Sino-Nasal 5 Questionnaire is Associated with Poor Asthma Control in Children with Asthma

Children ◽  
2017 ◽  
Vol 4 (7) ◽  
pp. 54 ◽  
Author(s):  
Sasikumar Kilaikode ◽  
Prateek Shukla ◽  
Gurpreet Phull ◽  
James Jackson ◽  
Dominique Prue ◽  
...  
Keyword(s):  
Asthma Control ◽  
Children With Asthma

scholarly journals Asthma control and management among schoolchildren in urban Uganda: results from a cross-sectional study

2019 ◽  
Vol 4 ◽  
pp. 168 ◽  
Author(s):  
Harriet Mpairwe ◽  
Pius Tumwesige ◽  
Milly Namutebi ◽  
Marble Nnaluwooza ◽  
Tonny Katongole ◽  
...  
Keyword(s):  
Asthma Control ◽  
Asthma Management ◽  
Cross Sectional Study ◽  
P Value ◽  
Asthma Diagnosis ◽  
Sectional Study ◽  
Asthma Control Test ◽  
Cross Sectional ◽  
Children With Asthma ◽  
Control And Management

Background: Children from low- and middle-income countries have poor asthma control, mainly because of poor management. The extent of this problem in Uganda is not well known, but such information would be useful to guide policy and practice. We therefore conducted a cross-sectional study among schoolchildren with asthma in urban Uganda, to assess the level of asthma control and management. Methods: Schoolchildren aged 5-17 years were enrolled, asthma was diagnosed by the study medical team. Asthma control was assessed using the Asthma Control Test and the childhood Asthma Control Test. Data on previous asthma management was obtained using interviewer-led questionnaires. Data were analysed using multiple linear and multiple logistic regression. Results: We enrolled 561 children with asthma, of whom only 56% had ever had an asthma diagnosis. We categorised asthma as well-controlled (55.5%), partly-controlled (29.5%) and poorly-controlled (15.0%). Poor asthma control was associated with increasing age (adjusted regression coefficient [95% confidence interval], p-value: -1.07 [-1.20, -0.94], p<0.0001), concurrent allergic rhinitis (-1.33 [-2.28, -0.38], p=0.006), and city residence in early life (-1.99 [-3.69, -0.29], p=0.06). Regular use of inhaled asthma medication in the last 12 months was very low; 18.1% for salbutamol and 6.7% for inhaled corticosteroids. The main barriers to inhaled asthma medication use were lack of prescription (47.6%) and inaccurate diagnosis (38.8%). Increased inhaler use was associated with tertiary education of the fathers (adjusted odds ratio [95% confidence interval], p-value: 5.19 [2.39-11.28], p<0.0001), city residence in early life (4.66 [1.79-12.43], 0.002) and an asthma diagnosis prior to enrolment (11.39 [6.35-20.43], p<0.0001). Conclusions: This study confirms that children with asthma in Uganda generally have inadequate asthma control, which is attributable to poor asthma management. This could be improved through re-training of medical workers and patient education, and by increasing availability and affordability of essential asthma medications.

scholarly journals Use of Complementary and Alternative Medicine in Children with Asthma

2010 ◽  
Vol 17 (4) ◽  
pp. 183-189 ◽  
Author(s):  
Vanessa Torres-Llenza ◽  
Sanjit Bhogal ◽  
Michael Davis ◽  
Francine M Ducharme
Keyword(s):  
Asthma Control ◽  
Persistent Asthma ◽  
Preschool Age ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Asian Ethnicity ◽  
Children With Asthma ◽  
Cam Use ◽  
Complementary And Alternative

BACKGROUND: Because of the potential risk of interaction with, and underuse of, conventional medications, it is important to document the prevalence of the use of complementary and alternative medicines (CAMs) in asthmatic children.OBJECTIVE: To ascertain the prevalence and type of CAMs, and to identify factors associated with their use.METHODS: A cross-sectional survey of children who presented to the Asthma Centre of The Montreal Children’s Hospital (Montreal, Quebec) between 1999 and 2007 was conducted. At the initial consultation, parents completed a questionnaire inquiring, in part, about CAM use. Computerized health records provided information regarding patient characteristics and their condition.RESULTS: The median age of the 2027 children surveyed was 6.1 years (interquartile range 3.3 to 10.5 years); 58% were male and 59% of children had persistent asthma. The prevalence of CAM use was 13% (95% CI 12% to 15%). Supplemental vitamins (24%), homeopathy (18%) and acupuncture (11%) were the most commonly reported CAMs. Multivariable logistic regression analysis confirmed the association of CAM use with age younger than six years (OR 1.86; 95% CI 1.20 to 2.96), Asian ethnicity (OR 1.89; 95% CI 1.01 to 3.52), episodic asthma (OR 1.88; 95% CI 1.08 to 3.28) and poor asthma control (OR 1.98; 95% CI 1.80 to 3.31).CONCLUSION: The prevalence of reported CAM use among Quebec children with asthma remained modest (13%), with vitamins, homeopathy and acupuncture being the most popular modalities. CAM use was associated with preschool age, Asian ethnicity, episodic asthma and poor asthma control.

scholarly journals Secondhand smoke exposure and asthma outcomes among African-American and Latino children with asthma

Thorax ◽  
2018 ◽  
Vol 73 (11) ◽  
pp. 1041-1048 ◽  
Author(s):  
Andreas M Neophytou ◽  
Sam S Oh ◽  
Marquitta J White ◽  
Angel C Y Mak ◽  
Donglei Hu ◽  
...  
Keyword(s):  
African American ◽  
Asthma Control ◽  
Dose Response ◽  
Secondhand Smoke ◽  
Oral Steroid ◽  
Continuous Exposure ◽  
Asthma Exacerbations ◽  
Children With Asthma ◽  
Asthma Outcomes ◽  
American Children

BackgroundSecondhand smoke (SHS) exposures have been linked to asthma-related outcomes but quantitative dose–responses using biomarkers of exposure have not been widely reported.ObjectivesAssess dose–response relationships between plasma cotinine-determined SHS exposure and asthma outcomes in minority children, a vulnerable population exposed to higher levels of SHS and under-represented in the literature.MethodsWe performed analyses in 1172 Latino and African-American children with asthma from the mainland USA and Puerto Rico. We used logistic regression to assess relationships of cotinine levels ≥0.05 ng/mL with asthma exacerbations (defined as asthma-related hospitalisations, emergency room visits or oral steroid prescription) in the previous year and asthma control. The shape of dose–response relationships was assessed using a continuous exposure variable in generalised additive logistic models with penalised splines.ResultsThe OR for experiencing asthma exacerbations in the previous year for cotinine levels ≥0.05 ng/mL, compared with <0.05 ng/mL, was 1.40 (95% CI 1.03 to 1.89), while the OR for poor asthma control was 1.53 (95% CI 1.12 to 2.13). Analyses for dose–response relationships indicated increasing odds of asthma outcomes related with increasing exposure, even at cotinine levels associated with light SHS exposures.ConclusionsExposure to SHS was associated with higher odds of asthma exacerbations and having poorly controlled asthma with an increasing dose–response even at low levels of exposure. Our results support the conclusion that there are no safe levels of SHS exposures.

scholarly journals Reliability and validity of the Chinese version of the Test for Respiratory and Asthma Control in Kids (TRACK) in preschool children with asthma: a prospective validation study

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e025378
Author(s):  
Jing Zhang ◽  
Liebin Zhao ◽  
Deyu Zhao ◽  
Zhimin Chen ◽  
Shenghui Li ◽  
...  
Keyword(s):  
Preschool Children ◽  
Asthma Control ◽  
Validation Study ◽  
Discriminant Validity ◽  
Treatment Strategies ◽  
Reliability And Validity ◽  
Internal Consistency Reliability ◽  
Chinese Version ◽  
Validity And Reliability ◽  
Children With Asthma

ObjectiveThe limited existing asthma control questionnaires that are available for children 5 years of age or younger in China mostly assess only the impairment domain of asthma control. Here, the English version of the Test for Respiratory and Asthma Control in Kids (TRACK) was translated into Chinese and validated for its application in asthma control in preschool children.DesignProspective validation study.Setting and participantsA total of 321 Chinese preschool children suffering from asthma completed the study from December 2017 to February 2018.MethodThe TRACK translation into Chinese employed the translation and back translation technique. The caregivers of the preschool children with asthma symptoms completed TRACK during two clinical visits over 4–6 weeks. Moreover, the physicians completed a Global Initiative for Asthma (GINA)-based asthma control survey at both visits. The utility of TRACK for assessing the change in asthma control status and its reliability and discriminant validity were evaluated.ResultsThe Chinese version of TRACK showed internal consistency reliability values of 0.63 and 0.71 at each visit, respectively (Cronbach’s α). The test–retest reliability was 0.62 for individuals whose GINA-based assessment results were the same at both visits (n=206). The TRACK scores for the children in the various asthma control categories were significantly different (p<0.001). Children recommended for increased treatment by the physicians had lower TRACK scores than those recommended for no change in treatment or decreased treatment (p<0.001).ConclusionThe study verifies the validity and reliability of the Chinese version of TRACK. Changes in the TRACK scores effectively reflected the level of asthma control in preschool children and guided further treatment strategies.Trial registration numberNCT02649803

The effect of a coaching program on asthma control and health care utilization in children with asthma

2019 ◽  
pp. 1-8 ◽  
Author(s):  
Dana Horwitz ◽  
Inbal Kestenbom ◽  
Aviv Goldbart ◽  
Tzila Chechik ◽  
Yotam Dizitzer ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Asthma Control ◽  
Care Utilization ◽  
Children With Asthma

scholarly journals Protocolled practice nurse-led care for children with asthma in primary care: protocol for a cluster randomised trial

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e022922
Author(s):  
Sara Bousema ◽  
Annemieke J Verwoerd ◽  
Lucas M Goossens ◽  
Arthur M Bohnen ◽  
Patrick J E Bindels ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
General Practitioner ◽  
Asthma Control ◽  
Practice Nurse ◽  
Asthma Care ◽  
Cluster Randomised ◽  
Children With Asthma

IntroductionIn children with asthma, daily symptoms and exacerbations have a significant impact on the quality of life of both children and parents. More effective use of asthma medication and, consequently, better asthma control is advocated, since both overtreatment and undertreatment are reported in primary care. Trials in adults suggest that asthma control is better when patients receive a regular medical review. Therefore, protocolled care by the general practitioner may also lead to better asthma control in children. However, such protocolled care by the general practitioner may be time consuming and less feasible. Therefore, this study aims to determine whether protocolled practice nurse-led asthma care for children in primary care provides more effective asthma control than usual care.Methods and analysisThe study will be a cluster-randomised open-label trial with an 18-month follow-up. Practice nurses will be the units of randomisation and children with asthma the units of analysis. It is planned to include 180 children aged 6–12 years. Primary outcome will be average asthma control during the 18-month follow-up measured by the Childhood Asthma Control Test (C-ACT). Secondary outcomes include C-ACT scores at t=3, t=6, t=12 and t=18 months; the frequency and severity of exacerbations; cost-effectiveness; quality of life; satisfaction with delivered care; forced expiratory volume in 1 s and forced expiratory flow at 75% and the association of high symptoms scores at baseline and baseline characteristics. Besides, we will conduct identical measurements in a non-randomised sample of children.Ethics and disseminationThis will be the first trial to evaluate the effectiveness of protocolled practice nurse-led care for children with asthma in primary care. The results may lead to improvements in asthma care for children and can be directly implemented in revisions of asthma guidelines.The study protocol was approved by the Medical Research Ethics Committee of the Erasmus Medical Centre in Rotterdam.Trial registrationNTR6847.

scholarly journals Association of FEF25%–75% and bronchodilator reversibility with asthma control and asthma morbidity in inner-city children with asthma

2016 ◽  
Vol 117 (1) ◽  
pp. 97-99 ◽  
Author(s):  
Watcharoot Kanchongkittiphon ◽  
Jonathan M. Gaffin ◽  
Lianne Kopel ◽  
Carter R. Petty ◽  
Mary E. Bollinger ◽  
...  
Keyword(s):  
Inner City ◽  
Asthma Control ◽  
Asthma Morbidity ◽  
Children With Asthma
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