Uncontrolled asthma in school-aged children-a nationwide specialist care study.
Asthma
asthma control
asthma management
asthma phenotypes
asthma treatment
children
exacerbations
obesity
pulmonary function
school-aged asthma
severe asthma
uncontrolled asthma
undertreated asthma
Journal
The journal of allergy and clinical immunology. Global
ISSN: 2772-8293
Titre abrégé: J Allergy Clin Immunol Glob
Pays: United States
ID NLM: 9918453488706676
Informations de publication
Date de publication:
May 2024
May 2024
Historique:
received:
03
07
2023
revised:
09
11
2023
accepted:
28
12
2023
medline:
5
3
2024
pubmed:
5
3
2024
entrez:
5
3
2024
Statut:
epublish
Résumé
Uncontrolled asthma (UCA) is different from severe asthma and can be identified in children across all ranges of prescribed treatment. Our aim was to characterize uncontrolled childhood asthma in pediatric specialist care. We performed a nationwide cross-sectional study of 5497 children (aged 6-17 years) with asthma who were treated by pediatricians at outpatient clinics during 2019 and registered in the Swedish National Airway Register. UCA was defined as an Asthma Control Test score of 19 or lower and/or 2 or more exacerbations in the past year and/or an FEV UCA was identified in 1690 children (31%), of whom 64% had an Asthma Control Test score of 19 or lower, 20% had recurrent exacerbations, and 31% had an FEV UCA was common and associated with female sex, increasing age, obesity, and higher Global Initiative for Asthma treatment step. Surprisingly, UCA was also common in children prescribed less than the maximum treatment, and those children could be considered undertreated patients.
Sections du résumé
Background
UNASSIGNED
Uncontrolled asthma (UCA) is different from severe asthma and can be identified in children across all ranges of prescribed treatment.
Objective
UNASSIGNED
Our aim was to characterize uncontrolled childhood asthma in pediatric specialist care.
Methods
UNASSIGNED
We performed a nationwide cross-sectional study of 5497 children (aged 6-17 years) with asthma who were treated by pediatricians at outpatient clinics during 2019 and registered in the Swedish National Airway Register. UCA was defined as an Asthma Control Test score of 19 or lower and/or 2 or more exacerbations in the past year and/or an FEV
Results
UNASSIGNED
UCA was identified in 1690 children (31%), of whom 64% had an Asthma Control Test score of 19 or lower, 20% had recurrent exacerbations, and 31% had an FEV
Conclusion
UNASSIGNED
UCA was common and associated with female sex, increasing age, obesity, and higher Global Initiative for Asthma treatment step. Surprisingly, UCA was also common in children prescribed less than the maximum treatment, and those children could be considered undertreated patients.
Identifiants
pubmed: 38439947
doi: 10.1016/j.jacig.2024.100227
pii: S2772-8293(24)00023-7
pmc: PMC10910119
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100227Informations de copyright
© 2024 The Author(s).