Clinical diagnosis of current asthma: predictive value of respiratory symptoms in the SAPALDIA study

Sistek, D.; Jm, Tschopp; Schindler, Christian; Brutsche, Martin; Ackermann‐Liebrich, Ursula; Perruchoud, AP; Leuenberger, P

doi:10.1183/09031936.01.17202140

Cited by 80 publications

(58 citation statements)

References 26 publications

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“…Also wheezing and two nocturnal symptoms (chest tightness, dyspnea and cough) have a high sensitivity and specificity for asthma diagnosis. Both wheezing and wheezing with two nocturnal symptoms yield best Yoden index (which evaluate the diagnostic efficacy of a test) [5] meanwhile there was a survey which has scored each of asthma symptoms that has been used in ECRHS study to evaluate questionnaire based diagnosis versus clinical diagnosis. In this scoring study, "wheezing and dyspnea" has highest score as symptomatic asthma [17].…”

Section: Discussionmentioning

confidence: 99%

“…To assess the prevalence of asthma different methodologies have been used in various studies in the world, which causes comparison of findings in these studies not reliable. Thus, there have been attempts to standardize the methodology used for epidemiology of asthma [3,5]. Despite the fact that ECRHS (European Community Respiratory Health Survey) and International Studies of Asthma and Allergies in Childhood (ISAAC) has allowed comparison of prevalence of asthma and asthma-like symptoms between countries [3,6,7]; There are a few reports about asthma status in the WHO Eastern Mediterranean Region, including the Islamic Republic of Iran [8,9].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of asthma symptoms and smoking behavior among 20 - 44 years old adults in Tehran: A telephone survey

Tazesh¹,

Shaabani²,

Fazlollahi³

et al. 2013

Health

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Background and Objective: Asthma is a major health problem and a high-burden disease in the world. Unfortunately the prevalence of asthma in adult populations in Iran is not determined precisely. The aim of this study was to assess the prevalence of asthma symptoms and it's relation with ages, gender and smoking behaviour in city of Tehran. Methods: A telephone interview survey was conducted among 7150 randomly selected telephone numbers in city of Tehran. A questionnaire adapted from The European Community Respiratory Health Survey (ECRHS) with additional two questions about smoking behaviour and hookah. Results: From 7150 eligible telephone numbers dialled there were 5500 responses (76.92%). The study populations included 3412 female (62%), 2088 men (38%) and the mean age of responder were 31.15 ± 7.33. Their smoking behaviour were; 71.6% non smoker, 11.9% active smoker, 16.5% passive smoker and 7.8% used hookah. The prevalence of "wheezing in the last 12 months", "dyspnea with wheezing" and "wheezing and two nocturnal symptoms" were 24%, 10.8% and 5% respectively. Prevalence of asthma symptoms was significantly greater in smokers than non-smokers groups. Conclusion: In this study by using symptom based questionnaire (ECRHS), we concluded the prevalence of asthma in Tehran adult population was between 5% to 10%. Also this study may made cross-national comparison of our findings with other ECRHS studies possible; rates of "wheezing in the last 12 months", "dyspnea with wheezing" and "nocturnal dyspnea" were higher than the European Community Respiratory Health Survey median. Role of air pollution, smoking and other risk factors for asthma should be considered.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence of asthma symptoms and smoking behavior among 20 - 44 years old adults in Tehran: A telephone survey

Tazesh¹,

Shaabani²,

Fazlollahi³

et al. 2013

Health

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“…These questions have been use by Sistek et al, 2001 to define current asthma in adults. In the present study, the final diagnosis of current asthma was established when a positive response was given to the first two questions (Sistek et al, 2001) and, according with Miyamoto et al (2007), when children had been treated with medications at some time in the previous 12 months. Furthermore, the diagnostic approach was supervised and confirmed by a Pulmonologist.…”

Section: Health Surveymentioning

confidence: 99%

Fat intake and asthma in Spanish schoolchildren

et al. 2010

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Objectives: To study the relationship between lipid, fatty acid and lipid-rich food intake and current asthma in a group of Spanish schoolchildren. Subjects/Methods: The subjects of this cross-sectional study were 638 Spanish schoolchildren (8-13 years of age). The weight and height of all the subjects were recorded. A questionnaire, completed by the subjects' parents, was used to obtain personal and health information. Current asthma was established when the children had ever had asthma, if they had been diagnosed with asthma by a doctor and if they had been treated with medications at some time in the previous 12 months. Food intake was monitored using a 3-day food record. All foods consumed were converted into energy and nutrients. Results: The energy derived from lipids, saturated fatty acids (SFAs) and myristic and palmitic acids was independently associated with current asthma (Odds Ratio (OR) third tertile 2.85 (1.01-8.07) P ¼ 0.049, 10.00 (0.89-111.97) P ¼ 0.002, 11.21 (1.36-92.24) P ¼ 0.002, 7.58 (1.40-41.03) P ¼ 0.022, respectively), as was the intake of butter (OR third tertile 2.97 (1.01-8.68) P ¼ 0.001). No relationship was seen between this condition and the intake of any other fatty acid, the n-6/n-3 ratio, nor the consumption of margarine, milk products, fish, meat, eggs or vegetable oils. Conclusions: Increased intakes of SFAs, myristic and palmitic acids and butter seem to be related to the risk of current asthma in children.

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“…• The Adult Asthma Questionnaire was developed from a synthesis of question items previously tested and shown to be predictive [40][41][42][43].…”

Section: Case-finding Toolsmentioning

confidence: 99%

International Primary Care Respiratory Group (IPCRG) Guidelines: Integrating diagnostic guidelines for managing chronic respiratory diseases in primary care

Halbert

Isonaka²

2006

Primary Care Respiratory Journal

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Summary This is the first of the IPCRG Guideline papers. The IPCRG took on the task of producing an integrated guideline for the management of chronic respiratory diseases in primary care. This included some original work aimed at developing questionnaires suitable for improving the diagnosis and recognition of respiratory diseases in the primary care setting. This paper provides the background evidence and rationale for the integrated diagnostic section of the IPCRG Guideline. It focusses on identifying the unique challenges in respiratory disease diagnosis in primary care, the use of epidemiology to build a co-ordinated diagnostic framework, and the development of tools to support guideline implementation.

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Clinical diagnosis of current asthma: predictive value of respiratory symptoms in the SAPALDIA study

Cited by 80 publications

References 26 publications

Prevalence of asthma symptoms and smoking behavior among 20 - 44 years old adults in Tehran: A telephone survey

Prevalence of asthma symptoms and smoking behavior among 20 - 44 years old adults in Tehran: A telephone survey

Fat intake and asthma in Spanish schoolchildren

International Primary Care Respiratory Group (IPCRG) Guidelines: Integrating diagnostic guidelines for managing chronic respiratory diseases in primary care

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