Perceptions of Asthma by Adolescents at Home

Rietveld, Simon; Everaerd, Walter

doi:10.1378/chest.117.2.434

Cited by 50 publications

(26 citation statements)

References 32 publications

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“…There is evidence that individuals vary in how they interpret their asthma symptoms, even for a given level of airway obstruction, 30 and that their perception of symptoms relates to their emotional state. [31][32][33][34] Although there is growing evidence supporting the need to incorporate the patient's burden of asthma into the overall patient assessment, both generic QOL and asthma-specific QOL instruments remain as research tools and have not been incorporated into standard clinical practice. With further evidence of the importance of assessing health-related QOL in adolescents with asthma, QOL instruments may become part of a more comprehensive clinical assessment.…”

Section: Discussionmentioning

confidence: 99%

Emotional quality-of-life and outcomes in adolescents with asthma

Okelo

Krishnan

et al. 2004

The Journal of Pediatrics

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Section: Discussionmentioning

confidence: 99%

Emotional quality-of-life and outcomes in adolescents with asthma

Okelo

Krishnan

et al. 2004

The Journal of Pediatrics

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“…Significant bronchial obstruction may be present in asymptomatic asthmatic children and it has been shown that children with chronic airway obstruction are less likely to perceive dyspnoea compared with children with acute obstruction [5,6]. Children with poor perception of bronchial obstruction may be at higher risk of developing severe asthma episodes and reduced lung function is associated with poor asthma outcomes [7].…”

Section: Lung Functionmentioning

confidence: 99%

Monitoring asthma in childhood: lung function, bronchial responsiveness and inflammation

et al. 2015

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This review focuses on the methods available for measuring reversible airways obstruction, bronchial hyperresponsiveness (BHR) and inflammation as hallmarks of asthma, and their role in monitoring children with asthma. Persistent bronchial obstruction may occur in asymptomatic children and is considered a risk factor for severe asthma episodes and is associated with poor asthma outcome. Annual measurement of forced expiratory volume in 1 s using office based spirometry is considered useful. Other lung function measurements including the assessment of BHR may be reserved for children with possible exercise limitations, poor symptom perception and those not responding to their current treatment or with atypical asthma symptoms, and performed on a higher specialty level. To date, for most methods of measuring lung function there are no proper randomised controlled or large longitudinal studies available to establish their role in asthma management in children.Noninvasive biomarkers for monitoring inflammation in children are available, for example the measurement of exhaled nitric oxide fraction, and the assessment of induced sputum cytology or inflammatory mediators in the exhaled breath condensate. However, their role and usefulness in routine clinical practice to monitor and guide therapy remains unclear, and therefore, their use should be reserved for selected cases. @ERSpublications Review on the role of lung function, measurement of BHR and airway inflammation in monitoring of children with asthma

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“…1 Although children's and their parents' reporting of asthma symptoms is important in staging and managing pediatric asthma, many children and parents do not perceive asthma symptoms adequately, and children with long-standing airway obstruction are less likely to report dyspnea than children with acute-onset airway obstruction. [2][3][4] In addition, physical findings seem to be inadequate for assessing obstruction that may be present despite a normal physical examination. 5 Despite a large body of evidence showing that airway obstruction in children with asthma is associated with ongoing respiratory morbidity 6,7 and a reduced forced expiratory volume in 1 second (FEV 1 ) in adulthood, [8][9][10] spirometry is not routinely performed by physicians who treat children with asthma as an objective measure of airway obstruction.…”

mentioning

confidence: 99%

Office Spirometry in Primary Care Pediatrics: A Pilot Study

Zanconato

Meneghelli²,

Braga

et al. 2005

Pediatrics

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ABSTRACT. Objective. The aim of this study was to investigate the validity of office spirometry in primary care pediatric practices.Methods. Ten primary care pediatricians undertook a spirometry training program that was led by 2 pediatric pulmonologists from the Pediatric Department of the University of Padova. After the pediatricians' training, children with asthma or persistent cough underwent a spirometric test in the pediatrician's office and at a pulmonary function (PF) laboratory, in the same day in random order. Both spirometric tests were performed with a portable turbine flow sensor spirometer. We assessed the quality of the spirometric tests and compared a range of PF parameters obtained in the pediatricians' offices and in the PF laboratory according to the Bland and Altman method.Results. A total of 109 children (mean age: 10.4 years; range: 6 -15) were included in the study. Eighty-five (78%) of the spirometric tests that were performed in the pediatricians' offices met all of the acceptability and reproducibility criteria. The 24 unacceptable test results were attributable largely to a slow start and failure to satisfy end-of-test criteria. Only the 85 acceptable spirometric tests were considered for analysis. The agreement between the spirometric tests that were performed in the pediatrician's office and in the PF laboratory was good for the key parameters (forced vital capacity, forced expiratory volume in 1 second, and forced expiratory flow between 25% and 75%). The repeatability coefficient was 0.26 L for forced expiratory volume in 1 second (83 of 85 values fall within this range), 0.30 L for forced vital capacity (81 values fall within this range), and 0.58 L/s for forced expiratory flow between 25% and 75% (82 values fall within this range). In 79% of cases, the primary care pediatricians interpreted the spirometric tests correctly.Conclusions. It seems justifiable to perform spirometry in pediatric primary care, but an integrated approach involving both the primary care pediatrician and certified pediatric respiratory medicine centers is recommended because effective training and quality assurance are vital prerequisites for successful spirometry. Pediatrics 2005;116:e792-e797. URL: www.pediatrics.org/cgi/ doi/10.1542/peds.2005-0487; office spirometry, primary care pediatrics, asthma, children.ABBREVIATIONS. PF, pulmonary function; FEV 1 , forced expiratory volume in 1 second; ATS, American Thoracic Society; FVC, forced vital capacity; FET, forced expiratory time; FEF , forced expiratory flow between 25% and 75% of expired FVC; ICC, intraclass correlation coefficient; GP, general practitioner. P ulmonary function (PF) tests are useful in both the diagnosis and the monitoring of lung disease. The international guidelines for asthma management have endorsed the use of objective lung function measures for assigning a severity rating to patients with asthma and guide asthma therapy. 1 Although children's and their parents' reporting of asthma symptoms is important in staging and managing ped...

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Perceptions of Asthma by Adolescents at Home

Cited by 50 publications

References 32 publications

Emotional quality-of-life and outcomes in adolescents with asthma

Emotional quality-of-life and outcomes in adolescents with asthma

Monitoring asthma in childhood: lung function, bronchial responsiveness and inflammation

Office Spirometry in Primary Care Pediatrics: A Pilot Study

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