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Published on: November 4, 2010
Recognition of asthmatic symptoms in the pediatric age group
V Grech1, H Agius-Muscat, S Montefort
1Paediatric Department, St. Lukes Hospital, Guardamangia, Malta. victor.e.grech@magnet.mt
Insights
Higher pediatrician exposure correlates with increased childhood asthma prevalence but reduced severity. This suggests early diagnosis and treatment in well-serviced areas may improve asthma outcomes in children.
Area of Science:
- Pediatric respiratory health
- Epidemiology of childhood asthma
- Public health and healthcare access
Background:
- Childhood asthma significantly impacts morbidity, with under-diagnosis leading to prolonged illness and school absence.
- Previous studies indicated higher asthma symptom prevalence in specific regions.
- The relationship between pediatrician availability and regional asthma incidence was unexplored.
Purpose of the Study:
- To investigate the correlation between pediatrician exposure and the prevalence of wheezy symptoms in children aged 13-15.
- To test the hypothesis that pediatrician availability influences regional asthma incidence.
- To explore the impact of pediatrician density on asthma severity.
Main Methods:
- Utilized data from a questionnaire study on childhood asthma symptoms.
- Measured potential pediatrician exposure as private pediatric clinics per 1000 child population per week.
- Correlated pediatrician exposure rates with the percentage of children reporting wheezy symptoms and asthma severity.
Main Results:
- A significant positive correlation was found between pediatrician exposure and the prevalence of wheezy symptoms (p=0.009).
- A significant negative correlation was observed between pediatrician exposure and asthma severity (p=0.01).
- This study is the first to report pediatrician exposure influencing national asthma incidence.
Conclusions:
- Increased pediatrician presence may be linked to higher reported asthma prevalence, potentially due to increased diagnosis of milder cases.
- Regions with greater pediatrician density may experience less severe childhood asthma, possibly due to earlier recognition and treatment.
- Healthcare access and pediatrician distribution appear to play a role in the clinical presentation and severity of childhood asthma.
Abstract:
Asthma produces substantial morbidity in childhood. Under-diagnosis may lead to inappropriate treatment and prolonged periods of illness and absence from school. The results of a recent International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire study in Malta showed a higher prevalence of wheezy symptoms in the Central North Region. The present study was carried out to test the null hypothesis that there is no correlation between potential exposure to pediatricians (measured as pediatric private clinics/1000 childhood population/week) and percentage of children aged 13-15 years of age responding positively in the questionnaire to having had wheezy symptoms. A significant, positive correlation was found between potential exposure to pediatricians and percentage of children aged 13-15 years responding positively to having had wheeze in the previous year (p=0.009). A negative correlation was also found for severity of asthma (>12 attacks in the previous 12 months) and potential exposure to pediatricians (p=0.01). This is the first report of potential exposure to pediatricians influencing the regional incidence of asthma on a national basis. This skew may be caused by the greater exposure of pediatricians to patients with severe forms of asthma in a hospital setting, and hence a higher index of suspicion for the milder forms of the disease. Asthma may be less severe in regions where there are a greater number of pediatricians because of recognition of the condition with appropriate treatment and/or prophylaxis.
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Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-I: Introduction
Asthma-III: Symptoms and Complications
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Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
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