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[The relation between the severity of bronchial asthma and the treatment points in children]
R Miyazawa1, M Tabata, M Okamoto
1Department of Pediatrics, Kiryu Kosei General Hospital.
Insights
This study examined pediatric asthma severity, finding that while treatment points correlate with clinical symptoms, they don't always align. Comprehensive assessment requires considering both symptoms and treatment scores for accurate pediatric asthma management.
Area of Science:
- Pediatric Pulmonology
- Asthma Management
- Clinical Assessment
Context:
- The 1998 pediatric asthma guideline introduced treatment points for severity assessment.
- Evaluating the correlation between clinical symptoms and treatment points in children with asthma is crucial for refining management strategies.
Purpose:
- To investigate the relationship between clinical symptom severity and treatment points in pediatric bronchial asthma.
- To determine if treatment points alone are sufficient for defining asthma severity in children.
Summary:
- A retrospective study of 125 pediatric asthma patients (ages 1-15) analyzed the association between clinical symptom scores and treatment points.
- Results showed a correlation between treatment points/scores and clinical symptom scores, but this relationship was inconsistent in some patients.
- The study suggests that defining pediatric asthma severity necessitates evaluating clinical symptoms (frequency/degree of attacks) alongside treatment points and scores.
Impact:
- Highlights the need for a multifaceted approach to pediatric asthma severity assessment.
- Emphasizes considering seasonal variations in treatment points for more accurate diagnosis and management.
- Informs clinical practice by suggesting limitations of solely relying on treatment points for pediatric asthma severity definition.
Abstract:
The treatment points and score for definition of the asthma severity were initially introduced in the guideline for pediatric asthma treatment and management on 1998. We studied the relationship between the severity of clinical symptoms for children with bronchial asthma and the treatment points from July 1998 to November 1999 in our hospital. One hundred twenty five patients (one to 15 years of age, 77 boys and 48 girls) were retrospectively investigated. The treatment points and scores were associated with the clinical symptom score. However, there was no relationship in some patients. In order to define the severity of bronchial asthma, we should investigate not only the severity in terms of the clinical symptoms; the number and degree of asthma attacks, but also the treatment points and score. Furthermore, we should pay attention to the seasonal variation of the treatment points.