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Published on: November 5, 2010
[Evaluation of quality of life in children with bronchial asthma]
Claudia-Felicia Pop1, Paraschiva Cherecheş-Panţa, M V Nanulescu
1Clinica Pediatrie III, U.M.F. luliu Haţieganu, Cluj-Napoca.
Insights
This study shows that 87% of children with persistent asthma experienced improved quality of life after one year of controller treatment. Quality of life scores significantly increased, indicating better symptom management and emotional well-being in pediatric asthma patients.
Area of Science:
- Pediatric Pulmonology
- Quality of Life Research
- Asthma Management
Context:
- Asthma significantly impacts children's physical, psychological, and social well-being.
- Quality of life (QoL) is a crucial subjective measure for assessing asthma's daily impact on children.
- Persistent asthma in children requires effective long-term management strategies.
Purpose:
- To evaluate the one-year evolution of QoL scores in children with persistent asthma on controller therapy.
- To assess the correlation between QoL scores and pulmonary function parameters in pediatric asthma patients.
- To determine the efficacy of controller medications in improving QoL for children with asthma.
Summary:
- A one-year study involving 64 children with persistent asthma utilized the 23-item Pediatric Asthma Quality of Life Questionnaire (PA QLQ).
- QoL scores improved significantly in 87% of participants, with general scores rising from 4.78 to 6.53 (p=0.0001).
- Improvements were noted in symptom, activity, and emotion domains, alongside enhanced circadian variation of peak expiratory flow (PEF) (p=0.002).
Impact:
- The findings suggest that QoL evaluation is a valuable tool for appreciating the clinical course of pediatric asthma.
- QoL assessment can serve as a complementary method to traditional spirometry and PEF monitoring in children with asthma.
- Improved QoL scores correlate with better symptom control and overall well-being in children managing persistent asthma.
Abstract:
Asthma affects children physically, psychologically and socially. The quality of life is a subjective parameter that evaluates the impact of asthma on daily life of the child. The authors evaluated the evolution of the quality of life score in children with persistent asthma treated with controllers, during one year, and the correlation between the quality of life score and pulmonary function parameters. The evaluation of the quality of life was based on a questionnaire with 23 items (PA QLQ), which was applied on 64 children with asthma. The quality of life score was evaluated initially and every 3 months. Pulmonary function tests were measured by spirometry every 3 months and children recorded PEF twice daily At the end of the study the authors revealed the improvement of the quality of life score in 87% of children. Initially the value of the general score of quality of life was of 4.78 +/- 1.09 and it increased up to 6.53 +/- 0.56 (p = 0.0001) after 12 months. We noticed significant improvement of the scores for symptoms, activities and emotions, and also of circadian variation of PEF (p = 0.002). We revealed a relatively poor reverse correlation between general score of the quality of life and circadian variation of PEF (r = - 0.330). In conclusion, the evaluation of quality of life might appreciate the clinical course of asthma patients. Based on this results the authors suggest the use of the evaluation of the quality of life as a complementary method to the classical methods used for asthma monitoring in children.
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