Disease control in asthmatic children seen in private practice in Switzerland

Alexander Moeller1, Claudia Steurer-Stey, Herbert Suter

  • 1Swiss Paediatric Respiratory Research Group (SPRRG), Division of Respiratory Medicine University Children's Hospital Basel, Zürich and Alpine Children's Clinic Davos, Switzerland. alexander.moeller@kispi.unizh.ch

Insights

Improving asthma control in children is crucial, as many experience symptoms despite treatment. Adjusting therapy regimens, particularly with leukotriene receptor antagonists, significantly enhanced asthma control in a Swiss study.

Area of Science:

  • Pediatric Pulmonology
  • Public Health
  • Clinical Practice

Background:

  • Asthma is a prevalent chronic childhood illness in Switzerland, affecting 10% of children.
  • High medical costs associated with asthma underscore the need for effective disease management strategies.
  • Assessing asthma control is key to developing interventions for better patient outcomes.

Purpose of the Study:

  • To evaluate asthma control levels in children.
  • To analyze current asthma therapy regimens in pediatric patients.
  • To identify strategies for improving asthma management in private practice settings.

Main Methods:

  • A study involving 575 asthmatic children in Switzerland.
  • Utilized abbreviated questionnaires based on the Asthma Control Questionnaire and Child Health Questionnaire.
  • Data collected at two separate visits (Visit 1 and Visit 2).

Main Results:

  • Only 25.7% of children had good asthma control at Visit 1.
  • High prevalence of symptoms: 80.5% had occasional symptoms, 41.2% experienced activity limitation, 46.8% had nocturnal awakenings, and 57% caused parental anxiety.
  • After therapy adjustment (e.g., adding leukotriene receptor antagonists), 53.4% of children showed improved asthma control by Visit 2.

Conclusions:

  • A significant proportion of asthmatic children have inadequately controlled disease.
  • There is a critical need for improved asthma control measures.
  • Effective management can reduce the overall burden of childhood asthma.
Abstract

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