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Published on: August 7, 2017
Risk factors of developing asthma in children with recurrent wheezing in the first three years of life
N Cortés Alvarez1, M A Martín Mateos, A M Plaza Martín
1Paediatric Allergy and Clinical Inmunology Section. Sant Joan de Déu Hospital-Clínic Hospital. University of Barcelona. Spain. 33891nca@comb.es
Insights
Identifying early asthma risk factors in children with recurrent wheezing is crucial. Atopy is a significant predictor, suggesting early intervention can prevent severe asthma development.
Area of Science:
- Pediatric Pulmonology
- Allergy and Immunology
Background:
- Recurrent wheezing is common in early childhood, making future asthma prediction challenging.
- Identifying high-risk children early is vital for timely intervention.
Purpose of the Study:
- To investigate risk factors for developing asthma in children under three with recurrent wheezing.
- To analyze the association between atopy and asthma development in this cohort.
Main Methods:
- Prospective study of 60 children under three with recurrent wheezing.
- Analysis of age, sex, personal/parental history of atopy, clinical features, and treatment response.
Main Results:
- A majority of patients were boys, with initial wheezing episodes after six months.
- Personal (63%) and parental (55%) history of atopy were common.
- Atopic children experienced more exacerbations, poorer outcomes, and increased treatment needs.
Conclusions:
- Personal and parental history of atopy are key indicators for asthma risk in young children.
- Early identification of atopic children with recurrent wheezing allows for timely intervention to potentially prevent irreversible airway changes.
Introduction:
recurrent wheezing is a common problem during the first years of life, but it is still difficult to identify which of these children may develop asthma in the future.
Objectives:
To study risk factors of developing asthma in a group of patients with frequent wheezing during the first three years of life.
Material And Methods:
A prospective study was performed of a group of 60 patients, aged below three, referred to our Hospital for recurrent wheezing. Age, sex, parental and personal history of atopy, clinical features, laboratory tests, evolution and response to treatment were analyzed.
Results:
60 patients were enrolled in study. Most of children were boys and have had the first episode of wheezing after the 6 months of life. 63 % had personal history of atopy and 55 % parental history of allergy. The group of atopic children had more wheezing exacerbations and worse evolution than the group of non atopic. They also had more treatment necessities.
Conclusions:
The identification of young children at high risk of developing asthma could permit an early intervention before irreversible changes in the airway appeared.
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