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Morbidity pattern of children with asthma: a prospective study
K Manandhar1, B L Bajracharya, S Dhakal
1Paediatric Department, Kathmandu Medical College, Kathmandu, Nepal.
Kathmandu University Medical Journal (KUMJ)
|July 8, 2008
Summary
Asthma management in children improves outcomes. Parental education and consistent follow-up care significantly reduce school absences and emergency room visits for pediatric asthma patients.
Area of Science:
- Pediatric Pulmonology
- Clinical Pediatrics
Background:
- Asthma is a common chronic respiratory disease in children.
- Understanding the morbidity patterns is crucial for effective management.
Purpose of the Study:
- To determine the morbidity pattern of childhood asthma.
- To evaluate the impact of a specialized follow-up clinic on asthma morbidity.
Main Methods:
- A 2-year longitudinal prospective follow-up of 104 pediatric asthma patients.
- Standardized treatment, regular follow-up by the same clinician, and parental education were implemented.
Main Results:
- The mean age of patients was 6.7 years; 47.5% had mild persistent asthma.
- Over half (56.7%) missed >7 school days/month; 54.8% consumed junk food and were undernourished.
- Significant reductions in school absenteeism and ER visits were observed during follow-up.
Conclusions:
- Disease awareness and consistent management are key for pediatric asthma.
- Integrated care including education and emotional support can decrease asthma-related morbidity in children.
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