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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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[Underdiagnosed asthma in third-grade children].

I Walus1, G Richard1, B Laquerrière1

  • 1Service de santé scolaire, sous-direction de la santé, Dases, 75012 Paris, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|November 21, 2015
PubMed
Summary
This summary is machine-generated.

School doctors can effectively screen for undiagnosed asthma in children as young as 8 by asking about respiratory symptoms. This method, combined with family history, aids in early detection and management of childhood asthma.

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Area of Science:

  • Pediatrics
  • Respiratory Medicine
  • Public Health

Background:

  • Undiagnosed asthma is understudied in pre-adolescent children, often missed by parents and physicians.
  • Direct questioning of children about respiratory symptoms is an uncommon method for asthma detection.
  • Epidemiological data suggest a higher prevalence of asthma-like symptoms in adolescents than diagnosed cases.

Purpose of the Study:

  • To evaluate the effectiveness of a school-based questionnaire for detecting undiagnosed asthma in children.
  • To assess the utility of direct questioning of children regarding respiratory symptoms for asthma screening.
  • To determine if family history and personal history improve asthma detection rates.

Main Methods:

  • A questionnaire assessing atopy, family history, and respiratory symptoms was administered to children (preschool and third grade).
  • Third-grade children (around 8 years old) were questioned directly about current respiratory symptoms by school doctors.
  • Children with a positive questionnaire underwent further evaluation to confirm asthma diagnosis.

Main Results:

  • 131 out of 1135 children screened had a positive questionnaire for suspected asthma.
  • In 75% of positive cases, the questionnaire was positive based solely on children's reported respiratory symptoms.
  • Of 41 children with known outcomes, 20 (49%) were diagnosed with asthma, and 12 received controller medication.

Conclusions:

  • Directly questioning children aged 8 about respiratory symptoms is a viable method for detecting undiagnosed asthma.
  • Incorporating personal and family history can enhance the accuracy of asthma screening in children.
  • Further research is needed to fully understand the questionnaire's properties and optimal implementation strategies for school health programs and general practitioners.