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Related Concept Videos

Asthma-IV: Diagnostic and Management01:30

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Clinical Assessment for Asthma:
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Asthma-I: Introduction01:29

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Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
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The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
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Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
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Pediatric Asthma Impairment and Risk Questionnaire: Rationale and development of a composite control tool.

Miguel J Lanz1, Bradley E Chipps2, Robert S Zeiger3

  • 1Allergy and Immunology Division, Nicklaus Children's Hospital, Miami, Florida.

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
|November 30, 2024
PubMed
Summary

Pediatric asthma control needs a new tool. The Asthma Impairment and Risk Questionnaire for children (Peds-AIRQ) is being developed using feedback from children and parents to improve asthma management and reduce exacerbations.

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Area of Science:

  • Pediatric Pulmonology
  • Asthma Management
  • Patient-Reported Outcomes

Background:

  • Childhood asthma significantly impacts daily life, leading to missed school days and healthcare utilization.
  • A substantial percentage of children with asthma experience uncontrolled symptoms and frequent exacerbations.
  • Validated tools are needed to assess and predict asthma control in pediatric populations.

Purpose of the Study:

  • To develop a pediatric version of the Asthma Impairment and Risk Questionnaire (Peds-AIRQ).
  • To gather feedback from children with asthma and their caregivers on draft Peds-AIRQ questions.
  • To inform the creation of a reliable tool for assessing pediatric asthma control.

Main Methods:

  • Cognitive interviews were conducted with children (aged 5-11) and their parents/caregivers.
  • Interviews aimed to elicit relevant language and assess understanding of draft Peds-AIRQ items.
  • Physician and caregiver assessments provided additional data on pediatric asthma morbidity.

Main Results:

  • Sixty child-parent dyads participated, with diverse demographic representation.
  • A significant portion of children had partly controlled or uncontrolled asthma, with high rates of corticosteroid use.
  • Draft Peds-AIRQ questions were found to be understandable and relevant, leading to the selection of specific items for validation.

Conclusions:

  • This study highlights the necessity of a composite tool for assessing asthma impairment and risk in young children.
  • Key questions were identified for the validation of the Peds-AIRQ.
  • The findings support the development of Peds-AIRQ to improve pediatric asthma control assessment.