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Assessment of asthma control levels in a tertiary hospital: A cross-sectional study
Entisar S Alsafwani1, Ayed M Alenazi1, Mansour M Alqwaiee1
1From the Department of Pediatric Pulmonology (Alsafwani, Alenazi, BaQais); and from the Department of Pediatric (Alqwaiee, Alharbi, Al-Shamrani), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
Insights
Asthma control is poor in many children, with over half of those under 5 and a third of older children experiencing uncontrolled symptoms. Uncontrolled asthma significantly increases emergency room visits for pediatric patients.
Area of Science:
- Pediatric Pulmonology
- Clinical Asthma Research
Background:
- Asthma is a prevalent chronic respiratory condition in children, requiring effective management strategies.
- Assessing asthma control is crucial for preventing exacerbations and improving quality of life.
Purpose of the Study:
- To evaluate asthma control levels in pediatric patients under 12 years old.
- To utilize the Childhood Asthma Control Test (C-ACT) and the Test for Respiratory and Asthma Control in Kids (TRACK) for assessment.
Main Methods:
- A study involving 384 children was conducted at Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
- Data were collected from outpatient clinics between December 2023 and July 2024.
- The C-ACT and TRACK tools were employed to measure asthma control.
Main Results:
- 51.2% of children under 5 years had uncontrolled asthma.
- 34.5% of children aged 5-12 years had uncontrolled asthma.
- Uncontrolled asthma was significantly associated with increased emergency room visits (p<0.001).
Conclusions:
- The findings highlight a substantial burden of uncontrolled asthma in pediatric populations.
- Regular asthma monitoring using validated tools like C-ACT and TRACK is essential.
- Improved asthma management can lead to a reduction in emergency room visits.
Objectives:
To assess asthma control levels in pediatric patients under 12 years of age attending a tertiary hospital, utilizing the childhood asthma control test (C-ACT) and the test for respiratory and asthma control in kids (TRACK).
Methods:
The study involved 384 children. Data were collected from December 2023 to July 2024 from outpatient clinics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. A total of 2 tools, C-ACT and TRACK, were employed to measure asthma control.
Results:
The results showed that 51.2% of children under 5 years of age exhibited uncontrolled asthma. Among children aged 5-12, 34.5% showed uncontrolled. A statistically significant association was found between uncontrolled asthma and emergency room visits in both age groups (p<0.001), with 39.7% of younger children and 45.6% of older children with uncontrolled asthma seeking emergency care in the previous 4 weeks.
Conclusion:
The result underscore the importance of regular asthma monitoring and the use of validated tools such as C-ACT and TRACK to improve asthma management and reduce emergency room visits.
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