Late prognosis of bronchial asthma in children

Insights

This study tracked 441 childhood asthma patients into adulthood, finding that 34% still had asthma at age 14, with symptoms recurring in some by age 26. Asthma attacks were less frequent in adulthood compared to childhood.

Area of Science:

  • Pediatrics
  • Pulmonology
  • Epidemiology

Background:

  • Childhood bronchial asthma is a common chronic respiratory condition.
  • Understanding the long-term natural course of asthma is crucial for effective management.
  • Previous studies have limited data on asthma persistence into adulthood.

Purpose of the Study:

  • To investigate the natural progression of childhood bronchial asthma into young adulthood.
  • To determine the prevalence of asthma symptoms and recurrences in formerly asthmatic children.
  • To analyze the long-term outcomes and mortality associated with childhood asthma.

Main Methods:

  • A longitudinal follow-up study of 441 patients diagnosed with childhood bronchial asthma.
  • Data collection involved questionnaires, personal interviews, and physical examinations.
  • The follow-up extended beyond the age of 14 years, with assessments at young adult ages.

Main Results:

  • Asthma onset before age 2 occurred in 38% of patients.
  • At age 14, 34% of patients remained asthmatic.
  • By age 26, 43% experienced asthma complaints, though attack frequency decreased compared to childhood.
  • Five patients died, with 2 deaths attributed to asthma.

Conclusions:

  • Childhood asthma often persists into or recurs in young adulthood.
  • The natural course of asthma shows a decrease in attack frequency but continued prevalence.
  • A diagram illustrating the natural course of childhood asthma was developed for practical application.

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