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Published on: November 4, 2010
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.
Abstract:
The authors present data on the natural course of childhood bronchial asthma. They made a follow-up on 441 formerly asthmatic patients after the age of 14 years. The follow-up was based on questionnaires accompanied with personal interviews, physical examination, etc. The disease began in 167 (38%) patients before the age of 2; at the 'end' of childhood, at the age of 14, 34% were still asthmatic. In young adult age symptoms recurred in some cases and at the age of 26, 43% of the patients showed asthmatic complaints. The frequency of asthmatic attacks was significantly less in the young adults compared with that of childhood. Death occurred in 5 former patients, but only 2 of them died as a consequence of asthmatic disease. The authors constructed a diagram on the natural course of childhood asthma and show the practical use of this curve.
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