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Measuring morbidity from asthma in children

E A Mitchell1, A W Stewart, H H Rea

  • 1University of Auckland.

The New Zealand Medical Journal
|January 24, 1997
PubMed

Insights

New asthma morbidity measures effectively assess severity in children. These tools, including parental perception and emotional response, correlate well with traditional metrics and school attendance, aiding clinical assessment and research.

Area of Science:

  • Pediatric Pulmonology
  • Clinical Assessment Tools
  • Asthma Research

Background:

  • Traditional measures of childhood asthma morbidity, such as hospital admissions and emergency room visits, may not fully capture the spectrum of illness, especially in milder cases.
  • Accurate assessment of asthma severity is crucial for effective management and intervention in pediatric populations.

Purpose of the Study:

  • To develop and validate novel measures of asthma morbidity applicable to children across all severity grades.
  • To create a composite score reflecting parental perception and emotional response to a child's asthma.

Main Methods:

  • A cross-sectional study involving 381 children with asthma.
  • Comparison of traditional asthma morbidity indicators (hospital admissions, ER visits) with new measures (school attendance, parental perception, parent emotional response).

Main Results:

  • Poor school attendance was significantly associated with severe asthma based on traditional measures (r = 0.30, p < 0.0001).
  • A new composite morbidity score, derived from parental perception and emotional response, demonstrated strong correlations with traditional morbidity scores (r = 0.43, p < 0.0001) and school attendance (r = 0.28, p < 0.0001).

Conclusions:

  • The newly developed asthma morbidity measures are practical and user-friendly.
  • These measures are valuable for assessing asthma severity, particularly in mild to moderate cases, and are recommended for clinical and research settings.
Abstract

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