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儿童喘控制测试和精神测量值在学龄儿童
Deborah G Loman1, Anne E Borgmeyer2, Lisa D Henry2
1Saint Louis University, St. Louis, MO, USA.
概括
儿童喘控制测试 (C-ACT) 可以帮助儿童喘控制. 然而,对于患有持续症状的儿童,建议进行螺旋计,以准确评估他们当前的喘控制水平.
科学领域:
- 儿科肺病学 儿科肺病学
- 呼吸系统医学 呼吸系统医学
- 临床试验 临床试验
背景情况:
- 对儿童的喘控制评估对于有效管理至关重要.
- 儿童和家长报告,如儿童喘控制测试 (C-ACT),提供主观的见解.
- 诸如螺旋计等客观测量对于全面评估至关重要.
研究的目的:
- 通过C-ACT评估儿童/家长报告的喘控制与客观螺旋计发现之间的相关性.
- 为了确定C-ACT得分在识别儿童控制不良的喘时的诊断准确性.
主要方法:
- 一项涉及648名儿童 (5-11岁) 在学校喘计划中的描述性研究.
- 使用C-ACT和螺旋计 (FEV1和FEV1/FVC) 评估了喘控制.
- 灵敏度,特异性和曲线下的面积 (AUC) 计算了C-ACT得分与精神计量定义的喘控制不良 (FEV1 ≤80%预测).
主要成果:
- 预测FEV1≤80%的儿童的C-ACT得分明显较低 (p=.023).
- 低FEV1.4的C-ACT得分为19或以下显示出44.9%的敏感性和66.4%的特异性.
- 低FEV1的C-ACT得分为22或更低,其敏感度为67.7%,特异性为30.9%,AUC分别为0.444和0.507.
结论:
- 该C-ACT作为一个有价值的查工具,用于控制儿童群体的喘.
- 螺旋计仍然对于准确评估当前的喘控制至关重要,特别是在症状持久的儿童中.
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