在学龄儿童中不受控制的喘 - 全国专业护理研究
Caroline Stridsman1, Øyvind Martinsen2,3, Stina Selberg1
1Department of Public Health and Clinical Medicine, Division of Medicine/OLIN Unit, Umeå University, Umeå, Sweden.
The journal of allergy and clinical immunology. Global
|March 5, 2024
概括
失控儿童喘 (UCA) 影响31%的儿科患者,与女性性别,年龄较大和肥胖有关. 许多患有UCA的儿童未得到充分治疗,这表明需要更好的喘管理策略.
科学领域:
- 儿科肺病学 儿科肺病学
- 喘管理 喘管理
- 公共卫生 公共卫生
背景情况:
- 失控喘 (UCA) 是一种不同于严重喘的疾病,在儿童中可以观察到,不管处方治疗强度如何.
- 在儿童群体中确定UCA对于有效的喘护理和管理策略至关重要.
研究的目的:
- 描述儿科专家护理机构中未经控制的儿童喘 (UCA) 的患病率和相关因素.
- 研究UCA与儿童的各种人口,临床和治疗参数之间的关系.
主要方法:
- 一项涉及5497名 (6-17岁) 患有喘的儿童在2019年在瑞典门诊诊所接受治疗的全国性横截面研究.
- 使用包括喘控制测试得分≤19,每年≥2次恶化或预测FEV1<80%的标准来定义UCA.
- 治疗步骤根据全球喘倡议 (GINA) 的指导方针 (步骤1-5).
主要成果:
- 在31%的研究队列中 (n=1690) 发现了不受控制的喘 (UCA).
- 与UCA相关的因素包括女性性别 (OR=1.29),年龄较大 (OR=1.02),以及肥胖 (OR=1.43).
- 在GINA治疗步骤较高时,UCA患病率增加 (步骤3:OR=1.28;步骤4-5:OR=1.32). 值得注意的是,28%处于较低治疗阶段 (1-2) 的儿童患有UCA,与处于较高治疗阶段 (15%) 的UCA患者相比,UCA恶化率更高 (24%).
结论:
- 无法控制的儿童喘是常见的,并与特定的人口因素和更高的治疗步骤有关.
- 很大一部分患有UCA的儿童处于较低的治疗阶段,这表明潜在的治疗不足.
- 这些发现强调需要重新评估和优化儿科护理中的喘管理策略,以有效地解决UCA,特别是在潜在的治疗不足的人群中.
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