运动引起的儿童支气管收缩:德尔菲研究和关于定义和流行病学,诊断工作,治疗和随访的共识文件
Valentina Fainardi1, Roberto Grandinetti1, Nicole Mussi1
1Department of Medicine and Surgery, Pediatric Clinic, University of Parma, Via Gramsci 14, 43126, Parma, Italy.
Respiratory research
|December 28, 2024
概括
儿科医生对儿童运动引起的支气管收缩 (EIB) 的管理表示一致,但在诊断和治疗方面存在差距. 创建了共识陈述,以指导这种常见疾病的临床实践.
科学领域:
- 儿科肺病学 儿科肺病学
- 运动医学 运动医学
- 临床实践指南 临床实践指南
背景情况:
- 运动引起的支气管收缩 (EIB) 在儿童中很普遍,影响了喘患者和非喘患者,特别是运动员.
- 对于EIB的差异诊断包括运动诱导的喉阻塞 (EILO),心脏病和体力减弱.
- 精确诊断EIB是至关重要的,因为它对儿童的健康,体育表现和体育活动水平的影响.
研究的目的:
- 评估儿科医生之间关于EIB在儿童中管理的协议.
- 制定共识陈述,以改善临床实践,识别和管理EIB.
主要方法:
- 采用了德尔菲方法,涉及一个由专家组成的小组,对陈述进行评分.
- 声明被修订并在在线会议上讨论,以达成充分的共识.
- 调查问卷分为两轮,重点关注最近的证据和不确定性领域.
主要成果:
- 在参与的儿科医生中观察到对EIB管理的总体共识.
- 在EIB管理的诊断和治疗部分发现了差距.
- 制定了9个概要,涵盖了定义,发病,诊断,治疗和随访.
结论:
- 该研究发现了EIB在儿科医生诊断和治疗方面的知识差距和不确定性.
- 分享的共识声明有潜力增强EIB在儿科护理方面的管理.
- 需要进一步的研究来完善诊断协议,并优化EIB的治疗策略.
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