儿童喘诊断不足:在社会经济地位较低的人口中进行学校查
Dayan Crispin-Cruz1, Alejandro Casas-Herrera2, Camilo Rojas-Báez1
1Salud Respiratoria Comunitaria, Fundación Neumológica Colombiana, Bogotá, D. C., Colombia.
Biomedica : revista del Instituto Nacional de Salud
|June 10, 2025
概括
在哥伦比亚波哥大的低收入儿童中,喘诊断和控制很差. 学校查有效地识别了儿童喘,减少了诊断不足,并改善了这一弱势群体的健康结果.
科学领域:
- 儿科肺病学 儿科肺病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 国际喘指南强调早期诊断和控制.
- 这些仍然是重大的挑战,特别是对于来自低社会经济背景的儿童来说.
研究的目的:
- 为了确定喘患病率,诊断不足率,严重程度和控制水平.
- 专注于哥伦比亚波哥大社会经济地位较低的儿童.
主要方法:
- 一项涉及波哥大920名学童 (7-11岁) 的横截面研究.
- 使用了国际喘和过敏研究问卷,临床评估和螺旋计.
- 评估了喘患病率,诊断不足,控制,严重程度和生活质量.
主要成果:
- 在186名临床评估中,确定了122名患有喘的儿童 (17.2%的患病率).
- 低诊断率高达68%. 没有确诊.
- 大多数被诊断的儿童患有中度至重度喘,90%的喘控制不良.
结论:
- 基于学校的查是有效的检测儿童喘在服务不足的社区.
- 严重的诊断不足和喘控制不良突出了关键的公共卫生需求.
- 需要采取干预措施,以改善社会经济地位较低的人群中的喘管理.
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