在儿童和青少年的两个喘控制问卷之间达成一致的程度
Cláudio Luiz Castro Gomes de Amorim1,2, Karina Couto Furlanetto2,3, Thaila Corsi2,3
1. Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Londrina, Londrina (PR) Brasil.
概括
吉纳调查问卷显示,在评估儿科喘控制时,与喘控制测试 (ACT) 有适度的一致性. 与ACT不同的是,GINA更好地识别了不受控制的喘,与临床和精神测量结果相关,与ACT不同.
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
- 临床评估工具 临床评估工具
背景情况:
- 精确评估喘控制对于儿童和青少年的有效管理至关重要.
- 现有的工具,如GINA问卷和喘控制测试 (ACT),旨在量化喘控制.
- 了解这些工具之间的协议和临床相关性对于优化患者护理至关重要.
研究的目的:
- 评估GINA问卷和ACT (包括儿童的C-ACT) 在评估儿科患者喘控制中的一致性.
- 通过每个问卷来比较被分类为有控制与无控制喘的患者的临床,实验室和螺旋测量特征.
主要方法:
- 在患有喘的儿童和青少年中,使用GINA问卷和ACT/C-ACT对喘控制的横截面评估.
- 进行了螺旋测量,临床评估 (被动吸烟,严重程度,药物,吸入器使用) 和实验室测试 (维生素D,乙素,IgE).
- 统计分析以确定协议 (kappa统计) 并比较患者的特征.
主要成果:
- 在GINA问卷和ACT/C-ACT之间发现了对喘控制分类的中等一致性 (k = 0.505).
- GINA发现42%的患者患有失控喘,而ACT/C-ACT发现了20%.
- 与ACT/C-ACT发现不同的是,GINA识别的不受控制的喘与更高的ICS剂量,更严重的严重性,被动吸烟和较差的精神测量 (FVC,FEV1,FEF25-75%) 相关联.
结论:
- 吉纳调查问卷和ACT/C-ACT在评估儿科喘控制方面显示出中等一致性.
- 吉纳调查问卷在识别失控喘方面似乎更敏感,显示了与客观临床和功能参数的更强烈关联.
- GINA可以提供更全面的临床评估,可能减少儿童和青少年未经控制的喘报告不足.
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