Evaluation of asthma with special reference to asthma evaluation score

International Journal of Paediatrics and Geriatrics Pub Date : 2019-07-01 DOI:10.33545/26643685.2019.v2.i2b.43

N. K. Makwana

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Abstract

Objective: Assess severity with different asthma scores, correlate PEFR & Spo2 with clinical scores. Methods: Prospective study done at tertiary hospital including 100 asthma children. Clinical asthma evaluation score (D.W.), Pulmonary index (Becker) & Pulmonary score (Sharon smith) with Spo2 &PEFR measured initially & 1 hour after treatment. Acute severe asthma on presentation & no significant improvement after 1 hour of Rx were admitted. Results: In W.D, 1(100%), 8(100%) & 54/91(59.3%) with score>7, 6-7& 0-5 respectively admitted. In P.I.16 (100%), 45/63(71.42%) & 2/21(9.5%) with score >6, 4-6& 0-3respectively admitted. In P.S. 11(100%), 49/65(75.38%) & 3/24(12.5%) with score>6, 4-6&0-3 respectively admitted. No patients with PEFR>= 80% admitted. All patients with SPO2<=90% admitted. Coefficient of correlation between PEFR &score W.D., P.I. & P.S. IS -0.65, -0.64 & -0.66 respectively. Coeff. of correlation between SPO2 & score W.D., P.I. & P.S. is 0.68, 0.67 & 0.62 respectively. Conclusion: PEFR have significant negative correlation with scores. But pulmonary score is easy to perform & doesn’t require laboratory assistance. SPO2 show significant negative correlation with scores.

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哮喘评价特别参照哮喘评价评分

目的:评价不同哮喘评分的严重程度，PEFR和Spo2与临床评分的相关性。方法:在三级医院对100例哮喘患儿进行前瞻性研究。临床哮喘评估评分(D.W.)，肺指数(Becker)和肺评分(Sharon smith)， Spo2和pefr在治疗前和治疗后1小时测量。入院时为急性严重哮喘，服药1小时后无明显改善。结果:评分>7、6-7、0-5的患者分别为1例(100%)、8例(100%)、54/91例(59.3%)。在P.I.16(100%)， 45/63(71.42%)和2/21(9.5%)，分别为得分>6,4-6和0-3。在P.S. 11(100%)， 49/65(75.38%)和3/24(12.5%)分数>6,4-6和0-3分别被录取。PEFR> 80%的患者均未入院。SPO2<=90%的患者全部入院。PEFR与评分w.d.、P.I.、P.S.的相关系数分别为-0.65、-0.64、-0.66。多项式系数。SPO2与评分W.D、P.I.、P.S.的相关系数分别为0.68、0.67、0.62。结论:PEFR与评分呈显著负相关。但肺评分容易操作且不需要实验室协助。SPO2与得分呈显著负相关。

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International Journal of Paediatrics and Geriatrics

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