Assessment of Clinical Asthma Score and Asthma Severity Score in Preschool Children with Recurrent Wheezing

IF 0.3 Q4 ALLERGY

Astim Allerji Immunoloji Pub Date : 2021-12-22 DOI:10.21911/aai.607

Nurdan Çiftçi, E. Vezir, B. Alioglu

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引用次数: 0

Abstract

Objective: There is no definitive consensus on asthma exacerbation scoring for preschool children with recurrent wheezing. The Clinical Asthma Score (CAS) and Asthma Severity Score (ASS) are two scoring systems that can be used in this population. The aim of this study was to evaluate the relationship between CAS and ASS, acute treatment, and exacerbation outcomes in preschool children with wheezing. Materials and Methods: The study included 70 patients aged 2-5 years who presented to the pediatric emergency department due to an acute wheezing episode. CAS and ASS were evaluated at exacerbation presentation and after initial salbutamol therapy. Results: Presenting scores were significantly higher among patients who had three or more episodes within the last year (p=0.01 for CAS, p=0.019 for ASS). Presenting scores were significantly higher in patients treated with systemic steroid therapy during the episode compared to those who were not (p=0.006 for CAS; p=0.003 for ASS). CAS and ASS predicted the use of acute steroid therapy with a sensitivity of 73.7% and 52.6%, and predicted hospitalization with a sensitivity of 95% and 82.5%, respectively. Conclusion: Our data suggest that these scoring systems can be used to judge the need for systemic steroid therapy and that high scores are associated with greater likelihood of hospital admission. Keywords: Asthma score, children, hospitalization, wheezing, exacerbation

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学龄前反复喘息儿童临床哮喘评分和哮喘严重程度评分的评估

目的：对于反复喘息的学龄前儿童的哮喘恶化评分，目前还没有明确的共识。临床哮喘评分（CAS）和哮喘严重程度评分（ASS）是可用于该人群的两种评分系统。本研究的目的是评估CAS与学龄前喘息儿童的ASS、急性治疗和恶化结果之间的关系。材料和方法：该研究包括70名2-5岁的患者，他们因急性喘息发作而到儿科急诊科就诊。在急性发作时和沙丁胺醇初始治疗后评估CAS和ASS。结果：在过去一年内有三次或三次以上发作的患者中，表现得分显著较高（CAS为0.01，ASS为0.019）。与未接受系统性类固醇治疗的患者相比，接受系统性激素治疗的患者在发作期间的表现得分显著更高（CAS=0.006；ASS=0.003）。CAS和ASS分别以73.7%和52.6%的敏感性预测使用急性类固醇治疗，并以95%和82.5%的敏感性预测住院治疗。结论：我们的数据表明，这些评分系统可以用来判断是否需要全身类固醇治疗，高分与更大的住院可能性有关。关键词：哮喘评分，儿童，住院治疗，喘息，加重

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来源期刊

Astim Allerji Immunoloji ALLERGY-

CiteScore

0.80

自引率

0.00%

发文量

期刊介绍： Asthma Allergy Immunology has been published three times a year in April, August and December as the official and periodical journal of the Turkish National Society of Allergy and Clinical Immunology since 2003. All articles published in the journal have been available online since 2003. A peer reviewed system is used in evaluation of the manuscripts submitted to Asthma Allergy Immunology. The official language of the journal is English. The aim of the journal is to present advances in the field of allergic diseases and clinical immunology to the readers. In accordance with this goal, manuscripts in the format of original research, review, case report, articles about clinical and practical applications and editorials, short report and letters to the editor about allergic diseases and clinical immunology are published in the journal. The target reader population of the Asthma Allergy Immunology includes specialists and residents of allergy and clinical immunology, pulmonology, internal medicine, pediatrics, dermatology and otolaryngology as well as physicians working in other fields of medicine interested in allergy and immunological diseases.