儿科哮喘儿童随访对疾病控制的影响。

Q4 Medicine
West African journal of medicine Pub Date : 2024-11-10
A Yakoubou, O Ladipo, G Fagnon, G G Sagbo
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引用次数: 0

摘要

导言:2018年,CHU-MEL开始开展肺炎儿科会诊;哮喘儿童的随访是重点:评估随访对哮喘疾病控制的影响:这是一项前瞻性队列研究,旨在对2019年10月至2021年10月期间的情况进行描述和分析。研究对象包括所有确诊为哮喘的三至十七岁儿童。首次就诊后失去随访机会的儿童将被排除在外,患有其他相关呼吸系统或心脏疾病的儿童也不在排除之列。参考了 GINA 2019 的建议:在研究期间,共纳入了 47 名儿童,年龄在 3 岁至 12 岁之间。在随访开始时,最多的年龄组为 6 岁以下,性别比为 0.88。根据 GINA 分级,53.19% 的患者患有中度持续性哮喘。大多数儿童正在接受 GINA 2019 3 级背景治疗。对31名患者进行了评估,对22名患者进行了定期随访,16名患者的哮喘得到了控制,其中8名患者的哮喘得到了部分控制。与哮喘控制相关的因素有:父母有哮喘病史(P=0.021)、定期随访(P=0.002)和接受背景治疗(P=0.009):结论:在肺炎儿科(儿科呼吸内科)对哮喘患儿进行随访最有可能对疾病控制产生积极影响。患者保留率有待提高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
EFFECT OF FOLLOW-UP OF ASTHMATIC CHILDREN IN PNEUMOPEDIATRICS ON DISEASE CONTROL.

Introduction: The pneumopediatrics consultation started at CHU-MEL in 2018; follow-up of asthmatic children is a major focus.

Objective: To assess the impact of follow-up on asthma disease control.

Method: This was a prospective cohort study with descriptive and analytical aims from October 2019 to October 2021. All children between three and seventeen years old with a confirmed diagnosis of asthma were included. Those lost to follow-up after the first consultation were excluded and the presence of another associated respiratory or cardiac pathology was also a non-inclusion criterion. GINA 2019 recommendations were used as a reference.

Results: Over the study period, 47 children were included, aged between three and twelve years. The age group most represented at the start of follow-up was under six, with a sex ratio of 0.88. According to the GINA classification, 53.19% of patients had moderate persistent asthma. The majority of children were receiving GINA 2019 level 3 background therapy. Evaluated in 31 patients, follow-up was regular in 22 and asthma was controlled in 16 patients, eight of whom were partly controlled. Factors associated with asthma control were parental history of asthma (p=0.021), regularity of follow-up (p=0.002), and compliance with background treatment (p= 0.009).

Conclusion: Follow-up of children with asthma in the pneumopediatrics (paediatric respirology) department is most likely to have a positive effect on disease control. Patient retention needs to be improved.

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来源期刊
West African journal of medicine
West African journal of medicine Medicine-Medicine (all)
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