Impact of asthma severity on long-term asthma control.

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
Shahid I SheikhSabrina Palacios

Abstract

Background: Asthma is a common childhood disease with significant morbidity. Severe asthma accounts for just 4-6% of patients, but this group is more difficult to treat and is responsible for up to 40% of asthma expenses.Objective: The relationship between asthma severity and control is not well characterized. The main objective of this study was to determine impact of asthma severity on asthma control over time.Methods: This was a three year, prospective observational cohort study at a tertiary care children's hospital. Results were compared over time and between patients with severe and non-severe persistent asthma. Intervention included therapy based on severity and control, accompanied by a NAEPP (EPR-3) guidelines based structured asthma education program.Results: The sample included 471 children referred from primary care offices with the diagnosis of persistent asthma, mean age 6.4 ± 2.4 years. Forty-one children (8.7%) had severe persistent asthma and 430 (91.3%) children had non-severe persistent asthma (mild-moderate persistent). Our sample size decreased over the three-year period and the number of patients completing the third year were 176 (38%) and among them 20 (11.4%) had severe asthma. At the initial visit, chi...Continue Reading

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Citations

Feb 19, 2021·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Shahid I SheikhJudy Pitts
Sep 30, 2021·World Journal of Pediatrics : WJP·Shahid I SheikhLisa Ulrich

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