THE ASTHMA CONTROL TEST AND PEAK EXPIRATORY FLOW RATE ARE INDEPENDENT PEDIATRIC ASTHMA MANAGEMENT TOOLS IN AN OUTPATIENT SETTING

CHEST Journal ◽  
2009 ◽  
Vol 136 (4) ◽  
pp. 34S
Author(s):  
Marilynn Chan ◽  
Sandhya Sitaraman ◽  
Amrita K. Dosanjh
Keyword(s):  
Asthma Control ◽  
Peak Expiratory Flow ◽  
Flow Rate ◽  
Peak Expiratory Flow Rate ◽  
Asthma Management ◽  
Pediatric Asthma ◽  
Outpatient Setting ◽  
Control Test ◽  
Asthma Control Test ◽  
Management Tools

scholarly journals Assessment of disease control in patients with asthma

Medicina ◽  
2009 ◽  
Vol 45 (12) ◽  
pp. 943 ◽  
Author(s):  
Guoda Pilkauskaitė ◽  
Kęstutis Malakauskas ◽  
Raimundas Sakalauskas
Keyword(s):  
Lung Function ◽  
Asthma Control ◽  
Control Level ◽  
Asthma Management ◽  
Control Test ◽  
Uncontrolled Asthma ◽  
Asthma Control Test ◽  
Inhaled Steroids ◽  
Asthma Patients ◽  
Β2 Agonists

International guidelines indicate that the main criterion of asthma management is asthma control level. The aim of this study was to assess asthma control and its relation with age, gender, and lung function. Material and methods. A total of 106 family physicians and 13 pulmonologists and allergists took part in this study. Each doctor had selected 10–15 asthma patients and had sent invitations to them by post. On the visit day, the patients themselves filled in the Asthma Control Test. The doctors interviewed the patients and filled in a special questionnaire. Pulmonologists and allergists also assessed lung function by performing spirometry. According to the results of the Asthma Control Test, the disease control level was indicated as “totally controlled” (25 points), “well controlled” (24–20 points), and “uncontrolled” (19 points or less). Results. A total of 876 asthma patients were examined. Uncontrolled asthma was diagnosed to 56.2% of the patients, 36.5% of patients had well controlled and 7.3% totally controlled asthma. There was no significant difference in asthma control level comparing men and women. A correlation between asthma control level and age was found revealing poorer asthma control in older patients. Ninety-five percent of patients were treated with inhaled steroids; most of them had used inhaled steroids in combination with long-acting β2 agonists. It was found that lung function correlated with clinical symptoms of asthma, the demand of shortacting β2 agonists, and asthma control level. Conclusion. The study showed that uncontrolled asthma was diagnosed to more than half of the patients, despite most of them used inhaled steroids. Asthma control was worsening with the age of patients with asthma and it correlated with lung function. We suggest that periodical assessment of asthma control should help to optimize asthma management.

scholarly journals Asthma Control Test and Bronchial Challenge with Exercise in Pediatric Asthma

2016 ◽  
Vol 4 ◽  
Author(s):  
Salvatore Tripodi ◽  
Mario Barreto ◽  
Andrea Di Rienzo-Businco ◽  
Oriano Grossi ◽  
Ifigenia Sfika ◽  
...  
Keyword(s):  
Asthma Control ◽  
Pediatric Asthma ◽  
Control Test ◽  
Asthma Control Test ◽  
Bronchial Challenge

scholarly journals Uji Kesahihan dan Keandalan Kuesioner Childhood Asthma Control Test versi Indonesia pada Anak Usia 4-11 Tahun

Sari Pediatri ◽  
2016 ◽  
Vol 16 (2) ◽  
pp. 103
Author(s):  
Cynthia Utami ◽  
Mardjanis Said ◽  
Nastiti Kaswandani ◽  
Dwi Putro Widodo
Keyword(s):  
Asthma Control ◽  
Peak Expiratory Flow ◽  
Childhood Asthma ◽  
Control Test ◽  
Asthma Control Test ◽  
Expiratory Flow ◽  
Bahasa Indonesia

Latar belakang. Childhood Asthma Control Test (CACT) merupakan kuesioner penilaian terkendalinya asma pada anak yang cepat dan mudah digunakan. Di Indonesia, penggunaan CACT masih terbatas karena kendala bahasa dan budaya. Sampai saat ini, belum ada kuesioner CACT versi Indonesia (terjemahan CACT ke dalam bahasa Indonesia) yang terbukti sahih dan andal.Tujuan. Mengetahui kesahihan (validity) dan keandalan (reliability) kuesioner CACT versi Indonesia.Metode. Menerjemahkan tujuh pertanyaaan kuesioner CACT menjadi kuesioner CACT versi Indonesia. Studi potong lintang dilakukan terhadap 66 subjek usia 4-11 tahun yang dipilih secara konsekutif. Semua subjek menjalani uji fungsi paru dan pemeriksaan peak expiratory flow berkala. Analisis statistik menggunakan uji Cronbach’s α dan uji korelasi Pearson/ Spearman.Hasil. Rerata usia subjek penelitian 7,89 tahun (5,25 -11,83) tahun dengan proporsi jenis kelamin laki-laki lebih tinggi dibandingkan perempuan. Sebagian besar subjek penelitian yaitu 60,4% memiliki status asma tidak terkendali (nilai kuesioner CACT ≤19). Kuesioner CACT versi Indonesia mempunyai keandalan (Cronbach’s α 0,762) dan kesahihan konstruksi (r= 0,384-0,545) yang baik. Tidak terdapat korelasi bermakna antara kuesioner CACT versi Indonesia dengan nilai FEV1 (r=-0,024; p=0,846) dan nilai variabilitas mingguan PEF (r=-0,218; p=0,079).Kesimpulan. Kuesioner CACT versi Indonesia mempunyai kesahihan dan keandalan yang baik untuk menilai terkendalinya asma. Kuesioner ini tidak mempunyai korelasi dengan uji fungsi paru sehingga CACT tidak dapat menggantikan peran uji fungsi paru sebagai salah satu komponen penilaian terkendalinya asma.

scholarly journals The real-world “ControL’Asma” study: a nationwide taskforce on asthma control in children and adolescents

2021 ◽  
Vol 49 (1) ◽  
pp. 32-39
Author(s):  
Maria Angela Tosca ◽  
Gian Luigi Marseglia ◽  
Giorgio Ciprandi ◽  
ControL’Asma” Study Group
Keyword(s):  
Lung Function ◽  
Children And Adolescents ◽  
Asthma Control ◽  
Real World ◽  
Asthma Management ◽  
Bronchial Obstruction ◽  
Control Test ◽  
Asthma Control Test ◽  
Study Objective ◽  
Asthmatic Children

Background: Asthma control is the goal of asthma management. A nationwide study on this aspect was launched by the Italian Society of Paediatric Allergy and Immunology (ControL’Asma study). Objective: To define variables associated with different asthma control grades in a nationwide population of asthmatic children and adolescents. Methods: This cross-sectional real-world study included 480 asthmatic children and adolescents (333 males, median age 11.2 years) consecutively enrolled in 10 third level pediatric allergy clinics. According to the Global Initiative for Asthma (GINA) document, history, medication use, perception of asthma symptoms assessed by visual analog scale (VAS), clinical examination, lung function, childhood asthma control test (cACT)/asthma control test (ACT), and asthma control level were evaluated. Results: Considering GINA criteria, asthma was well controlled in 55% of patients, partly controlled in 32.4%, and uncontrolled in 12.6%. Regarding cACT/ACT, asthma was uncontrolled in 23.2%. Patients with uncontrolled asthma had the lowest lung function parameters and VAS scores, more frequent bronchial obstruction and reversibility, and used more oral and inhaled corticosteroids (CS). Conclusions: The ControL’Asma study, performed in a real-world setting, showed that asthma in Italian children and adolescents was usually more frequent in males. Asthmatic patients had an early onset and allergic phenotype with very frequent rhinitis comorbidity. Uncontrolled and partly controlled asthma affected about half of the subjects, and the assessment of asthma symptom perception by VAS could be a reliable tool in asthma management.

scholarly journals Gambaran Arus Puncak Ekspirasi (APE) dan Kontrol Asma pada Pasien Asma

2019 ◽  
Vol 10 (3) ◽  
pp. 193
Author(s):  
Akbar Nur ◽  
Muhammad Amin ◽  
Muhammad Sajidin ◽  
Kusnanto Kusnanto
Keyword(s):  
Asthma Control ◽  
Peak Expiratory Flow ◽  
Peak Flow ◽  
Forced Expiration ◽  
Control Test ◽  
Asthma Control Test ◽  
Flow Meter ◽  
Asthmatic Patients ◽  
Expiratory Flow ◽  
And Control

Asthma is a chronic inflammatory airway disease characterized by episodic wheezing, coughing, and chest tightness due to airway obstruction. The aim of this study was to identify the peak expiratory flow (APE) and control of asthma in asthmatic patients at the Poly Paru Airlangga University Hospital and Home Haji General Hospital) Surabaya. This research method was descriptive study with a sample of 78 respondents. APE was measured using a Peak Flow Meter and asthma control using the Asthma Control Test (ACT) questionnaire. This study showed that APE and asthma control in all study subjects were 27-88% of the standard value. It can be concluded that there was a decrease in Peak Forced Expiration Flow and control of asthma in asthmatic patients. This study is expected to be a source of information for health professionals especially nurses regarding the value of Forced Expiration Peak Flow (APE) and asthma control in asthmatic patients. Keywords: forced peak expiratory flow (APE); asthma control ABSTRAK Asma adalah penyakit jalan napas inflamasi kronis yang ditandai dengan mengi episodik, batuk, dan sesak dada akibat obstruksi jalan napas.tujuan penelitian ini adalah untuk mengidentifikasi Arus Puncak Ekspirasi (APE) dan kontrol asma pada pasien asma di poli Paru Rumah Sakit Universitas Airlangga dan Rumah Sakit Umum Haji) Surabaya. Metode penelitian ini studi deskriptif dengan ukran sampel 78 responden. APE diukur menggunakan Peak Flow Meter dan kontrol asma menggunakan kuisioner Asthma Control Test (ACT). Penelitian ini menunjukkan bahwa APE dan kontrol asma pada seluruh subyek penelitian 27-88 % dari nilai standar.dapat disimpulkan bahwa terdapat penurunan Arus Puncak Ekspirasi Paksa dan kontrol asma pada pasien asma. Penelitian ini diharapkan menjadi sumber informasi bagi tenaga kesehatan khsusnya perawat mengenai nilai Arus Puncak Ekspirasi Paksa (APE) dan kontrol asma pada pasien asma. Kata kunci: arus puncak ekspirasi paksa (APE); kontrol asma

The Asthma Control Test Is Not Useful For Emergent Episodes In Asthma Management

2010 ◽  
Author(s):  
Katsuhito HARA ◽  
Takashi HASEGAWA ◽  
Toshiyuki KOYA ◽  
Sumito TAGUCHI ◽  
Masaaki ARAKAWA ◽  
...  
Keyword(s):  
Asthma Control ◽  
Asthma Management ◽  
Control Test ◽  
Asthma Control Test
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