
Value of the scores of test for respiratory and asthma control in kids and childhood asthma control test in childhood asthma management
Jiang Jing, Li Xuemei, Shi Jin, Wu Xiaobin, Zeng Shuxun, Zhou Ling
Value of the scores of test for respiratory and asthma control in kids and childhood asthma control test in childhood asthma management
Objective To investigate the value of test for respiratory and asthma control in Kids(TRACK) and childhood asthma control test(C-ACT) in childhood asthma management by evaluating their consistency with Global Initiative for Asthma(GINA) for standard assessment of asthma control and correlation with pulmonary function in children with asthma. Methods A total of 135 children with asthma who attended the outpatient service of Department of Pediatrics,Chongqing Health Center for Women and Children,from August 2020 to March 2022 were enrolled as subjects. TRACK and C-ACT scales were used to conduct a questionnaire survey among the children with the corresponding age and their parents. The two scoring methods were analyzed in terms of their consistency with GINA asthma control level and correlation with pulmonary function parameters,and pulmonary function parameters were compared between the groups with different scores. Results The consistency test showed a kappa value of 0.517 between TRACK score GINA asthma control level and 0.513 between C-ACT score and GINA asthma control level,suggesting a moderate degree of coincidence. TRACK score was significantly positively correlated with TPF%TE and VPF%VE,while TRACK score and C-ACT score were not significantly correlated with FEV1%. There was no significant difference in FEV1% between the groups of asthmatic children with different TRACK scores(F=2.054,P=0.134),but multiple comparisons showed that there was a significant difference in FEV1% between the ≥80 points group and the <60 points group(P=0.048). There were significant differences between the different TRACK score groups in TPTEF/TE(%)(F=3.171,P=0.044) and VPEF/VE(%)(F=3.919,P=0.022),and further multiple comparisons showed that the differences mainly came from the ≥80 points group and the 60~80 points group,among which the difference in VPEF/VE(%) between groups(P=0.017) was more significant than that in TPTEF/TE(%)(P=0.030). There was no significant difference in FEV1% between the groups of children with different C-ACT scores(F=1.756,P=0.182). Conclusion TRACK score can better reflect the difference in pulmonary function in children and can thus be used as an effective assessment tool for the management of asthma in children under the age of 5 years.
test for respiratory and asthma control in kids / childhood asthma control test / global initiative for asthma / asthma management
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