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

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Journal of Chongqing Medical University ›› 2024, Vol. 49 ›› Issue (07) : 865-870. DOI: 10.13406/j.cnki.cyxb.003537
Clinical research

Value of the scores of test for respiratory and asthma control in kids and childhood asthma control test in childhood asthma management

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Abstract

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.

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test for respiratory and asthma control in kids / childhood asthma control test / global initiative for asthma / asthma management

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Jiang Jing , Li Xuemei , Shi Jin , et al . Value of the scores of test for respiratory and asthma control in kids and childhood asthma control test in childhood asthma management. Journal of Chongqing Medical University. 2024, 49(07): 865-870 https://doi.org/10.13406/j.cnki.cyxb.003537

References

1
全国儿科哮喘协作组,中国疾病预防控制中心环境与健康相关产品安全所.第三次中国城市儿童哮喘流行病学调查[J].中华儿科杂志201351(10):729-735.
The National Cooperative Group on Childhood Asthma,Institute of Environmental Health and Related Product Safety,Chinese Center for Disease Control and Prevention. Third nationwide survey of childhood asthma in urban areas of China[J]. Chin J Pediatr201351(10):729-735.
2
Kaya A Erkocoglu M Akan A,et al. TRACK as a complementary tool to GINA and NAEPP guidelines for assessing asthma control in pre-school children[J]. J Asthma201451(5):530-535.
3
洪建国. 儿童呼吸和哮喘控制测试(TRACK)改良中文版及其临床价值[J]. 中国实用儿科杂志201833(3):192-195.
Hong JG. Modified Chinese version of the Test for Respiratory and Asthma Control in Kids(TRACK)and its clinical value[J]. Chin J Pract Pediatr201833(3):192-195.
4
Liu L Zhang J Zhang L,et al. The relationship of the test for respiratory and asthma control in kids initial score on the prognosis of pre-school children with asthma:a prospective cohort study[J]. Front Pediatr20219:690333.
5
Bateman ED Hurd SS Barnes PJ,et al. Global strategy for asthma management and prevention: GINA executive summary[J]. The European Respiratory Journal200831(1):143-78.
6
Wong GWK Kwon N Hong JG,et al. Pediatric asthma control in Asia:phase 2 of the Asthma Insights and Reality in Asia-Pacific(AIRIAP 2) survey[J]. Allergy201368(4):524-530.
7
田春雨,沙 莉,刘传合,等. 支气管哮喘患儿6年转归现场随访研究[J]. 中华实用儿科临床杂志201934(4):260-264.
Tian CY Sha L Liu CH,et al. Field follow-up study of six years' outcome of children with asthma[J]. Chin J Appl Clin Pediatr201934(4):260-264.
8
Murphy KR Zeiger RS Kosinski M,et al. Test for respiratory and asthma control in kids(TRACK):a caregiver-completed questionnaire for preschool-aged children[J]. J Allergy Clin Immunol2009123(4):833-839.
9
Suh DI Choi YJ Jang KC,et al. Korean version of test for respiratory and asthma control in kids(TRACK):reliability and validity[J]. J Allergy Clin Immunol2018141(2):AB95.
10
Leiria-Pinto P Marques J Finelli E,et al. Cross-cultural validation of the Portuguese from Portugal version of the Test for Respiratory and Asthma Control in Kids(TRACK) questionnaire[J]. Eur Ann Allergy Clin Immunol202153(5):214-220.
11
Buyuktiryaki B Sahiner UM Yavuz ST,et al. Validation of the Turkish version of “Test for Respiratory and Asthma Control in Kids(TRACK)” questionnaire[J]. J Asthma201350(10):1096-1101.
12
Harel-Sterling M Dai RX Moraes TJ,et al. Test for respiratory and asthma control in preschool kids in the emergency department as a predictor of wheezing exacerbations[J]. Pediatr Pulmonol202055(2):338-345.
13
何 攀,郭 倩,王叶,等. TRACK评分在5岁以下哮喘患儿中应用价值研究[J]. 吉林医学202243(2):325-327.
He P Guo Q Wang Y,et al. The application value of TRACK score in children under 5 years of age with asthma[J]. Jilin Med J202243(2):325-327.
14
Okupa AY Sorkness CA Mauger DT,et al. Daily diaries vs retrospective questionnaires to assess asthma control and therapeutic responses in asthma clinical trials:is participant burden worth the effort?[J]. Chest2013143(4):993-999.
15
Ong KY. What’s new in the Global Initiative for Asthma 2018 report and beyond[J]. Allergo J Int201928(2):63-72.
16
Deschildre A Pin I El Abd K,et al. Asthma control assessment in a pediatric population:comparison between GINA/NAEPP guidelines,Childhood Asthma Control Test(C-ACT),and physician’s rating[J]. Allergy201469(6):784-790.
17
Liu AH Zeiger R Sorkness C,et al. Development and cross-sectional validation of the Childhood Asthma Control Test[J]. J Allergy Clin Immunol2007119(4):817-825.
18
袁姝华,王 薇,殷勇,等. 儿童哮喘控制测试与全球哮喘防治创议标准控制分级的比较[J]. 重庆医学201544(18):2543-2545.
Yuan SH Wang W Yin Y,et al. Comparison between childhood asthma control test and global initiative for asthma standard control grading[J]. Chongqing Med201544(18):2543-2545.
19
Leung TF Ko FW Wong GW,et al. Predicting changes in clinical status of young asthmatics:clinical scores or objective parameters?[J]. Pediatr Pulmonol200944(5):442-449.
20
Bacharier LB Strunk RC Mauger D,et al. Classifying asthma severity in children:mismatch between symptoms,medication use,and lung function[J]. Am J Respir Crit Care Med2004170(4):426-432.
21
Paull K Covar R Jain N,et al. Do NHLBI lung function criteria apply to children?A cross-sectional evaluation of childhood asthma at National Jewish Medical and Research Center,1999-2002[J]. Pediatr Pulmonol200539(4):311-317.

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