Control de asma en adolescentes

• Alberto Vidal ^[1] ; Carlos Ubilla ^[1] ; Gastón Duffau ^[1]
  1. [1] Universidad de Chile

     Universidad de Chile

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 136, Nº. 7, 2008, págs. 859-866
• Idioma: español
• Títulos paralelos:
  • Assessment of disease control among asthmatic adolescents
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• Resumen

  • Background: The clinical assessment of asthma control is fundamental to evaluate the results of treatment. The Asthma Control Test (ACT) is a questionnaire with five scored ítems, that differentiates between a well controlled or uncontrolled asthma. It has a Spanish versión and has been applied in different countries. Aim: To assess asthma control using the ACT and compare it with the clinical assessment of specialists in a group of pediatríc patients. Material and methods: The ACT was applied to 220 adolescents aged 12 to 17 years, 54% males, with persistent asthma, attended at a respiratory disease unit of a pediatríc hospital. The concordance between ACT results and the assessment of specialists was also evaluated. Results: According to ACT and specialists, asthma was controlled in 54% and 63% of patients, respectively. There was a weak concordance between ACT and specialists assessment (Kappa index: 0.27; 95% confidence intervals: 0.14-0.4). The degree of asthma control decreased along with increasing severíty of the disease (%z = 10.128, p =0.001). Conclusions: Half of the evaluated asthmatic adolescents do not have an adequate control of their disease. Severíty of the disease is inversely related to the degree of control