Abstract

MUINO, Adriana; TORELLO, Patricia  and  BREA, Sylvia. Test de control de asma en pediatría: ACT infantil Utilidad clínica en la práctica diaria. Arch. Pediatr. Urug. [online]. 2010, vol.81, n.2, pp.78-86. ISSN 1688-1249.

Asthma is the most common chronic disease in childhood. The goal of asthma guidelines is achieve the control of the disease. Objectives: determine the proportion of children with controlled asthma using the asthma control test (ACT), and the GINA clinical- functional levels. Compare these groups with pulmonary function test. Methodology: cross sectional study assessment asthmatic children between March 2008- April 2009. Results: of 192 children, 31.25% had no control asthma applying ACT instrument. According GINA in 30.46% children, the asthma was partially controlled, while 7.95% can not achieve the control of the disease. 18.75% of them had airflow limitation, and 27.10% significant response to bronchodilator. They had a significant association with the no control ACT group (p= 0,020). This association was present only with the most severe obstructive group among GINA levels (valor p 0,034). The children with ACT no controlled asthma had more probability to have airflow limitation by spirometry (OR = 3.13 CI_95% 1.50- 6.55), and significant response to bronchodilator. (OR = 2.51 CI_95% 1.19 – 5.29). The ACT is a tool to apply in clinical practice that recognize a special group with poor control of the disease and more likelihood to present pulmonary function deterioration, so they may receive a specific treatment

Keywords : ASTHMA-prevention & control;  RESPIRATORY FUNCTION TESTS;  CROSS-SECTIONAL STUDIES.

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