Öz
Purpose: The purpose of the current study was to examine the frequency of respiratory symptoms in children with asthma who were off their medication during summer season.
Materials and Methods: The records of 212 children with mild and moderate asthma were retrospectively analyzed between June and September 2017 at the pediatric pulmonary section, Mersin City Training & Research Hospital. Demographic characteristics, severity of asthma symptoms, current treatment, summer and fall season asthma attacks were compared among groups.
Results: Data for a total 212 children at ages between 31/2 and 18 years were analyzed. Most patients did not report any asthma exacerbations (77.7% in preschool group and 87.0% in school-aged group) during summer. Approximately 42.6% of patients in preschool group and 32.6% of patients in school group showed variable asthma symptoms at the time of their fall clinic visit. Most patients did not report any asthma exacerbations (72.0% in preschool group and 70.9% in school-aged group) during summer. Approximately 44.0% of patients in preschool group and 56.2 % of patients in school group showed variable asthma symptoms at the time of their fall clinic visit.
Conclusion: Most children with mild persistent asthma and moderate persistent asthma did not show any exacerbation in the absence of asthma controller treatment during summer. However, such a practice resulted an increase of asthma exacerbations during the subsequent fall season.
Anahtar Kelimeler
Kaynakça
- 1 Reddel HK, Bateman ED, Becker A, Boulet LP, Cruz AA, Drazen JM, et al. A summary of the new GINA strategy: a roadmap to asthma control. Eur Respir J. 2015;46:622-639.
- 2 Andrew H, Lui and Ronina A Covar. Asthma: clinical features, outcomes, and prognosis. In Pediatric Respiratory Medicine (Eds Taussig LM, Landau LI, Le Souef PN, Morgan WJ, Martinez FD, Sly PD): 805-27. Philadelphia , Mosby, 2008.
- 3 Koster ES, Raaijmakers JA, Vijverberg SJ, van der Ent CK, Maitland-van der Zee AH. Asthma symptoms in pediatric patients: differences throughout the seasons. J Asthma. 2011;48:694-700.
- 4 Cohen HA, Blau H, Hoshen M, Batat E, Balicer RD. Seasonality of asthma: a retrospective population study. Pediatrics. 2014;133:e923-32.
- 5 Wisniewski JA, McLaughlin AP, Stenger PJ, Patrie J, Brown MA, El-Dahr JM et al. A comparison of seasonal trends in asthma exacerbations among children from geographic regions with different climates. Allergy Asthma Proc. 2016;37:475-81.
- 6 Gerhardsson de Verdier M, Gustafson P, McCrae C, Edsbäcker S, Johnston N.Seasonal and geographic variations in the incidence of asthma exacerbations in the United States. J Asthma. 2017;54:818-24.
- 7 Lincoln D, Morgan G, Sheppeard V, Jalaludin B, Corbett S, Beard J. Childhood asthma and return to school in Sydney, Australia. Public Health. 2006;120:854-62.
- 8 Sears MR, Johnston NW. Understanding the September asthma epidemic.J Allergy Clin Immunol. 2007;120:526-9.
- 9 Julious SA, Campbell MJ, Bianchi SM, Murray-Thomas T. Seasonality of medical contacts in school-aged children with asthma: association with school holidays.Public Health. 2011;125:769-76.
- 10 Spahn J, Sheth K, Yeh WS, Stempel DA, Stanford RH. Dispensing of fluticasone propionate/salmeterol combination in the summer and asthma-related outcomes in the fall. J Allergy Clin Immunol. 2009;124:1197-203.
- 11 Teach SJ, Gergen PJ, Szefler SJ, Mitchell HE, Calatroni A, Wildfire J et al. Seasonal Risk Factors for Asthma Exacerbations among Inner City Children. J Allergy Clin Immunol. 2015; 135: 1465–73.
Öz
Amaç: Çalışmamızın amacı, yaz sezonunda astım koruyucu tedavisi almayan çocuklarda astım atak sıklığını araştırmaktır.
Gereç ve Yöntem: Haziran 2017-Eylül 2017 tarihleri arasında Çocuk Göğüs Polikliniğinde hafif ve orta persistan astım tanısı ile takip edilen 212 hastanın dosyası retrospektif olarak incelendi. Hastaların demografik özellikleri, astım şiddeti ve almakta oldukları tedavi, yaz ve sonbahar döneminde atak sıklığı kayıt edildi.
Bulgular: Yaşları 3,5 ile 18 arası toplam 212 çocuğun verileri analiz edilmiştir. Çoğu hasta astım ile ilgili probleminin yaz sezonunda olmadığını bildirmiştir (%77.7 okul öncesi grup ve %87.0 okul dönemi grup).Yaklaşık olarak okul öncesi gruptan %42.6hasta ve okul döneminden %32.6 hastanın sonbahar poliklinik başvurularında değişken astımla ilgili şikayetleri gözlenmiştir. Çoğu hasta astım ile ilgili probleminin yaz sezonunda olmadığını bildirmiştir (%72.0 okul öncesi grup ve %70.9 okul dönemi grup).Yaklaşık olarak okul öncesi gruptan %44.0 hasta ve okul döneminden %56.2 hastada sonbahar poliklinik başvurularında değişken astımla ilgili şikayetleri gözlenmiştir.
Sonuç: Yaz sezonunda hafif ve orta persistan astımlı çocukların çoğunda astım profilaksi tedavisi almamasına rağmen şikayetleri olmamıştır. Ancak ardından gelen sonbahar dönemi hastalarda artmış astım şikayetleri il ilgili başvurulara neden olmuştur.
Anahtar Kelimeler
Kaynakça
- 1 Reddel HK, Bateman ED, Becker A, Boulet LP, Cruz AA, Drazen JM, et al. A summary of the new GINA strategy: a roadmap to asthma control. Eur Respir J. 2015;46:622-639.
- 2 Andrew H, Lui and Ronina A Covar. Asthma: clinical features, outcomes, and prognosis. In Pediatric Respiratory Medicine (Eds Taussig LM, Landau LI, Le Souef PN, Morgan WJ, Martinez FD, Sly PD): 805-27. Philadelphia , Mosby, 2008.
- 3 Koster ES, Raaijmakers JA, Vijverberg SJ, van der Ent CK, Maitland-van der Zee AH. Asthma symptoms in pediatric patients: differences throughout the seasons. J Asthma. 2011;48:694-700.
- 4 Cohen HA, Blau H, Hoshen M, Batat E, Balicer RD. Seasonality of asthma: a retrospective population study. Pediatrics. 2014;133:e923-32.
- 5 Wisniewski JA, McLaughlin AP, Stenger PJ, Patrie J, Brown MA, El-Dahr JM et al. A comparison of seasonal trends in asthma exacerbations among children from geographic regions with different climates. Allergy Asthma Proc. 2016;37:475-81.
- 6 Gerhardsson de Verdier M, Gustafson P, McCrae C, Edsbäcker S, Johnston N.Seasonal and geographic variations in the incidence of asthma exacerbations in the United States. J Asthma. 2017;54:818-24.
- 7 Lincoln D, Morgan G, Sheppeard V, Jalaludin B, Corbett S, Beard J. Childhood asthma and return to school in Sydney, Australia. Public Health. 2006;120:854-62.
- 8 Sears MR, Johnston NW. Understanding the September asthma epidemic.J Allergy Clin Immunol. 2007;120:526-9.
- 9 Julious SA, Campbell MJ, Bianchi SM, Murray-Thomas T. Seasonality of medical contacts in school-aged children with asthma: association with school holidays.Public Health. 2011;125:769-76.
- 10 Spahn J, Sheth K, Yeh WS, Stempel DA, Stanford RH. Dispensing of fluticasone propionate/salmeterol combination in the summer and asthma-related outcomes in the fall. J Allergy Clin Immunol. 2009;124:1197-203.
- 11 Teach SJ, Gergen PJ, Szefler SJ, Mitchell HE, Calatroni A, Wildfire J et al. Seasonal Risk Factors for Asthma Exacerbations among Inner City Children. J Allergy Clin Immunol. 2015; 135: 1465–73.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Çocuk Sağlığı ve Hastalıkları, Klinik Tıp Bilimleri |
| Bölüm | Araştırma |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Aralık 2019 |
| Kabul Tarihi | 26 Nisan 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 44 Sayı: 4 |
