Araştırma Makalesi

Evaluation of Children with Infantile Wheezing at The Age of Six: A New Asthma Predictive Index

Cilt: 2018 Sayı: 1 24 Mayıs 2018
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Evaluation of Children with Infantile Wheezing at The Age of Six: A New Asthma Predictive Index

Öz

Background: Recurrent wheezing is a common problem in young children. It is difficult to diagnose real asthma in children under 6 years of age because of different phenotypes of wheezing related disorders in this age group. Patients and Method: This study was performed in the outpatient clinic of Pediatric Allergy and Immunology Department. This study includes 208 children who visited at least three times during the first three years of their lives with the complaints of wheezing attacks. Those who visited the department with the diseases such as congenital malformation, gastro esophageal reflux, tracheobronchial fistula, aspiration syndrome, heart failure, cystic fibrosis and immunodeficiency were eliminated and excluded from the study. Findings: Transient early wheezing 107 (51,4%), non atopic wheezing 28 (13,5%), atopic wheezing 73 (35,1%) have been detected. Sixty five (31,3%) of the children were females and 143 (68,7%) were males. After the separate and together evaluation of the risk factors we have developed an asthma prediction index. The values of the index have been found as it is written below. The sensitivity 83%, specificity 90,7%, positive predictive value 89,2%, negative predictive value was 85,2%. Conclusion: It might be possible to distinguish which of the children who comes to the department with the complaints of recurrent wheezing might suffer from asthma by using the asthma prediction index. It might also be possible to change the natural course of the disease by developing early intervene strategies Keywords: wheezing, child, wheezing phenotypes, asthma predictive index.

Anahtar Kelimeler

Kaynakça

  1. 1. Martinez FD, Wright AL, Taussig LM, Holberg CJ, Halonen M, Morgan WJ. Asthma and wheezing in the first six years of life. The Group Health Medical Associates. N Engl J Med. 1995;332(3):133-8.
  2. 2. Hiat P. Recurrent or persistant lower respiratory tract symptoms. McMillan JA, DeAngelis CD, Feigin RD, Warshaw JB (eds): Oski's Pediatrics: Principles and Practice, 3rd edition, lippincott Williams and Wilkins, Philadelphia. 1999:1279-99.
  3. 3. Tenero L, Piazza M, Piacentini G. Recurrent wheezing in children Transl Pediatr 2016;5(1):31-36.
  4. 4. Samatha Sonnappa. Preschool wheeze: Phenotypes and Beyond. Pediatric Health. 2010; 4(3):267-75.
  5. 5. Taussig LM, Wright AL, Holberg CJ, Halonen M, Morgan WJ, Martinez FD. Tucson Children's Respiratory Study: 1980 to present. J Allergy Clin Immunol. 2003;111(4):661-75.
  6. 6. Stein RT, Martinez FD. Asthma phenotypes in childhood: lessons from an epidemiological approach. Paediatr Respir Rev. 2004;5(2):155-61.
  7. 7. Sears MR, Greene JM, Willan AR, Wiecek EM, Taylor DR, Flannery EM, et al. A longitudinal, population-based, cohort study of childhood asthma followed to adulthood. N Engl J Med. 2003;349(15):1414-22.
  8. 8. Morgan WJ, Stern DA, Sherrill DL, Guerra S, Holberg CJ, Guilbert TW, et al. Outcome of asthma and wheezing in the first 6 years of life: follow-up through adolescence. Am J Respir Crit Care Med. 2005;172(10):1253-8.

Ayrıntılar

Birincil Dil

Türkçe

Konular

-

Bölüm

Araştırma Makalesi

Yazarlar

İsmail Reisli Bu kişi benim
Türkiye

Yayımlanma Tarihi

24 Mayıs 2018

Gönderilme Tarihi

11 Mayıs 2018

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 2018 Cilt: 2018 Sayı: 1

Kaynak Göster

APA
Keçeci, R., & Reisli, İ. (2018). Evaluation of Children with Infantile Wheezing at The Age of Six: A New Asthma Predictive Index. Dünya İnsan Bilimleri Dergisi, 2018(1), 84-95. https://izlik.org/JA43XN53YU
AMA
1.Keçeci R, Reisli İ. Evaluation of Children with Infantile Wheezing at The Age of Six: A New Asthma Predictive Index. İNSAN. 2018;2018(1):84-95. https://izlik.org/JA43XN53YU
Chicago
Keçeci, Ramazan, ve İsmail Reisli. 2018. “Evaluation of Children with Infantile Wheezing at The Age of Six: A New Asthma Predictive Index”. Dünya İnsan Bilimleri Dergisi 2018 (1): 84-95. https://izlik.org/JA43XN53YU.
EndNote
Keçeci R, Reisli İ (01 Mayıs 2018) Evaluation of Children with Infantile Wheezing at The Age of Six: A New Asthma Predictive Index. Dünya İnsan Bilimleri Dergisi 2018 1 84–95.
IEEE
[1]R. Keçeci ve İ. Reisli, “Evaluation of Children with Infantile Wheezing at The Age of Six: A New Asthma Predictive Index”, İNSAN, c. 2018, sy 1, ss. 84–95, May. 2018, [çevrimiçi]. Erişim adresi: https://izlik.org/JA43XN53YU
ISNAD
Keçeci, Ramazan - Reisli, İsmail. “Evaluation of Children with Infantile Wheezing at The Age of Six: A New Asthma Predictive Index”. Dünya İnsan Bilimleri Dergisi 2018/1 (01 Mayıs 2018): 84-95. https://izlik.org/JA43XN53YU.
JAMA
1.Keçeci R, Reisli İ. Evaluation of Children with Infantile Wheezing at The Age of Six: A New Asthma Predictive Index. İNSAN. 2018;2018:84–95.
MLA
Keçeci, Ramazan, ve İsmail Reisli. “Evaluation of Children with Infantile Wheezing at The Age of Six: A New Asthma Predictive Index”. Dünya İnsan Bilimleri Dergisi, c. 2018, sy 1, Mayıs 2018, ss. 84-95, https://izlik.org/JA43XN53YU.
Vancouver
1.Ramazan Keçeci, İsmail Reisli. Evaluation of Children with Infantile Wheezing at The Age of Six: A New Asthma Predictive Index. İNSAN [Internet]. 01 Mayıs 2018;2018(1):84-95. Erişim adresi: https://izlik.org/JA43XN53YU

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