PEDIATRICS Vol. 118 No. 1 July 2006, pp. 322-329 (doi:10.1542/peds.2005-2576)
REVIEW ARTICLE |
Assessment of Asthma Severity and Asthma Control in Children
a Department of Research, Olmsted Medical Center, Rochester, Minnesota
b Outcomes Research and Management, Merck & Co, Inc, West Point, Pennsylvania
c Division of General Pediatrics, University of California, San Francisco, California
National and international guidelines for asthma recommend the assessment and documentation of severity as the basis for patient management. However, studies show that there are problems with application of the severity assessment to children in clinical practice. More recently, asthma control has been introduced as a method to assess the adequacy of current treatment and inform asthma management. In this article we review the application and limitations of the severity assessment and the asthma-control tools that have been tested for use in children. A system of using asthma severity for disease assessment in the absence of treatment and using asthma-control assessment to guide management decisions while a child is receiving treatment appears to be a promising approach to tailor treatment to improve care and outcomes for children with asthma.
Key Words: asthma assessment asthma severity asthma control children
Abbreviations: NAEPPNational Asthma Education and Prevention Program GINAGlobal Initiative for Asthma FEV1forced expiratory volume in 1 second ATAQAsthma Therapy Assessment Questionnaire ACTAsthma Control Test
Accepted Jan 19, 2006.
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