Peter Hsu1, Lawrence T Lam, Gary Browne. 1. Emergency Department, Children's Hospital at Westmead, Sydney, Australia. shangyuh@gmail.com
Abstract
BACKGROUND: Asthma in the pediatric population imposes a significant burden on the Australian health care system. The lack of a standardized asthma assessment tool is an area that needs to be addressed. OBJECTIVE: To validate the pulmonary index score (PIS) against the National Asthma Council Guidelines (NACG) asthma assessment. METHODS: The project was approved by The Children's Hospital at Westmead Human Research Ethics Committee. Sixty-five patients aged 1 to 12 years with acute asthma were assessed independently using both the PIS and the NACG on presentation to the emergency department. RESULTS: These results indicate that the PIS (1) has high internal consistency (Cronbach α = .835); (2) correlates well with the NACG, with significant differences in PIS values across different NACG severity categories; (3) predicts with good sensitivity (85% for nonmild cases and 88% for severe cases) and specificity (75% for nonmild cases and 77% for severe cases) the various categories of asthma severity according to the NACG; and (4) significantly differs between admitted (mean PIS = 8.4) and nonadmitted (mean PIS = 5.0) patients. CONCLUSION: Use of the PIS may provide an objective and standardized approach to the assessment and monitoring of asthma in children.
BACKGROUND:Asthma in the pediatric population imposes a significant burden on the Australian health care system. The lack of a standardized asthma assessment tool is an area that needs to be addressed. OBJECTIVE: To validate the pulmonary index score (PIS) against the National Asthma Council Guidelines (NACG) asthma assessment. METHODS: The project was approved by The Children's Hospital at Westmead Human Research Ethics Committee. Sixty-five patients aged 1 to 12 years with acute asthma were assessed independently using both the PIS and the NACG on presentation to the emergency department. RESULTS: These results indicate that the PIS (1) has high internal consistency (Cronbach α = .835); (2) correlates well with the NACG, with significant differences in PIS values across different NACG severity categories; (3) predicts with good sensitivity (85% for nonmild cases and 88% for severe cases) and specificity (75% for nonmild cases and 77% for severe cases) the various categories of asthma severity according to the NACG; and (4) significantly differs between admitted (mean PIS = 8.4) and nonadmitted (mean PIS = 5.0) patients. CONCLUSION: Use of the PIS may provide an objective and standardized approach to the assessment and monitoring of asthma in children.
Authors: Michael D Johnson; Flory L Nkoy; Xiaoming Sheng; Tom Greene; Bryan L Stone; Jennifer Garvin Journal: J Asthma Date: 2016-11-10 Impact factor: 2.515
Authors: T Arikoglu; E Akyilmaz; D D Yildirim; S B Batmaz; S T Ulger; G Aslan; S Kuyucu Journal: Allergol Immunopathol (Madr) Date: 2016-12-09 Impact factor: 1.667