Özlem Sancaklı1, Tuba Tuncel2, Sanem Eren Akarcan3, Ali Kanık4, Gonca Özyurt5. 1. Department of Pediatric Allergy and Immunology, Baskent University, İzmir, Turkey. 2. Department of Pediatric Allergy and Immunology, İzmir Katip Celebi University, Faculty of Medicine, İzmir, Turkey; Department of Pediatric Allergy and Immunology, İzmir Health Sciences University, Tepecik Training and Research Hospital, İzmir, Turkey. 3. Department of Pediatric Allergy and Immunology, İzmir Health Sciences University, Tepecik Training and Research Hospital, İzmir, Turkey. 4. Department of Pediatrics, İzmir Katip Celebi University, Faculty of Medicine, İzmir, Turkey; Department of Pediatrics, İzmir Health Sciences University, Tepecik Training and Research Hospital, İzmir, Turkey. 5. Department of Child and Adolescent Psychiatry, İzmir Katip Celebi University, Faculty of Medicine, İzmir, Turkey; Department of Child and Adolescent Psychiatry, İzmir Health Sciences University, Tepecik Training and Research Hospital, İzmir, Turkey.
Abstract
OBJECTIVE: During the coronavirus disease 2019 pandemic, lockdown measures and difficulties in accessing healthcare have impacted asthma management in children. This study aimed to determine the evaluation of the impact of environmental changes on asthma control in children, access to health care, and treatment adherence in early coronavirus disease 2019 lockdown. MATERIALS AND METHODS: The study included children with asthma aged 6-11 years. A survey form was administered to the patients who visited the pediatric allergy outpatient clinic between June 1 and 30, 2020. The survey acquired demographic information about the children and their families as well as information about their asthma symptoms, how they reached healthcare services, and adherence. The childhood asthma control test was administered. The P values <.05 were considered significant. RESULTS: The study included a total of 123 children (female/male : 48/75) with a mean age of 8.4 ± 1.9 years. According to the mothers' self-report, it was found that 78% of the patients were not able to follow-up routinely, 19.5% were non-adherence to treatment, and 16.2% were poorly controlled asthma. It was found that, based on childhood asthma control test scores, asthma control was better during the pandemic lockdown period (P = .001). Asthma symptoms were better in 41.5% of the patients compared to the previous months and in 53.7% compared to the same period last year. CONCLUSION: Our study found that the children's asthma was controlled although most of them did not have their follow-up visits, and poorly controlled asthma was higher in older children in early coronavirus disease 2019 lockdown.
OBJECTIVE: During the coronavirus disease 2019 pandemic, lockdown measures and difficulties in accessing healthcare have impacted asthma management in children. This study aimed to determine the evaluation of the impact of environmental changes on asthma control in children, access to health care, and treatment adherence in early coronavirus disease 2019 lockdown. MATERIALS AND METHODS: The study included children with asthma aged 6-11 years. A survey form was administered to the patients who visited the pediatric allergy outpatient clinic between June 1 and 30, 2020. The survey acquired demographic information about the children and their families as well as information about their asthma symptoms, how they reached healthcare services, and adherence. The childhood asthma control test was administered. The P values <.05 were considered significant. RESULTS: The study included a total of 123 children (female/male : 48/75) with a mean age of 8.4 ± 1.9 years. According to the mothers' self-report, it was found that 78% of the patients were not able to follow-up routinely, 19.5% were non-adherence to treatment, and 16.2% were poorly controlled asthma. It was found that, based on childhood asthma control test scores, asthma control was better during the pandemic lockdown period (P = .001). Asthma symptoms were better in 41.5% of the patients compared to the previous months and in 53.7% compared to the same period last year. CONCLUSION: Our study found that the children's asthma was controlled although most of them did not have their follow-up visits, and poorly controlled asthma was higher in older children in early coronavirus disease 2019 lockdown.
Authors: Jean Bousquet; Marek Jutel; Cezmi A Akdis; Ludger Klimek; Oliver Pfaar; Kari C Nadeau; Thomas Eiwegger; Anna Bedbrook; Ignacio J Ansotegui; Josep M Anto; Claus Bachert; Eric D Bateman; Kazi S Bennoor; Elena Camelia Berghea; Karl-Christian Bergmann; Hubert Blain; Mateo Bonini; Sinthia Bosnic-Anticevich; Louis-Philippe Boulet; Luisa Brussino; Roland Buhl; Paulo Camargos; Giorgio Walter Canonica; Victoria Cardona; Thomas Casale; Sharon Chinthrajah; Mübeccel Akdis; Tomas Chivato; George Christoff; Alvaro A Cruz; Wienczyslawa Czarlewski; Stefano Del Giacco; Hui Du; Yehia El-Gamal; Wytske J Fokkens; Joao A Fonseca; Yadong Gao; Mina Gaga; Bilun Gemicioglu; Maia Gotua; Tari Haahtela; David Halpin; Eckard Hamelmann; Karin Hoffmann-Sommergruber; Marc Humbert; Nataliya Ilina; Juan-Carlos Ivancevich; Guy Joos; Musa Khaitov; Bruce Kirenga; Edward F Knol; Fanny W Ko; Seppo Koskinen; Marek L Kowalski; Helga Kraxner; Dmitry Kudlay; Piotr Kuna; Maciej Kupczyk; Violeta Kvedariene; Amir H Abdul Latiff; Lan T Le; Michael Levin; Desiree Larenas-Linnemann; Renaud Louis; Mohammad R Masjedi; Erik Melén; Florin Mihaltan; Branislava Milenkovic; Yousser Mohammad; Mario Morais-Almeida; Joaquim Mullol; Leyla Namazova; Hugo Neffen; Elisabete Nunes; Paul O'Byrne; Robyn O'Hehir; Liam O'Mahony; Ken Ohta; Yoshitaka Okamoto; Gabrielle L Onorato; Petr Panzner; Nikos G Papadopoulos; Gianni Passalacqua; Vincenzo Patella; Ruby Pawankar; Nhân Pham-Thi; Bernard Pigearias; Todor A Popov; Francesca Puggioni; Frederico S Regateiro; Giovanni Rolla; Menachem Rottem; Boleslaw Samolinski; Joaquin Sastre; Jurgen Schwarze; Aziz Sheikh; Nicola Scichilone; Manuel Soto-Quiros; Manuel Soto-Martinez; Milan Sova; Stefania Nicola; Rafael Stelmach; Charlotte Suppli-Ulrik; Luis Taborda-Barata; Teresa To; Peter-Valentin Tomazic; Sanna Toppila-Salmi; Ioanna Tsiligianni; Omar Usmani; Arunas Valiulis; Maria Teresa Ventura; Giovanni Viegi; Theodor Vontetsianos; De Yun Wang; Sian Williams; Gary W K Wong; Arzu Yorgancioglu; Mario Zernotti; Mihaela Zidarn; Torsten Zuberbier; Ioana Agache Journal: Allergy Date: 2020-09-21 Impact factor: 14.710