Abstract
The clinical assessment of asthma control is fundamental to evaluate the results of treatment. The Asthma Control Test (ACT) is a questionnaire with five scored items, that differentiates between a well controlled or uncontrolled asthma. It has a Spanish version and has been applied in different countries.To assess asthma control using the ACT and compare it with the clinical assessment of specialists in a group of pediatric patients.The ACT was applied to 220 adolescents aged 12 to 17 years, 54% males, with persistent asthma, attended at a respiratory disease unit of a pediatric hospital. The concordance between ACT results and the assessment of specialists was also evaluated.According to ACT and specialists, asthma was controlled in 54% and 63% of patients, respectively. There was a weak concordance between ACT and specialists assessment (Kappa index: 0.27; 95% confidence intervals: 0.14-0.4). The degree of asthma control decreased along with increasing severity of the disease (chi2 = 10.128, p =0.001).Half of the evaluated asthmatic adolescents do not have an adequate control of their disease. Severity of the disease is inversely related to the degree of control.
Highlights
The clinical assessment of asthma control is fundamental to evaluate the results of treatment
Estudios recientes hechos en adultos demuestran que entre 50% y 55% de los asmáticos tratados por especialistas no estarían alcanzando el control de la enfermedad[17,18,19]
El control del asma obtenido con Asthma Control Test (ACT) tiene una débil concordancia con la percepción de control del especialista, por lo que estos resultados deben ser interpretados con cautela, considerando la revisión de los criterios clínicos de control de asma que utilizamos en los pacientes
Summary
The clinical assessment of asthma control is fundamental to evaluate the results of treatment. Recientemente, Nathan et al publicaron los estudios de validación del Asthma Control Test (ACT), que a través de 5 preguntas con un sistema de puntaje puede diferenciar entre asma bien o mal controlada desde los 12 años, cuenta con una versión en español y ha sido aplicado en países de diferentes continentes[8,9,10,11,12,13].
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