Abstract
BackgroundSpirometry and fraction of exhaled nitric oxide (FeNO) are commonly used in specialist centres to monitor children with asthma. The National Institute for Health and Care Excellence recommends spirometry for...
Highlights
The UK has one of the highest asthma mortality rates among high-income countries in Europe in young people aged 10–24 years.[1]The existing UK British Thoracic Society/Scottish Intercollegiate Network Guideline defines good asthma control in terms of current symptoms control[2]; recommending that ‘asthma is best monitored in primary care by routine clinical review’, using standardised questionnaires but do not promote the need for objective lung function testing
What is the key question? ►► How common is abnormal spirometry and fraction of exhaled nitric oxide (FeNO) in children managed for asthma in primary care, and what is their relationship with patient- reported asthma control?
We explored the change in current asthma control and the number of unplanned healthcare attendances (UHAs) in the 6 months following a structured clinical review that included spirometry and FeNO testing
Summary
The UK has one of the highest asthma mortality rates among high-income countries in Europe in young people aged 10–24 years.[1]. The existing UK British Thoracic Society/Scottish Intercollegiate Network Guideline defines good asthma control in terms of current symptoms control[2]; recommending that ‘asthma is best monitored in primary care by routine clinical review’, using standardised questionnaires but do not promote the need for objective lung function testing. This is in contrast with recommendations from the Global Initiative for Asthma (GINA), which divides assessment of asthma control into two domains: 1) evaluation of current symptom. We explored the change in current asthma control and the number of unplanned healthcare attendances (UHAs) in the 6 months following a structured clinical review that included spirometry and FeNO testing
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