ĐÁNH GIÁ KIỂM SOÁT HEN Ở TRẺ EM HEN PHẾ QUẢN CÓ VIÊM MŨI DỊ ỨNG: MỘT NGHIÊN CỨU HỒI CỨU ĐƠN TRUNG TÂM

Abstract

Objectives: To evaluate the role of CARATkids questionnaires for assessment of asthma control in children with asthma combined with allergic rhinitis. Subjects and methods: Case series study of  128 childhood asthma combined with allergic rhinitis aged between 6 to 15 years old were examined, lung function tests and asthma control at the initial visit, after one month of treatment. Asthma control was assessed using ACT questionnaires and CARATkids questionnaires. This study was performed at the Pediatric Departments, Military Hospital 103, Vietnam Military Medical University. Results: The mean score of CARATkids at the initial visit of the uncontrolled group was 9.3 ± 2.0 compared to 6,2 ± 1,6 in the controlled group, p <0.001. There were negative correlations between CARATkids score and lung function indexes such as PEF (r=-0,189, p=0,03), FEV1 (r= -0,245, p=0,006), FEV1/FVC (r=-0,284, p=0,001) and ACT (r=-0,759, p<0,001). After 1 month of treatment, CARATKid's score was  3,6 ± 2.1, lower than the initial visit (8,3 ± 2.4), p<0.05. With CARATkids = 4.5 points, this limit defined uncontrolled asthma in children with asthma and allergic rhinitis; with the AUC: 0.953, the sensitivity was 100%, the specificity was 78.6%, p<0.001. Both ACT and CARATkids questionnaires are valid for assessing asthma control in children. Conclusion: CARATKids is a valid tool for assessing the control of allergic rhinitis and asthma in children.