دورية أكاديمية

Efficacy of Chinese Children’s Asthma Action Plan in the management of children with asthma.

التفاصيل البيبلوغرافية
العنوان: Efficacy of Chinese Children’s Asthma Action Plan in the management of children with asthma.
المؤلفون: Kang Zhu, Li Xiang, Kunling Shen
المصدر: Allergy & Asthma Proceedings; Jan2020, Vol. 41 Issue 1, pe3-e10, 8p
مصطلحات موضوعية: ASTHMA in children, ASTHMA
مصطلحات جغرافية: CHINA
مستخلص: Background: Abundant evidence has proven the effectiveness of following an asthma action plan for children. China released its first children’s asthma action plan in 2017 to improve asthma control. Objective: To assess the effectiveness of the Chinese Children’s Asthma Action Plan (CCAAP) in the management of children with asthma. Methods: Children with persistent asthma (6–14 years old) at 10 tertiary hospitals were randomized to receive either CCAAP instructions (intervention group, n = 87) or no plan (control group, n = 86) in addition to the usual asthma care, including education, stepwise asthma therapy, and regular outpatient follow-up. Children were followed up by using a serial measurement of outcomes over the course of 3 months. Results: CCAAP instructions did not have a significant effect on any of outcomes compared with the intervention group: (1) variables related to asthma exacerbation, including the number of patients (p= 0.09), symptomatic days (p=0.658), severity, medication (courses of reliever, p=0.696; combined rhinitis medication, p=0.081; combined oral antibiotics, p=0.852), missed work days (p=0.538) or school days (p=0.441), and economic costs (p=0.898); (2) asthma control (p=0.180); or (3) pulmonary function parameters during the follow-up period. Both groups showed significant improvement in asthma control (both p<0.001) and pulmonary function (p<0.017) from baseline to the 3-month follow-up. Conclusion: The results of this study indicated that provision of CCAAP may play a useful role in the management of children with asthma, but there were no greater benefits than usual asthma care. We need to plan a larger appropriately powered study. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Supplemental Index
الوصف
تدمد:10885412
DOI:10.2500/aap.2020.41.190010