Is It Time to Add Domains of Quality of Life to the Childhood Asthma Control Test and the GINA Criteria?

Authors : Belgin USTA GÜÇ, Özlem YILMAZ

Pages : 144-149

Doi:10.18521/ktd.1251390

View : 19 | Download : 12

Publication Date : 2023-03-15

Article Type : Research Paper

Abstract :Objective: To measure the quality of life by using the Standardized Pediatric Asthma Quality of Life Questionnaireinsert ignore into journalissuearticles values(PAQLQinsert ignore into journalissuearticles values(S);); in children with asthma and to determine the association of the Childhood Asthma Control Testinsert ignore into journalissuearticles values(c-ACT); and Global Initiative for Asthmainsert ignore into journalissuearticles values(GINA); criteria of asthma control with the PAQLQinsert ignore into journalissuearticles values(S); domains. Methods: This study was planned in a cross-sectional design. All consecutive children between the ages 7-11 years who had been followed up at least one year with a diagnosis of asthma were enrolled. Children filled out PAQLQinsert ignore into journalissuearticles values(S);. The levels of asthma control were defined by c-ACT and GINA criteria of asthma control. Results: Of the total 120 children, the medianinsert ignore into journalissuearticles values(%25-75); PAQLQinsert ignore into journalissuearticles values(S); and c-ACT scores were 4.90insert ignore into journalissuearticles values(1.3); and 17.9insert ignore into journalissuearticles values(4.8);. All children had quality of life impairments except four. According to c-ACT, 41.7% of children were controlled; 58.3% of them were uncontrolled. PAQLQinsert ignore into journalissuearticles values(S); scores were found to be correlated with both c-ACT scoresinsert ignore into journalissuearticles values(p<0.001, r=0.612);. The c-ACT score was more significantly correlated with the symptom domain of PAQLQinsert ignore into journalissuearticles values(S);insert ignore into journalissuearticles values(r=0,667, p<0,001);. A more significant positive correlation was found between c-ACT and the duet score of activity and emotional functioninsert ignore into journalissuearticles values(r=0.930; p<0.001);. Conclusion: Asthma affects the quality of life in children. PAQLQinsert ignore into journalissuearticles values(S); scores decrease significantly when asthma is out of control. PAQLQinsert ignore into journalissuearticles values(S); is more significantly associated with c-ACT than GINA criteria. It would be useful in clinical practice if c-ACT or GINA criteria can be improved to cover quality of life, at least the part of the quality of life related to the symptoms or the activity limitations and emotional functions.
Keywords : Astım Kontrolü, Astım Kontrol Testi, Çocukluk Çağı Astımı, Yaşam Kalitesi