INVESTIGATING SPIROMETRY INDICES IN CHILDREN WITH ASTHMA

Behzad Darabi, Mehdi Shokri, Elham Bastani, Fariba shokri

Abstract


Background: Asthma is the most common cause of school absenteeism and the third cause of admission to hospitals and medical centers among children and adolescents. The aim of this study was to assess spirometery indices in asthma children referred to public and private clinics in Ilam city.

Materials & Methods: This observational study was conducted in public clinics (Imam Khomeini Hospital) and private offices of asthma and allergy specialists and subspecialists in Ilam city from 1st January 2022 to 31st December 2022. Patients with asthma confirmed by their treating physician were included in study. In order to ensure the correct diagnosis of asthma cases and assessment of spirometery indices, International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire was used. Basic spirometery and then a bronchodilator challenge spirometry test were performed for all patients. The collected data was entered in SPSS ver. 16, and then data analysis was carried out using descriptive and analytical statistical tests.

Results: Total 102 patients were studied, 49 (73.1%) were male and 26 (74.3%) were female. Mean age of patients was 9.49+/-2.21 and mean BMI was 19.17+/-4.69. The spirometric indices, were FVC = 102.14+/-86.42, FVC V= 98.55 +/-19.42, FEV 1= 91.49 +/-20.13, FEV1 FVC = 95.70+/-12.6, index MEF 25-50 was 92.02+/-29.49 and MEF 2550 V index was 103.63(27.62).

Conclusion: Considering the changes in the spirometry indices of asthma children and the difference of these indices with other normal people, it is necessary to train nurses and physicians in order to identify these indices more effectively.


Keywords


Spirometery; Children; Asthma.

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References


Chebak M, Azzouzi M, Chaibi H, Fakhkhari M, Benamri I, Mguil M, et all. Assessment of the Association of Chlamydia e pneumoniae Infection with Lung Cancer in a Moroccan Patients' Cohort. Asian Pacific Journal of Cancer Prevention 2023;24(2):659-65. https://doi.org/10.31557/APJCP.2023.24.2.659

Khan SS, Komiya T. Exclusion of Patients with Autoimmune Disease in Lung Cancer Clinical Trials. Asian Pacific Journal of Cancer Prevention 2023;24(1):331-6. https://doi.org/10.31557/APJCP.2023.24.1.331

Sabeti F, Bahrami A, Nasrollahpor S, Haghani H: The effect of yoga breathing exercises on asthma control in 5-11 year-old children with asthma. Hayat Journal 2019;25(1):70-80.

Wallace-Farquharson T, Rhee H, Duckworth L, Elder JH, Wilkie DJ: Children's and Adolescents' Descriptors of Asthma Symptoms: An Integrative Review. International Journal of Nursing Studies Advances 2022:100063. https://doi.org/10.1016/j.ijnsa.2022.100063

Alsarah MAD, Eman MAAS, Ayat AHA, Mohamed AED, Tanzeel OEA, Naila MK, et all. Association between Exposure to Beta 2 Agonists and Corticosteroids and Acquiring Benign Joint Hypermobility Syndrome among Asthmatic Patients: a Case-Control Study. Sudan Journal of Medical Sciences 2017, 12(4). https://doi.org/10.18502/sjms.v12i4.1353

Brunner LS: Brunner & Suddarth's textbook of medical-surgical nursing, vol. 1: Lippincott Williams & Wilkins; 2010.

Bostanchi F, Parhizkar A, Salehi K, Nasiri Kalmarzi R, Roshani D: The Effect of Virtual Education on the Quality of Life of Asthmatic Patients, Tohid Hospital in, Sanandaj City, 2018. Journal of Nursing Education 2020;9(2):10-18.

Gaillard EA, Kuehni CE, Turner S, Goutaki M, Holden KA, de Jong CC, et all. European Respiratory Society clinical practice guidelines for the diagnosis of asthma in children aged 5-16 years. European respiratory journal 2021, 58(5). https://doi.org/10.1183/13993003.04173-2020

Ahmed H, Turner S: Severe asthma in children-a review of definitions, epidemiology, and treatment options in 2019. Pediatric pulmonology 2019, 54(6):778-787. https://doi.org/10.1002/ppul.24317

Tariq A, Humayoun QS, Hafeez M, Liaquat I, Tauhidi I, Shabbir A: Usefulness of Peak Flow Meter in Monitoring of Asthma Management in Pediatric Age Group. Pakistan Journal of Medical & Health Sciences 2022, 16(05):1430-1430. https://doi.org/10.53350/pjmhs221651430

Borimnejad L, Hoseinalipoor S, Haghani H: The effect of self care program education on the quality of life of school-age children with asthma. Iranian Journal of Pediatric Nursing 2014, 1(1):36-44.

Montalbano L, Ferrante G, Cilluffo G, Gentile M, Arrigo M, La Guardia D, et al. Targeting quality of life in asthmatic children: The MyTEP pilot randomized trial. Respiratory medicine 2019; 153:14-19. https://doi.org/10.1016/j.rmed.2019.05.008

Ferrante G, La Grutta S: The burden of pediatric asthma. Frontiers in pediatrics 2018;6:186. https://doi.org/10.3389/fped.2018.00186

Borhani F, Asadi N, Mohsenpour M: The experiences of mothers with asthmatic children: a content analysis. J Caring Sci 2012; 1(3):115-121.

Ezeani NJ: Guideline Use in Asthma Management in Primary Care Settings: A Systematic Review. Walden University 2016. available at: https://scholarworks.waldenu.edu/dissertations/2813/

Jasemi SV, Janatolmakan M, Mohammadi M, Khatony A: Prevalence of asthma in iranian children: a meta-analysis and meta-regression. Tehran University Medical Journal TUMS Publications 2021;79(6):442-450.

Beasley R, Crane J, Lai CK, Pearce N: Prevalence and etiology of asthma. Journal of allergy and clinical immunology 2000; 105(2):S466-S472. https://doi.org/10.1016/S0091-6749(00)90044-7

Assadi T, Gheybi M, Shirkani A, Movahed A, Khoddami S, Ashourinejad A, et al. Study of prevalence and risk factors of asthma and allergic diseases among school children (6-7 and 13-14 years) based on ISAAC protocol in Jam City, Bushehr province in 2014. ISMJ 2017; 19(6):972-981. https://doi.org/10.18869/acadpub.ismj.19.6.972

Gooya M, Shirkani A, Tahmasebi R, Omrani A, Gheybi MK, Darabi H, et all. Prevalence of asthma and allergic diseases and its risk factors in school children aged (6-7 and 13-14 years) in Assalouyeh city, Bushehr province based on III ISAAC protocol phase I, in 2014. ISMJ 2017; 20(1):57-69. https://doi.org/10.18869/acadpub.ismj.20.1.57

Mehravar F, Rafiee S, Bazrafshan B, Khodadost M: Prevalence of asthma symptoms in Golestan schoolchildren aged 6-7 and 13-14 years in Northeast Iran. Frontiers of Medicine 2016; 10(3):345-350. https://doi.org/10.1007/s11684-016-0462-y

Shabestari MS, Sahebi L. Prevalence of Asthma, Rhinitis Allergic and Eczema among Middle School Students in Tabriz (Northwestern of Iran). Pediatric Research 2011; 70(5):555-555. https://doi.org/10.1038/pr.2011.780

Assadi T, Gheybi M, Shirkani A, Movahed A, Khoddami S, Ashourinejad A, et all. Study of Prevalence and Risk Factors of Asthma and Allergic Diseases Among School Children (6-7 and 13-14 years) Based on ISAAC Protocol in Jam City, Bushehr Province in 2014. Iranian South Medical Journal 2017; 19(6):972-981. https://doi.org/10.18869/acadpub.ismj.19.6.972

Shakournia A, Assar S, Afra M, Latif SM. Prevalence of Symptoms of Asthma, Allergic Rhinitis and Eczema in 6-7 and 13-14 years old Ahvazian School children. Scientific Medical Journal 2011;9. avalible at: https://www.researchgate.net/publication/49600307

Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et all. Standardisation of spirometry. European respiratory journal 2005; 26(2):319-338. https://doi.org/10.1183/09031936.05.00034805

Graham BL, Steenbruggen I, Miller MR, Barjaktarevic IZ, Cooper BG, Hall GL, et all. Standardization of spirometry 2019 update. An official American thoracic society and European respiratory society technical statement. American journal of respiratory and critical care medicine 2019; 200(8):e70-e88. https://doi.org/10.1164/rccm.201908-1590ST

Eliseeva Т, Knyazeva Е, Geppe N, Balabolkin I: The Relationship of Spirographic Parameters and Bronchial Responsiveness with Asthma Control Level in Children (According to AC Q-5 and АСТ-С Data). Современные технологии в медицине 2013, 5(2 (eng)):47-51.

Borji M, Taghinejad H, Sedmohamadi R: Comparison of the effects of drawing pictures and inflating balloons on anxiety and pain caused by diphtheria-pertussis-tetanus immunization in school-aged children. Archives of Pediatric Infectious Diseases 2018, 6(4). https://doi.org/10.5812/pedinfect.12332

Mehta A, Parkash A, Bhatia M: Cross-Sectional Study to Establish the Utility of Serum Tumor Markers in the Diagnosis of Lung Cancer. Asian Pacific Journal of Cancer Prevention 2021, 22(8):2569-2576 https://doi.org/10.31557/APJCP.2021.22.8.2569

Nascimento MP, Bazhuni PSA, Parente AA, Baroni AR, Albino SSB, Luiz RR, et all. Correlation of digital flow peak with spirometry in children with and without asthma. Journal of Asthma. 2023 Feb 1;60(2):270-6. https://doi.org/10.1080/02770903.2022.2045308

Milad B.Relationship between nutritional status, food insecurity, and causes of hospitalization of children with infectious diseases. Journal of comprehensive Paediatrics. 2018;1:21-16. https://doi.org/10.5812/compreped.63870

Al Duraywish AA, Abdelsalam MN: Assessment of the Primary and Intermediate School Staffs' Knowledge, Attitude and Practice on Care of Children with Type 1 Diabetes at School, Al-Jouf, Saudi Arabia. Sudan Journal of Medical Sciences (SJMS) 2017, 12(1). https://doi.org/10.18502/sjms.v12i1.857

Johnson CC, Havstad SL, Ownby DR, Joseph CL, Sitarik AR, Myers JB, et all. Pediatric asthma incidence rates in the United States from 1980 to 2017. Journal of Allergy and Clinical Immunology 2021, 148(5):1270-1280. https://doi.org/10.1016/j.jaci.2021.04.027

Nahhas M, Bhopal R, Anandan C, Elton R, Sheikh A: Prevalence of allergic disorders among primary school-aged children in Madinah, Saudi Arabia: two-stage cross-sectional survey. PloS one 2012, 7(5):e36848. https://doi.org/10.1371/journal.pone.0036848

Al Ghobain MO, Al-Hajjaj MS, Al Moamary MS: Asthma prevalence among 16-to 18-year-old adolescents in Saudi Arabia using the ISAAC questionnaire. BMC public health 2012, 12(1):1-5. https://doi.org/10.1186/1471-2458-12-239

Hamam F, Eldalo A, Albarraq A, Khaleel M, Kaabi Y, Al Ghamdi A, et all. The prevalence of asthma and its related risk factors among the children in Taif area, Kingdom of Saudi Arabia. prevalence 2015, 4(3):179-184. https://doi.org/10.4103/2278-0521.171436

Krasilnikova SV, Khramov AA, Khramova RN, Ovsyannikov DY, Daniel-Abu MI, Novozhilov A, Shahov AV, Kubysheva NI, Eliseeva TI: The Relationship Between Indicators of Nasal Respiratory Function and Spirometric Parameters in Children With Bronchial Asthma. Frontiers in Pediatrics 2021, 8. https://doi.org/10.3389/fped.2020.580043




DOI: https://doi.org/10.46903/gjms/21.03.1289

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Copyright (c) 2023. Behzad Darabi, Mehdi Shokri, Elham Bastani, Fariba Shokri

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