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Monitoring asthma in childhood

Karin C. Lødrup Carlsen, Mariëlle W. Pijnenburg on behalf of the ERS Task Force Monitoring Asthma in Children
European Respiratory Review 2015 24: 178-186; DOI: 10.1183/16000617.00003714
Karin C. Lødrup Carlsen
1Dept of Paediatrics, Oslo University Hospital, Oslo, Norway
2Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway
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Mariëlle W. Pijnenburg
3Dept of Paediatric/Paediatric Respiratory Medicine, Erasmus MC – Sophia Children's Hospital, Rotterdam, The Netherlands
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  • TABLE 1

    Factors that should prompt consideration of more intense monitoring schemes

    Emergency visits, admission or oral steroids for <1 year
    Low FEV1
    ACT score <19
    Low socioeconomic state or low income
    Comorbidities: rhinitis, sinusitis and reflux
    Severe asthma
    Smoking or environmental smoke exposure
    Reduced symptom perception
    Reduced adherence
    • FEV1: forced expiratory volume in 1 s; ACT: asthma control test.

  • TABLE 2

    Available tools for monitoring childhood asthma based on age

     0–2 years2–4 years4–6 years>6 years
    Symptoms✓✓✓✓
    C-ACT/ACT––✓✓
    ACQ–––✓
    Exacerbations✓✓✓✓
    Flow volume curves/BDR––(✓)✓
    PEF––(✓)✓
    Rint-IOS-FOT–✓✓✓
    LCI✓✓✓✓
    ILF✓–––
    AHR––(✓)✓
    FeNO✓✓✓✓
    Induced sputum–––✓
    EBC––(✓)✓
    • Tick marks indicate relevant/available tools, while tick marks in parenthesis indicates partly relevant/available tools. C-ACT: childhood asthma control test; ACT: asthma control test; BDR: bronchodilator response; PEF: peak expiratory flow; Rint-IOS-FOT: interrupter resistance-impulse oscillometry-forced oscillation technique; LCI: lung clearance index; ILF: infant lung function; AHR: airway hyperresponsiveness; FeNO: exhaled nitric oxide fraction; EBC: exhaled breath condensate.

Additional Files

  • Tables
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    Files in this Data Supplement:

    • K.C. Lodrup Carlsen
    • M.W. Pijnenburg
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Monitoring asthma in childhood
Karin C. Lødrup Carlsen, Mariëlle W. Pijnenburg
European Respiratory Review Jun 2015, 24 (136) 178-186; DOI: 10.1183/16000617.00003714

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Monitoring asthma in childhood
Karin C. Lødrup Carlsen, Mariëlle W. Pijnenburg
European Respiratory Review Jun 2015, 24 (136) 178-186; DOI: 10.1183/16000617.00003714
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  • Article
    • Abstract
    • Abstract
    • Introduction
    • Asthma pathology
    • Guidelines: change from disease severity to asthma control and lack of monitoring knowledge
    • Aims of the ERS Task Force
    • Limitations of the ERS Task Force
    • Common factors to consider when choosing monitoring tools
    • Conclusion
    • Acknowledgements
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