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Monitoring asthma in childhood: symptoms, exacerbations and quality of life

Paul L.P. Brand, Mika J. Mäkelä, Stanley J. Szefler, Thomas Frischer, David Price on behalf of the ERS Task Force Monitoring Asthma in Children
European Respiratory Review 2015 24: 187-193; DOI: 10.1183/16000617.00003614
Paul L.P. Brand
1Princess Amalia Children's Centre, Isala Hospital, Zwolle, The Netherlands
2UMCG Postgraduate School of Medicine, University Medical Centre and University of Groningen, Groningen, The Netherlands
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  • For correspondence: p.l.p.brand@isala.nl
Mika J. Mäkelä
3Skin and Allergy Hospital, Helsinki University Hospital, Helsinki, Finland
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Stanley J. Szefler
4Children's Hospital Colorado and University of Colorado Denver School of Medicine, Denver, CO, USA
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Thomas Frischer
5Dept of Paediatrics and Paediatric Surgery, Wilhelminenspital, Vienna, Austria
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David Price
6Dept of Primary Care Respiratory Medicine, Academic Primary Care, Division of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
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Abstract

Monitoring asthma in children in clinical practice is primarily performed by reviewing disease activity (daytime and night-time symptoms, use of reliever medication, exacerbations requiring frequent use of reliever medication and urgent visits to the healthcare professional) and the impact of the disease on children's daily activities, including sports and play, in a clinical interview. In such an interview, most task force members also discuss adherence to maintenance therapy and the patients' (and parents') views and beliefs on the goals of treatment and the amount of treatment required to achieve those goals. Composite asthma control and quality of life measures, although potentially useful in research, have limited value in clinical practice because they have a short recall window and do not cover the entire spectrum of asthma control. Telemonitoring of children with asthma cannot replace face-to-face follow-up and monitoring because there is no evidence that it is associated with improved health outcomes.

Abstract

To monitor asthma control in children interviewing the child and parents is preferred over composite control scores http://ow.ly/JbqnR

Footnotes

  • This is a supporting document of the ERS Task Force Monitoring Asthma in Children published in the European Respiratory Journal: Pijnenburg MW, Baraldi E, Brand PLP, et al. Monitoring asthma in children. Eur Respir J 2015; 45: 906–925.

  • Conflict of interest: Disclosures can be found alongside the online version of this article at err.ersjournals.com

  • Provenance: Submitted article, peer reviewed.

  • Received May 14, 2014.
  • Accepted July 15, 2014.
  • Copyright ©ERS 2015.

ERR articles are open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.

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Monitoring asthma in childhood: symptoms, exacerbations and quality of life
Paul L.P. Brand, Mika J. Mäkelä, Stanley J. Szefler, Thomas Frischer, David Price
European Respiratory Review Jun 2015, 24 (136) 187-193; DOI: 10.1183/16000617.00003614

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Monitoring asthma in childhood: symptoms, exacerbations and quality of life
Paul L.P. Brand, Mika J. Mäkelä, Stanley J. Szefler, Thomas Frischer, David Price
European Respiratory Review Jun 2015, 24 (136) 187-193; DOI: 10.1183/16000617.00003614
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  • Article
    • Abstract
    • Abstract
    • Introduction
    • Monitoring symptoms
    • Composite asthma control scores
    • e-health and telemonitoring
    • Exacerbations
    • Quality of life
    • Conclusion
    • Acknowledgements
    • Footnotes
    • References
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  • Info & Metrics
  • PDF

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  • Asthma and allergy
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More in this TOC Section

  • Monitoring asthma in children part IV
  • Monitoring asthma in children: part III
Show more ERS Task Force Reviews

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