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The Preschool Asthma Risk Factors Scale: A predictive tool for asthma and respiratory symptoms among preschool children in Lebanon
Souheil, Hallit; Rahme, Clara; Sacre, Hala; Waked, Mirna; Salameh, Pascale.
Afiliação
  • Souheil, Hallit; Holy Spirit University of Kaslik (USEK). Faculty of Medicine and Medical Sciences. Jounieh. Lebanon
  • Rahme, Clara; Psychiatric Hospital of the Cross. Research Department. Jal Eddib. Lebanon
  • Sacre, Hala; INSPECT-LB: National Institute of Public Health. Clinical Epidemiology and Toxicology. Beirut. Lebanon
  • Waked, Mirna; Saint Georges Hospital. Department of Pulmonology. Beirut. Lebanon
  • Salameh, Pascale; INSPECT-LB: National Institute of Public Health. Clinical Epidemiology and Toxicology. Beirut. Lebanon
Allergol. immunopatol ; Allergol. immunopatol;49(4): 38-46, jul. 2021. tab, graf
Article em En | IBECS | ID: ibc-214289
Biblioteca responsável: ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
Background: The Preschool Asthma Risk Factor Scale (PS-ARFS) is a tool that enables clinicians to assess environmental exposure of preschool children, history of parental asthma, and dietary habits. The objective of this study was to evaluate the PS-ARFS ability to predict asthma diagnosis and respiratory symptoms 1 year after baseline assessment and improve the scale if necessary. Methods: A prospective cohort study conducted between November 2018 and March 2019 in three Lebanese schools (from three different Lebanese Governorates) enrolled 515 preschool children aged 3–5 years. Parents completed a detailed questionnaire sent with their children (Phase 1; T0). All parents who participated in Phase 1 were invited to take the same survey by telephone (Phase 2; T1), 1 year later. The interview was conducted by one study-independent person. Of the total sample, 141 (27.4%) children were lost to follow-up. Results: Higher odds of asthma diagnosis at 1 year were significantly associated with playing outside (adjusted odds ratio [aOR] = 3.958) and having a heating system in the bedroom (aOR = 6.986) at baseline, but inversely associated with the female gender (aOR = 0.365). Based on those results, the improved PS-ARFS-I was generated. A higher PS-ARFS-I at T0 was significantly associated with higher odds of asthma at T1 (aOR = 1.08; p < 0.001; 95% confidence interval [CI] 1.05–1.10); similar results were obtained with the longer PS-ARFS (aOR = 1.079; p < 0.001; 95% CI 1.050–1.109). Moreover, among non-asthmatic children at baseline, the PS-ARFS score predicted wheezing and cough at T1 but not bronchial secretions; the PS-ARFS-I score at baseline did not predict symptoms at T1. Conclusion: This study shows that the PS-ARFS-I and PS-ARFS could predict diagnosed asthma at 1-year follow-up (AU)
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Texto completo: 1 Coleções: 06-national / ES Base de dados: IBECS Assunto principal: Asma Limite: Child, preschool / Female / Humans / Male País/Região como assunto: Asia Idioma: En Revista: Allergol. immunopatol Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Coleções: 06-national / ES Base de dados: IBECS Assunto principal: Asma Limite: Child, preschool / Female / Humans / Male País/Região como assunto: Asia Idioma: En Revista: Allergol. immunopatol Ano de publicação: 2021 Tipo de documento: Article