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The Impact of Spirometry on Diagnosis and Treatment: Asthma in Children

Received: 5 November 2020     Accepted: 13 January 2021     Published: 30 January 2021
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Abstract

Introduction: Spirometry is a common method that is used to determine common lung raspatory diseases and lung capacity. It is also used to treat asthma, an extremely common lung disease. Aim of the study: The aim of this study is to assess the clinical improvement and changes in spirometric measurements with treatment in children with newly diagnosed asthma. Methods: This was a cross-sectional prospective study was conducted in the Department of Paediatrics, of Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh during the period from January 2019 to December 2019. This prospective study included 50 children between 5-15 years. of age who were newly diagnosed as cases of asthma based on symptoms and medical history. Baseline symptom score and spirometric measurements were determined at the first visit. The children were treated and followed up of 3 to 6 months of initiating treatment. Symptom scores and spirometric measurements were repeated at every visit. Result: The majority of the patients were from the age group of 7-9 years, and gender-wise 2/3rd of the patients were male. The mean symptom score showed the greatest improvements after the 3-month follow up, and continued to show slow but steady improvements at the 6-month follow-up. Conclusion: Spirometry makes a great impact on recognizing and treating respiratory complications, and needs to be used more widely to recognize and remove its limitations.

Published in American Journal of Pediatrics (Volume 7, Issue 1)
DOI 10.11648/j.ajp.20210701.11
Page(s) 1-4
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Spirometry, Asthma, Diagnosis, Treatment

References
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[2] Pulmonary Function Testing in Children," Patient education | information series, Am J Respir Crit Care Med Vol. 189, P5-P6, 2014.
[3] Bateman ED, Hurd SS, Barnes PJ, Bosquet J, Drazen JM, FitzGerald M, et al. Global strategy for asthma management and prevention: GINA executive summary. Eur Respir J 2008; 31: 143-78.
[4] Spahn JD, Cherniack R, Paull K, Gelfand EW. Is forced expiratory volume in one second the best measure of severity in childhood asthma? Am J Respir Crit Care Med 2004; 169: 784-6.
[5] The Childhood Asthma Management Program Research Group. Long-term effects of budesonide or nedocromil in children with asthma. N Engl J Med 2000; 34: 1054-63.
[6] Bacharier LB, Strunk RC, Mauger D, White D, Lemanske RF Jr, Sorkness CA. Classifying asthma severity in children: mismatch between symptoms, medication use, and lung function. Am J Respir Crit Care Med 2004; 170: 426-32.
[7] Expert Panel Report 3 National Heart, Lung and Blood Institute Guidelines for the diagnosis and management of asthma. Available from: http://www.nhlbi.gov., accessed on August 16, 2009.
[8] Global strategy for asthma management and prevention. Available from: http://www.ginasthma.org., accessed on August 16, 2009.
[9] Derom, E., Van Weel, C., Liistro, G., Buffels, J., Schermer, T., Lammers, E.,... & Decramer, M. (2008). Primary care spirometry. European Respiratory Journal, 31(1), 197-203.
[10] Colice, G. L. (2012). Pragmatic research and outcomes in asthma and COPD. Pragmatic and observational research, 3, 11.
[11] Stout, J. W., Visness, C. M., Enright, P., Lamm, C., Shapiro, G., Gan, V. N.,... & Mitchell, H. E. (2006). Classification of asthma severity in children: the contribution of pulmonary function testing. Archives of pediatrics & adolescent medicine, 160(8), 844-850.
[12] Zhang, L., Avila, L., Leyraud, L., Grassi, S., Raquel, T., Bonfanti, T., & Ferruzzi, E. (2005). Accuracy of parental and child's report of changes in symptoms of childhood asthma. Indian pediatrics, 42(12), 1220-1225.
[13] Singh, M., Mathew, J. L., Malhi, P., Srinivas, B. R., & Kumar, L. (2004). Comparison of improvement in quality of life score with objective parameters of pulmonary function in Indian asthmatic children receiving inhaled corticosteroid therapy. Indian pediatrics, 41(11), 1143–1147.
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  • APA Style

    Md. Kamruzzaman, Habiba Jesmin, Probir Kumar Sarkar, Nabila Akhand, Mosharraf Hossain, et al. (2021). The Impact of Spirometry on Diagnosis and Treatment: Asthma in Children. American Journal of Pediatrics, 7(1), 1-4. https://doi.org/10.11648/j.ajp.20210701.11

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    ACS Style

    Md. Kamruzzaman; Habiba Jesmin; Probir Kumar Sarkar; Nabila Akhand; Mosharraf Hossain, et al. The Impact of Spirometry on Diagnosis and Treatment: Asthma in Children. Am. J. Pediatr. 2021, 7(1), 1-4. doi: 10.11648/j.ajp.20210701.11

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    AMA Style

    Md. Kamruzzaman, Habiba Jesmin, Probir Kumar Sarkar, Nabila Akhand, Mosharraf Hossain, et al. The Impact of Spirometry on Diagnosis and Treatment: Asthma in Children. Am J Pediatr. 2021;7(1):1-4. doi: 10.11648/j.ajp.20210701.11

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  • @article{10.11648/j.ajp.20210701.11,
      author = {Md. Kamruzzaman and Habiba Jesmin and Probir Kumar Sarkar and Nabila Akhand and Mosharraf Hossain and Sarbon Tohura},
      title = {The Impact of Spirometry on Diagnosis and Treatment: Asthma in Children},
      journal = {American Journal of Pediatrics},
      volume = {7},
      number = {1},
      pages = {1-4},
      doi = {10.11648/j.ajp.20210701.11},
      url = {https://doi.org/10.11648/j.ajp.20210701.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20210701.11},
      abstract = {Introduction: Spirometry is a common method that is used to determine common lung raspatory diseases and lung capacity. It is also used to treat asthma, an extremely common lung disease. Aim of the study: The aim of this study is to assess the clinical improvement and changes in spirometric measurements with treatment in children with newly diagnosed asthma. Methods: This was a cross-sectional prospective study was conducted in the Department of Paediatrics, of Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh during the period from January 2019 to December 2019. This prospective study included 50 children between 5-15 years. of age who were newly diagnosed as cases of asthma based on symptoms and medical history. Baseline symptom score and spirometric measurements were determined at the first visit. The children were treated and followed up of 3 to 6 months of initiating treatment. Symptom scores and spirometric measurements were repeated at every visit. Result: The majority of the patients were from the age group of 7-9 years, and gender-wise 2/3rd of the patients were male. The mean symptom score showed the greatest improvements after the 3-month follow up, and continued to show slow but steady improvements at the 6-month follow-up. Conclusion: Spirometry makes a great impact on recognizing and treating respiratory complications, and needs to be used more widely to recognize and remove its limitations.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - The Impact of Spirometry on Diagnosis and Treatment: Asthma in Children
    AU  - Md. Kamruzzaman
    AU  - Habiba Jesmin
    AU  - Probir Kumar Sarkar
    AU  - Nabila Akhand
    AU  - Mosharraf Hossain
    AU  - Sarbon Tohura
    Y1  - 2021/01/30
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajp.20210701.11
    DO  - 10.11648/j.ajp.20210701.11
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 1
    EP  - 4
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20210701.11
    AB  - Introduction: Spirometry is a common method that is used to determine common lung raspatory diseases and lung capacity. It is also used to treat asthma, an extremely common lung disease. Aim of the study: The aim of this study is to assess the clinical improvement and changes in spirometric measurements with treatment in children with newly diagnosed asthma. Methods: This was a cross-sectional prospective study was conducted in the Department of Paediatrics, of Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh during the period from January 2019 to December 2019. This prospective study included 50 children between 5-15 years. of age who were newly diagnosed as cases of asthma based on symptoms and medical history. Baseline symptom score and spirometric measurements were determined at the first visit. The children were treated and followed up of 3 to 6 months of initiating treatment. Symptom scores and spirometric measurements were repeated at every visit. Result: The majority of the patients were from the age group of 7-9 years, and gender-wise 2/3rd of the patients were male. The mean symptom score showed the greatest improvements after the 3-month follow up, and continued to show slow but steady improvements at the 6-month follow-up. Conclusion: Spirometry makes a great impact on recognizing and treating respiratory complications, and needs to be used more widely to recognize and remove its limitations.
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • Department of Paediatric Respiratory Medicine, Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh

  • Department of Paediatrics, Shaikh Hasina Medical College Hospital, Tangail, Bangladesh

  • Department of Paediatric Respiratory Medicine, Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh

  • Department of Paediatric Respiratory Medicine, Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh

  • Department of Paediatric Respiratory Medicine, Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh

  • Department of Paediatric Respiratory Medicine, Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh

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