Objective monitoring tools for improved management of childhood asthma

IF 4.7 2区医学 Q1 RESPIRATORY SYSTEM Respiratory Research Pub Date : 2024-05-03 DOI:10.1186/s12931-024-02817-y

Phillip L.W. Au-Doung, Jason C.H. Chan, Oliver Y.H. Kui, Marco K.Y. Ho, Yin Ting Cheung, Jenny K.W. Lam, Hak-Kim Chan, John Brannan, Kate C.C. Chan, Albert M. Li, Sharon S.Y. Leung

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Abstract

Asthma is a common chronic disease amongst children. Epidemiological studies showed that the mortality rate of asthma in children is still high worldwide. Asthma control is therefore essential to minimize asthma exacerbations, which can be fatal if the condition is poorly controlled. Frequent monitoring could help to detect asthma progression and ensure treatment effectiveness. Although subjective asthma monitoring tools are available, the results vary as they rely on patients’ self-perception. Emerging evidence suggests several objective tools could have the potential for monitoring purposes. However, there is no consensus to standardise the use of objective monitoring tools. In this review, we start with the prevalence and severity of childhood asthma worldwide. Then, we detail the latest available objective monitoring tools, focusing on their effectiveness in paediatric asthma management. Publications of spirometry, fractional exhaled nitric oxide (FeNO), hyperresponsiveness tests and electronic monitoring devices (EMDs) between 2016 and 2023 were included. The potential advantages and limitations of each tool were also discussed. Overall, this review provides a summary for researchers dedicated to further improving objective paediatric asthma monitoring and provides insights for clinicians to incorporate different objective monitoring tools in clinical practices.

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改善儿童哮喘管理的客观监测工具

哮喘是儿童常见的慢性疾病。流行病学研究表明，全世界儿童哮喘的死亡率仍然很高。因此，控制哮喘对减少哮喘加重至关重要，如果病情控制不佳，哮喘加重可能会致命。频繁的监测有助于发现哮喘的进展并确保治疗效果。虽然目前已有主观的哮喘监测工具，但由于这些工具依赖于患者的自我感觉，因此监测结果各不相同。新出现的证据表明，一些客观工具有可能用于监测目的。然而，目前尚未就客观监测工具的标准化使用达成共识。在本综述中，我们首先介绍了全球儿童哮喘的发病率和严重程度。然后，我们详细介绍了现有的最新客观监测工具，重点介绍了这些工具在儿童哮喘管理中的有效性。本文收录了 2016 年至 2023 年间有关肺活量测定、分数呼出一氧化氮 (FeNO)、高反应性测试和电子监测设备 (EMD) 的文献。同时还讨论了每种工具的潜在优势和局限性。总之，本综述为致力于进一步改善儿科哮喘客观监测的研究人员提供了总结，并为临床医生将不同的客观监测工具纳入临床实践提供了启示。

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来源期刊

Respiratory Research 医学-呼吸系统

自引率

1.70%

发文量

314

期刊介绍： Respiratory Research publishes high-quality clinical and basic research, review and commentary articles on all aspects of respiratory medicine and related diseases. As the leading fully open access journal in the field, Respiratory Research provides an essential resource for pulmonologists, allergists, immunologists and other physicians, researchers, healthcare workers and medical students with worldwide dissemination of articles resulting in high visibility and generating international discussion. Topics of specific interest include asthma, chronic obstructive pulmonary disease, cystic fibrosis, genetics, infectious diseases, interstitial lung diseases, lung development, lung tumors, occupational and environmental factors, pulmonary circulation, pulmonary pharmacology and therapeutics, respiratory immunology, respiratory physiology, and sleep-related respiratory problems.