TY - JOUR
T1 - Diagnosing pediatric asthma
T2 - Validating the easy breathing survey
AU - Hall, Charles B.
AU - Wakefield, Dorothy
AU - Rowe, Tiffany M.
AU - Carlisle, Penelope S.
AU - Cloutier, Michelle M.
N1 - Funding Information:
Supported by a grant from the Patrick and Catherine Weldon Donaghue Medical Research Foundation.
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2001
Y1 - 2001
N2 - Objective: To determine the sensitivity, specificity, and predictive value of a simple, self-administered questionnaire for the diagnosis of asthma in children. Study design: A questionnaire specifically designed to assist primary care providers in making a diagnosis of asthma in children was developed and administered in 4 different primary care and subspecialty clinics, validated, and then used as part of an asthma management program called Easy Breathing. Asthma diagnoses were made according to recommended National Asthma Expert Panel Guidelines. Results: Four questions on the survey were shown to be sensitive and specific for asthma. The sensitivity was greater for all levels (mild, moderate, and severe) of persistent asthma than for mild, intermittent asthma. A positive response to any 1 of the 4 questions was over 94% sensitive for asthma; a negative response to all 4 questions was 55% specific for ruling out asthma. Conclusions: Patient responses to 4 specific respiratory symptom questions can assist primary care providers in diagnosing asthma in children. Primary care providers serving pediatric populations at high risk for asthma should consider asking patients or their parents these 4 questions regarding asthma symptoms on a regular basis.
AB - Objective: To determine the sensitivity, specificity, and predictive value of a simple, self-administered questionnaire for the diagnosis of asthma in children. Study design: A questionnaire specifically designed to assist primary care providers in making a diagnosis of asthma in children was developed and administered in 4 different primary care and subspecialty clinics, validated, and then used as part of an asthma management program called Easy Breathing. Asthma diagnoses were made according to recommended National Asthma Expert Panel Guidelines. Results: Four questions on the survey were shown to be sensitive and specific for asthma. The sensitivity was greater for all levels (mild, moderate, and severe) of persistent asthma than for mild, intermittent asthma. A positive response to any 1 of the 4 questions was over 94% sensitive for asthma; a negative response to all 4 questions was 55% specific for ruling out asthma. Conclusions: Patient responses to 4 specific respiratory symptom questions can assist primary care providers in diagnosing asthma in children. Primary care providers serving pediatric populations at high risk for asthma should consider asking patients or their parents these 4 questions regarding asthma symptoms on a regular basis.
UR - http://www.scopus.com/inward/record.url?scp=0034902467&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0034902467&partnerID=8YFLogxK
U2 - 10.1067/mpd.2001.116697
DO - 10.1067/mpd.2001.116697
M3 - Article
C2 - 11487755
AN - SCOPUS:0034902467
SN - 0022-3476
VL - 139
SP - 267
EP - 272
JO - Journal of Pediatrics
JF - Journal of Pediatrics
IS - 2
ER -