Abstract
Background: Many studies in adults had identified factors associated with partly or uncontrolled asthma.
In children, factors related to asthma control were not well defined.
In children, factors related to asthma control were not well defined.
Objective: To find the factors related to partly or uncontrolled asthma in children.
Methods: Asthmatic children who had severity at least in the mild persistent level, were recruited.
The asthma control levels were classified as controlled, partly controlled and uncontrolled according
to the GINA guideline. Risk factors were compared between the patients with controlled and
partly controlled/ uncontrolled asthma groups.
The asthma control levels were classified as controlled, partly controlled and uncontrolled according
to the GINA guideline. Risk factors were compared between the patients with controlled and
partly controlled/ uncontrolled asthma groups.
Results: One hundred and ten patients (42.7% females) were included. The mean age was
10.3 ± 2.7 years old. There were 55 patients (50%) in the controlled, 54 patients (49.1%)
in partly controlled and 1 patient (0.9%) in uncontrolled asthma group. For asthma severity,
97 patients (88.2%) were in mild persistent, 11 patients (10%) in moderate persistent
and 2 patients (1.8%) in severe persistent groups. The risk factors for partly controlled/ uncontrolled
asthmacompared to controlled asthma were moderate/ severe persistent asthma
(adjusted OR 18.87 (95% CI 1.92 - 200.00)) and sinusitis (p = 0.04). Using the air conditioner
decreased risk of partly controlled/ uncontrolled asthma (adjusted OR 0.30 (95% CI 0.10 - 0.91)).
The proportion of patients who used medium dose inhaled corticosteroid (ICS) plus long-acting inhaled
β2-agonist (LABA) were significantly higher in partly controlled/ uncontrolled asthma than
controlled asthma (p = 0.004).
10.3 ± 2.7 years old. There were 55 patients (50%) in the controlled, 54 patients (49.1%)
in partly controlled and 1 patient (0.9%) in uncontrolled asthma group. For asthma severity,
97 patients (88.2%) were in mild persistent, 11 patients (10%) in moderate persistent
and 2 patients (1.8%) in severe persistent groups. The risk factors for partly controlled/ uncontrolled
asthmacompared to controlled asthma were moderate/ severe persistent asthma
(adjusted OR 18.87 (95% CI 1.92 - 200.00)) and sinusitis (p = 0.04). Using the air conditioner
decreased risk of partly controlled/ uncontrolled asthma (adjusted OR 0.30 (95% CI 0.10 - 0.91)).
The proportion of patients who used medium dose inhaled corticosteroid (ICS) plus long-acting inhaled
β2-agonist (LABA) were significantly higher in partly controlled/ uncontrolled asthma than
controlled asthma (p = 0.004).
Conclusion: Risk factors associated with partly controlled/ uncontrolled asthma were moderate/ severe
persistent asthma and sinusitis. Using air conditioner seemed to reduce risk of partly controlled/
uncontrolled asthma.
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ISSN: 2228-8694
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