الفهرس 
Risk Factors for AsthmaOnly 14 pages are availabe for public view
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Abstract
Asthma is an important chronic airway disease worldwide, and its prevalence is increasing in all regions. The goal of asthma management is to achieve optimum disease control, so different measures such as clinical assessment (symptoms and quality of life), functional parameters (spirometry), and biomarker of inflammation are used to evaluate asthma control.
Asthma Control Test (ACT) had been validated for various applications, including use by health care providers to assess the state of control of asthma. This test has the potential to improve assessments of asthma control.
The aim of the present study was to assess asthma control in asthmatic patients in Ain Shams Pediatric pulmonology clinic & analysis of the factors involved in uncontrolled asthma.
The present study was conducted on 105 Egyptian children who attended the Pediatric Chest and Outpatient Clinic in Ain Shams University Pediatric Hospital, They were 71males and 34 females with mean age 8.08 ± 3.4years.
Patients were divided according to asthma control test (ACT) score into:
Group (1) controlled Asthmatic children (≥20):
It included 35 children, 24males and 11 females, with a mean ages 8.57±3.6 years.
Group (2) uncontrolled Asthmatic children(<20):
This group included 75 children, 47males and 23 females, with a mean ages 7.83±3.3 years.
Also patients was classified according to GINA (2007) guidelines into 4 subgroups: mild intermittent, mild, moderate severe persistant.
1) -Intermittent asthmatic children:
Included 20 children, 19% of all children
2) -Mild persistent:
Included 62 children, 59% of all children
3) -Moderate persistent:
Included 22 children, 21% of all children
4) - Severe persistent:
Included 1 child, 1% of all children
*All children were subjected to the following:
I) -Clinical assessment:
Full history taking and thorough clinical examination
II)- Investigations:)
1)- Pulmonary function test(Peak Flow meter).
2)- Asthma control test (ACT).
The results of this study showed that: About ⅔(66.7%) of treated asthmatic patients had uncontrolled asthma.
Asthma control was significantly higher and better between patients with average social class living in well ventilated area and significantly bad between patients with low social class living in bad ventilated area.
Asthma control was significantly better between milder grades, patients received lower does of ICS with good technique and compliance and –ve family history of bronchial asthma, and hence they experienced significantly fewer exacerbation and visits to ED and complained less from cough and dyspnea.
Logistic regression analysis revealed that bad ventilation, low SC class, presence of cough and dyspnea, false technique and poor compliance, +ve family history of bronchial asthma and repeated visits to ED with exacerbation are predictors for lack of asthma control.
Peak expiratory flow rate (PEFR)- not ACT- was significantly positively correlated with age, weight, duration of illness and ACT.