Comparison between modified Chinese Version of Test for Respiratory and Asthma Control in Kids and Global Initiative for Asthma guideline
10.3760/cma.j.issn.2095-428X.2019.16.007
- VernacularTitle: 改良中文版儿童呼吸和哮喘控制测试与全球哮喘防治创议标准控制分级的比较
- Author:
Xianjin WANG
1
;
Rongjun LIN
2
Author Information
1. Graduate School, Qingdao University, Qingdao 266071, Shandong Province, China
2. Department of Comprehensive Pediatrics, Laoshan Branch, the Affiliated Hospital of Qingdao University, Qingdao 266061, Shandong Province, China
- Publication Type:Journal Article
- Keywords:
Modified Chinese Version of Test for Respiratory and Asthma Control in Kids;
Global Initiative for Asthma;
Asthma management
- From:
Chinese Journal of Applied Clinical Pediatrics
2019;34(16):1223-1226
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the value of modified Chinese Version of Test for Respiratory and Asthma Control in Kids(TRACK) in the management of asthmatic children aged 0-5 years old by comparing with Global Ini-tiative for Asthma(GINA) guideline.
Methods:A total of 157 children aged 0-5 years old were enrolled at the Pedia-tric Asthma Outpatient Department of the Affiliated Hospital of Qingdao University from March to August 2018.All children were treated with individualized anti-asthma treatment for 3 months.After treatment, asthma experts assessed the level of asthma symptom control based on the GINA guideline, while caregivers of all children completed TRACK questionnaire.The optimal threshold of the TRACK questionnaire for asthma control was determined by analyzing receiver operating characteristic curve(ROC curve), and consistency of the 2 evaluation methods was compared.
Results:All enrolled children were divided into 3 groups based on GINA guideline: 59 children for the well controlled group, 52 children for the partly controlled group and 46 children for the uncontrolled group.There was a significant difference statistically in TRACK scores among the well controlled group [90(85, 95) scores], the partly controlled group [80(70, 85) scores] and the uncontrolled group [60(55, 65) scores] after treatment (H=101.740, P<0.001). Area under the ROC curve was 0.909 for diagnosing asthma control by the modified Chinese version of TRACK, with 80 scores for optimal threshold, 87.3% for sensitivity and 73.5% for specificity.The Kappa value of the consistency test between the TRACK questionnaire and the GINA guideline was 0.553, and consistency rate of these 2 evaluation methods was 77.1%.
Conclusions:The modified Chinese version of TRACK can be used as an effective assessment tool to monitor and manage asthmatic children aged 0-5 years.
