Kable S, Henry R, Sanson-Fisher R, Ireland M, Corkrey R, Cockburn J
University of Newcastle, Locked Bag No 10, Wallsend NSW 2287 Australia.
Br J Gen Pract. 2001 Feb;51(463):112-6.
Childhood asthma remains underdiagnosed in general practice. Computers with a patient interface have the potential to screen children for asthma in a time-efficient manner.
To develop a concise, validated self-report measure that calculates an 'asthma score' that predicts likelihood of asthma and its severity in childhood.
Computerised questionnaire survey in general practitioners' (GPs') waiting rooms, followed by a written questionnaire and either bronchial challenge or skin allergy testing at the regional teaching hospital.
Children between 18 months and 18 years old accompanied by a parent or guardian in five group practices in Newcastle in New South Wales, Australia.
The responses from both the computerised questionnaire and the written questionnaire were compared with physician assessment of asthma, based on an existing validated questionnaire and clinical tests.
Six items were identified to be independently and significantly associated (at P < 0.05) with the presence of asthma and its severity: parent or self-reported asthma, previous diagnosis, wheeze in the past year, physical activity affected by symptoms, night cough in the past year, and visits to a GP in the past year. From the regression model a linear score was derived that indicates whether a child is likely to have asthma and its likely severity.
The asthma score is a valid indicator of asthma and its severity in children in general practice.
儿童哮喘在全科医疗中仍未得到充分诊断。具备患者界面的计算机有潜力以高效的方式筛查儿童哮喘。
开发一种简明、经过验证的自我报告测量方法，计算出一个“哮喘评分”，用于预测儿童哮喘的可能性及其严重程度。
在全科医生（GP）候诊室进行计算机问卷调查，随后进行书面问卷调查，并在地区教学医院进行支气管激发试验或皮肤过敏试验。
在澳大利亚新南威尔士州纽卡斯尔的五家团体诊所中，年龄在18个月至18岁之间且有父母或监护人陪同的儿童。
将计算机问卷和书面问卷的回答与基于现有经过验证的问卷和临床检查的医生对哮喘的评估进行比较。
确定有六项与哮喘的存在及其严重程度独立且显著相关（P < 0.05）：父母或自我报告的哮喘、既往诊断、过去一年的喘息、症状影响的体力活动、过去一年的夜间咳嗽以及过去一年看全科医生的次数。从回归模型中得出一个线性评分，可表明儿童是否可能患有哮喘及其可能的严重程度。
哮喘评分是全科医疗中儿童哮喘及其严重程度的有效指标。
