Welch Michael J, Carlson Angeline M, Larson David, Fena Penny
Department of Pediatrics, University of California, San Diego School of Medicine, San Diego, California 92123, USA.
Ann Allergy Asthma Immunol. 2007 Dec;99(6):496-501. doi: 10.1016/S1081-1206(10)60377-8.
Approximately 120 asthma camps presently serve nearly 10,000 children nationwide. A clinical profile of the children who attend asthma camps has not been published.
To create a standardized universal health history camp application that includes an assessment of health-related quality of life using the Child Asthma Short Form; to test a newly validated tool, the Childhood Asthma Control Test (C-ACT), to assess asthma control in children; to provide a clinical snapshot of the overall status of children with asthma in the United States; and to determine the benefit of children's asthma camps.
Participating camps distributed the universal health history and the Child Asthma Short Form as part of their application. The C-ACT was distributed separately.
A total of 1,783 campers from 24 camps in 17 states provided the requested information. Camp attendees generally had moderately severe asthma, as indicated by a mean +/- SD parent-reported severity rating of 4.86 +/- 2.10 on a 10-point scale. Average daytime and nighttime symptom scores and functional limitation scores indicated children moderately burdened by their asthma symptoms. Using the C-ACT, 37% of children were found to have inadequately controlled asthma. Children who had attended asthma camp the previous year reported better use of asthma management tools, were more likely to be using controller therapy, and had more responsibility for taking their medication (P < .05).
The burden of asthma experienced by children attending asthma camps is substantial, suggesting that there is an opportunity to improve the lives of children attending asthma camps.
目前全国约有120个哮喘营为近10000名儿童提供服务。关于参加哮喘营儿童的临床概况尚未发表。
创建一个标准化的通用健康史营申请表，其中包括使用儿童哮喘简表对健康相关生活质量进行评估；测试一种新验证的工具——儿童哮喘控制测试（C-ACT），以评估儿童哮喘控制情况；提供美国哮喘儿童总体状况的临床概况；并确定儿童哮喘营的益处。
参与的营地将通用健康史和儿童哮喘简表作为申请表的一部分进行分发。C-ACT单独分发。
来自17个州24个营地的1783名营员提供了所需信息。家长报告的严重程度评分平均为4.86±2.10（10分制），这表明营地参与者一般患有中度至重度哮喘。白天和夜间症状平均得分以及功能受限得分表明儿童受到哮喘症状的中度困扰。使用C-ACT发现，37%的儿童哮喘控制不佳。前一年参加过哮喘营的儿童报告称，哮喘管理工具的使用情况更好，更有可能正在使用控制疗法，且对服药更有责任感（P<0.05）。
参加哮喘营的儿童所承受的哮喘负担很大，这表明有机会改善参加哮喘营儿童的生活。
