使用儿童哮喘控制测试（C-ACT）和哮喘治疗评估问卷（ATAQ）评估儿童哮喘控制情况。
Evaluation of Asthma Control in Children Using Childhood- Asthma Control Test (C-ACT) and Asthma Therapy Assessment Questionnaire (ATAQ).
作者信息
Somashekar A R, Ramakrishnan K G
机构信息
Department of Pediatrics, MS Ramaiah Medical College and Hospitals, Bengaluru, Karnataka, India. Correspondence to: Dr AR Somashekhar, Department of Pediatrics, Ramaiah Medical College, Bengaluru, Karnataka, India.
出版信息
Indian Pediatr. 2017 Sep 15;54(9):746-748. doi: 10.1007/s13312-017-1167-2.
OBJECTIVE
To evaluate the efficacy of Childhood-asthma control test (C-ACT) and the Asthma therapy assessment questionnaire by (ATAQ) checking its consistency with Global Initiative for Asthma (GINA) criteria.
METHODS
Asthma control of 97 children was assessed using C-ACT, ATAQ and GINA criteria separately, and their results were compared.
RESULTS
C-ACT had better performance for evaluating control as per GINA criteria with sensitivity of 48.3%, specificity of 68.9%, and area under the receiver operative curve (ROC) of 0.647. The above parameters for ATAQ were: 93.1%, 17.2% and 0.552, respectively. A cut-off score of 20 for C-ACT is more suitable as it has maximum ROC area (0.667), and higher kappa score (0.315); P= 0.001.
CONCLUSION
C-ACT can be validity used to monitor asthma control. However, the cut-off score 20 is more accurate for the Indian population. The performance of ATAQ in evaluating asthma control is not satisfactory.
目的
通过检查儿童哮喘控制测试（C-ACT）和哮喘治疗评估问卷（ATAQ）与全球哮喘防治创议（GINA）标准的一致性，评估其有效性。
方法
分别使用C-ACT、ATAQ和GINA标准评估97名儿童的哮喘控制情况，并比较结果。
结果
根据GINA标准，C-ACT在评估控制方面表现更佳，敏感性为48.3%，特异性为68.9%，受试者工作特征曲线（ROC）下面积为0.647。ATAQ的上述参数分别为93.1%、17.2%和0.552。C-ACT的临界值为20更合适，因为其ROC面积最大（0.667），kappa值更高（0.315）；P = 0.001。
结论
C-ACT可有效用于监测哮喘控制情况。然而，临界值20对印度人群更准确。ATAQ在评估哮喘控制方面的表现并不令人满意。
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