Conway S P, Littlewood J M
Arch Dis Child. 1985 Jul;60(7):636-9. doi: 10.1136/adc.60.7.636.
The circumstances surrounding 142 hospital admissions for acute asthma in 110 children during a one year period were examined. Thirty four of 106 (32%) children with previous wheezing had not been diagnosed as asthmatic, nor received effective antiasthmatic medication. Nineteen of 36 (53%) known, but undertreated, asthmatics were under the care of the hospital paediatricians. Twenty-four of 58 (41%) regular school attenders had missed more than 11 days' school in the previous year. Good parental understanding of their child's illness was strongly associated with adequate treatment. Parental understanding was, however, poor in 58 of 137 (42%) admissions. Control of inadequately treated chronic symptoms was obtained by simple and straightforward changes in treatment.
对110名儿童在一年时间里因急性哮喘入院治疗的142例情况进行了调查。106名曾有喘息症状的儿童中，有34名（32%）未被诊断为哮喘，也未接受有效的抗哮喘药物治疗。36名已知患有哮喘但治疗不足的儿童中，有19名（53%）由医院儿科医生负责治疗。58名正常上学的儿童中，有24名（41%）在上一年缺课超过11天。家长对孩子病情的充分了解与充分治疗密切相关。然而，在137例入院病例中，有58例（42%）家长的了解程度较差。通过简单直接的治疗调整，对治疗不足的慢性症状进行了控制。
