使用邮政问卷来估计成人中哮喘样疾病可能存在的诊断不足情况。
Use of a postal questionnaire to estimate the likely under-diagnosis of asthma-like illness in adults.
作者信息
Frank P, Ferry S, Moorhead T, Hannaford P
机构信息
Royal College of General Practitioners Manchester Research Unit.
出版信息
Br J Gen Pract. 1996 May;46(406):295-97.
BACKGROUND
Asthma is thought to be under-diagnosed.
AIM
To estimate how many adults in two practices may have unknown asthma-like illness.
METHOD
Results from a postal respiratory questionnaire, sent to 11,206 adults registered with two practices, were linked with practice records to identify patients who may have unknown asthma-like illness.
RESULTS
The questionnaire replies were almost identical in both practices; 30.4% of respondents [95% confidence interval (CI) 29.4-31.4] reported wheezing and 14.1% (95% CI 13.3-14.9) had been woken by breathlessness during the previous year. Using a simple scoring system, 1112 (13.8%) of the respondents were judged possibly to have asthma-like illness; 529 (6.6%) had not previously been diagnosed as having asthma and had not received asthma treatments.
CONCLUSION
The frequency of asthma-like symptoms was high. A large proportion of adults in the practices may have an unknown asthma-like illness which warrants further evaluation.
背景
哮喘被认为诊断不足。
目的
评估在两家医疗机构中有多少成年人可能患有未确诊的哮喘样疾病。
方法
向在两家医疗机构注册的11206名成年人发送的邮政呼吸问卷结果与医疗机构记录相关联，以识别可能患有未确诊的哮喘样疾病的患者。
结果
两家医疗机构的问卷回复几乎相同；30.4%的受访者[95%置信区间（CI）29.4 - 31.4]报告有喘息，14.1%（95%CI 13.3 - 14.9）在前一年因呼吸困难而惊醒。使用简单评分系统，1112名（13.8%）受访者被判定可能患有哮喘样疾病；529名（6.6%）此前未被诊断为哮喘且未接受过哮喘治疗。
结论
哮喘样症状的发生率很高。这些医疗机构中的很大一部分成年人可能患有未确诊的哮喘样疾病，值得进一步评估。
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