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[Investigation on cognition, diagnosis and treatment status of chest tightness variant asthma among Chinese pediatricians].
Hua, W; Yin, J; Zhang, M; Huang, H Q; Chen, R C; Ying, S M; Chen, X; Liu, H M; Shang, Y X; Nong, G M; Zhang, M; Huang, K W; Lai, K F; Liu, H G; Shen, K L; Shen, H H.
Afiliación
  • Hua W; Key Laboratory of Respiratory Disease of Zhejiang Province, Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China.
  • Yin J; Department 1 of Respiratory, Beijing Children's Hospital, Capital Medical University, China National Clinical Research Center of Respiratory Diseases, National Center for Children's Health, Beijing 100045, China.
  • Zhang M; Key Laboratory of Respiratory Disease of Zhejiang Province, Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China.
  • Huang HQ; Key Laboratory of Respiratory Disease of Zhejiang Province, Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China.
  • Chen RC; Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, National Respiratory Medicine Center, Guangzhou Institute of Respiratory Health, State Key Laboratory of Respiratory Disease, Guangzhou 510120, China.
  • Ying SM; Institute of Respiratory Diseases, Zhejiang University, Hangzhou 310009, China.
  • Chen X; Department of Pediatric Respiratory, the Affiliated Provincial Hospital of Shandong First Medical University, Jinan 250021, China.
  • Liu HM; Department of Pediatric Pulmonology and Immunology, West China Second University Hospital, Sichuan University, Chengdu 610041, China.
  • Shang YX; Department of Pediatric Respiratory, Shengjing Hospital Affiliated to China Medical University, Shenyang 110004, China.
  • Nong GM; Department of Pediatrics, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China.
  • Zhang M; Department of Respiratory and Critical Care Medicine, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China.
  • Huang KW; Department of Respiratory and Critical Care Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China.
  • Lai KF; Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, National Respiratory Medicine Center, Guangzhou Institute of Respiratory Health, State Key Laboratory of Respiratory Disease, Guangzhou 510120, China.
  • Liu HG; Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China.
  • Shen KL; Department 1 of Respiratory, Beijing Children's Hospital, Capital Medical University, China National Clinical Research Center of Respiratory Diseases, National Center for Children's Health, Beijing 100045, China Department of Respiratory Diseases, Shenzhen Children's Hospital, Shenzhen 518038, China
  • Shen HH; Key Laboratory of Respiratory Disease of Zhejiang Province, Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China.
Zhonghua Yi Xue Za Zhi ; 103(34): 2727-2732, 2023 Sep 12.
Article en Zh | MEDLINE | ID: mdl-37475567
ABSTRACT

Objective:

To evaluate the awareness, diagnosis and treatment of chest tightness variant asthma (CTVA) among pediatricians in China.

Methods:

The survey was conducted by convenient sampling method. Pediatricians with professional title of attending physician and above from different grades hospitals in 30 provinces were invited to conduct online questionnaire surveys through WeChat, pediatricians scan QR codes to complete electronic questionnaires in the mini program from January 16th to February 4th, 2021. The contents of questionnaire included the awareness, diagnosis and treatment of CTVA, and comparing the differences between pediatricians in secondary hospitals and tertiary hospitals.

Results:

A total of 1 529 pediatricians participated in the survey, and 1 484 (97.06%) pediatricians completed the questionnaire and included in the analysis, including 420 males (28.30%). The awareness rate of CTVA among pediatricians was 77.83 % (1 155/1 484). Pediatricians in tertiary hospitals had higher rates of awareness of CTVA than pediatricians in secondary hospitals [81.86% (898/1 097) vs 66.41% (257/387), P<0.001] and had better execution of the guidelines [89.15% (978/1 097) vs 79.59% (308/387), P<0.001]. A total of 93.06 % (1 381/1 484) of pediatricians' first-line treatment included inhaled corticosteroids (ICS) for CTVA. Among them, a higher proportion of pediatricians in tertiary hospitals used ICS included regimens for first-line treatment of CTVA compared with pediatricians in secondary hospitals [94.90% (1 041/1 097) vs 87.86% (340/387), P<0.001]. The reported well control rate of CTVA was 32.08% (476/1 484), which was significantly lower in secondary hospitals than that in tertiary hospitals [17.31% (67/387) vs 37.28% (409/1 097), P<0.001].

Conclusion:

Most pediatricians are well aware of CTVA, among which there is a certain gap in clinical practice between pediatricians in secondary hospitals and tertiary hospitals in terms of understanding, diagnosis, and treatment of CTVA.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Asma / Pueblos del Este de Asia Tipo de estudio: Diagnostic_studies / Guideline / Qualitative_research Límite: Female / Humans / Male Idioma: Zh Revista: Zhonghua Yi Xue Za Zhi Año: 2023 Tipo del documento: Article País de afiliación: China
Texto completo
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Asma / Pueblos del Este de Asia Tipo de estudio: Diagnostic_studies / Guideline / Qualitative_research Límite: Female / Humans / Male Idioma: Zh Revista: Zhonghua Yi Xue Za Zhi Año: 2023 Tipo del documento: Article País de afiliación: China