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Symptom-based screening tool for asthma syndrome among young children in Uganda.
Nantanda, Rebecca; Siersma, Volkert; Ndeezi, Grace; Tumwine, James K; Østergaard, Marianne S.
Afiliação
  • Nantanda R; Makerere University Lung Institute, Makerere University College of Health Sciences, Kampala, Uganda. rnantanda@gmail.com.
  • Siersma V; Department of Paediatrics and Child Health, Makerere University College of Health Sciences, Kampala, Uganda. rnantanda@gmail.com.
  • Ndeezi G; The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
  • Tumwine JK; Department of Paediatrics and Child Health, Makerere University College of Health Sciences, Kampala, Uganda.
  • Østergaard MS; Department of Paediatrics and Child Health, Makerere University College of Health Sciences, Kampala, Uganda.
NPJ Prim Care Respir Med ; 30(1): 18, 2020 05 06.
Artigo em Inglês | MEDLINE | ID: mdl-32376892
ABSTRACT
Under-diagnosis of asthma in 'under-fives' may be alleviated by improved inquiry into disease history. We assessed a questionnaire-based screening tool for asthma among 614 'under-fives' with severe respiratory illness in Uganda. The questionnaire responses were compared to post hoc consensus diagnoses by three pediatricians who were guided by study definitions that were based on medical history, physical examination findings, laboratory and radiological tests, and response to bronchodilators. Children with asthma or bronchiolitis were categorized as "asthma syndrome". Using this approach, 253 (41.2%) had asthma syndrome. History of and present breathing difficulties and present cough and wheezing was the best performing combination of four questionnaire items [sensitivity 80.8% (95% CI 77.6-84.0); specificity 84.7% (95% CI 81.8-87.6)]. The screening tool for asthma syndrome in 'under-fives' may provide a simple, cheap and quick method of identifying children with possible asthma. The validity and reliability of this tool in primary care settings should be tested.
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Tipo de estudo: Estudo diagnóstico / Estudo prognóstico / Estudo de rastreamento Idioma: Inglês Revista: NPJ Prim Care Respir Med Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Uganda

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Tipo de estudo: Estudo diagnóstico / Estudo prognóstico / Estudo de rastreamento Idioma: Inglês Revista: NPJ Prim Care Respir Med Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Uganda