Validação do Teste de Controle da Asma em português para uso no Brasil: validation for use in Brazil

Roxo, Jaqueline Petroni F.; Ponte, Eduardo Vieira; Ramos, Daniela Campos Borges; Pimentel, Luciana; Júnior, Argemiro D’Oliveira; Cruz, Álvaro Augusto

doi:10.1590/s1806-37132010000200002

Cited by 88 publications

(50 citation statements)

References 24 publications

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“…The assessment of asthma control and quality of life were performed using the Asthma Control Questionary-ACQ [24] and Pediatric Asthma Quality of Life Questionnaire-PAQLQ [25], respectively, both translated and culturally adapted to the Brazilian population [26, 27]. …”

Section: Methodsmentioning

confidence: 99%

Vascular function in asthmatic children and adolescents

et al. 2017

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BackgroundEpidemiological studies have demonstrated an increased incidence of cardiovascular events in patients with bronchial asthma, but little is known about the relationship between asthma and vascular function. The purpose of this study was to evaluate endothelial function and arterial stiffness in children and adolescents with asthma.MethodsA cross-sectional controlled study was designed. Measurements of endothelial function and arterial stiffness in asthmatic (13.6 ± 0.6 years) and control groups (14.9 ± 0.7 years) were taken by the non-invasive peripheral arterial tonometry (EndoPAT2000) determined by using the natural logarithm of the reactive hyperemia index (LnRHI) and the augmentation index (AIx@75%), respectively. Patients with asthma were also administered two questionnaires to evaluate asthma control and quality of life. Exercise functional capacity was evaluated using the Shuttle Walking Test (SWT). Only male participants were included in the present study.ResultsLnRHI and the walked distance during the SWT were similar between groups (p = 0.23 and p = 0.50, respectively). AIx@75% was significantly higher in the asthmatic group (-7.75 ± 1.7) compared to the control group (-15.25 ± 1.8), p < 0.04. In the control group, the LnRHI correlated positively with baseline systolic blood pressure (r = 0.53, p = 0.02) and mean arterial pressure (r = 0.50, p = 0.03), age (r = 0.61, p = 0.007), weight (r = 0.63, p = 0.004) and height (r = 0.56, p = 0.015). Besides that LnRHI correlated with FVC (r = 0.69, p = 0.002), FEV1, (r = 0.53, p = 0.03) and negatively with Tiffeneau index (FEV1/FVC%, r = −0.49 p = 0.04). The LnRHI of the asthmatic group did not correlate with the different variables evaluated.ConclusionThe increased AIx@75% without changes in LnRHI in asthmatic patients could mean that an early detection of vascular impairment may precede endothelial dysfunction, and that different mechanisms may contribute to the pathogenesis and progression of cardiovascular events in this population. A large prospective and randomized controlled study should be done to evaluate the physiopathological mechanisms underlying the association between arterial stiffness and asthma.Electronic supplementary materialThe online version of this article (doi:10.1186/s12931-016-0488-3) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Vascular function in asthmatic children and adolescents

et al. 2017

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“…Roxo et al58 developed and validated a Portuguese-language version of the Asthma Control Test (ACT) for use in Brazil. Santos et al59 evaluated treatment compliance and use of inhaled medications of patients with asthma receiving complementary pharmaceutical care.…”

Section: Introductionmentioning

confidence: 99%

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

Patel¹,

Caramelli²,

Gomes³

2011

Clinics

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Recent original scientific contributions published in selected Brazilian periodicals and classifiable under cardiovascular and pulmonary subject categories cover a wide range of sub specialties, both clinical and exprimental. Because they appear in journals with only recently enhanced visibility, we have decided to highlight a number of specific items appeared in four Brazilian journals, because we understand that this is an important subsidy to keep our readership adequately informed. These papers cover extensive sub-areas in both fields.

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“…Guidelines for the treatment of asthma advocate control of the disease, with a consequent reduction in the risk of exacerbations and in long-term morbidity. (1)(2)(3) Various instruments that include measurement of key outcomes of asthma treatment have been designed to evaluate disease control (4)(5)(6)(7)(8) : the Asthma Control Questionnaire (ACQ) has been designed and extensively tested for this purpose. (9) The ACQ measures adequacy of asthma control and change in asthma control, which occurs spontaneously or as a result of treatment.…”

Section: Introductionmentioning

confidence: 99%

Comparação entre dois métodos de avaliação do controle da asma baseados na percepção individual

Almeida¹,

Souza‐Machado

Leite³

et al. 2012

J. bras. pneumol.

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Objective: To compare the subjective perception of asthma control reported by the patient with that measured by the score obtained on the Asthma Control Questionnaire 6-item version (ACQ-6) in patients with severe asthma and to determine whether asthma control is associated with the number of emergency room visits in the previous month. Methods: This was a cross-sectional study involving 528 patients treated at the Bahia State Asthma and Allergic Rhinitis Control Program Central Referral Clinic between August of 2008 and March of 2010, in the city of Salvador, Brazil. The patients completed the ACQ-6 and answered a specific additional question in order to evaluate their own perception of asthma control in the previous week. Results: We evaluated 423 patients who met the inclusion criteria. The sample was predominantly female (81.3%), and 64.3% had an income lower than two times the national minimum wage. The mean age was 49.85 ± 13.71 years, and the duration of asthma symptoms was 32.11 ± 16.35 years. The patients had been regularly treated via the program for 36.65 ± 18.10 months. Based on the subjective perception of asthma control, only 8% of the patients considered their asthma to be uncontrolled, whereas 38.8% had an ACQ-6 score ≥ 1.5, which indicates poor control. The kappa statistic revealed poor concordance between the two methods. There was a direct association between uncontrolled asthma and the number of emergency room visits in the previous month (p < 0.001). Conclusions: In this sample of patients, the subjective perception of asthma control differed from that measured by the ACQ-6 score, and the patients overestimated their own level of asthma control, which puts them at risk of being undertreated.Keywords: Asthma; Health services; Questionnaires. ResumoObjetivo: Comparar a percepção subjetiva do controle da asma informada pelo paciente com aquela obtida por meio do escore do Asthma Control Questionnaire com seis questões (ACQ-6) em pacientes com asma grave e verificar se o controle da asma está associado ao número de visitas a salas de emergência no mês anterior. Métodos: Estudo transversal de 528 pacientes acompanhados na Central de Referência do Programa para Controle da Asma e Rinite Alérgica na Bahia, entre agosto de 2008 e março de 2010, em Salvador (BA). Os pacientes responderam ao ACQ-6 e a uma questão adicional específica para avaliar sua percepção do controle da doença na semana prévia. Resultados: Foram avaliados 423 pacientes, que preencheram os critérios de inclusão. A maioria era do gênero feminino (81,3%) e possuía renda familiar menor que dois salários mínimos (64,3%). A média de idade foi de 49,85 ± 13,71 anos, e a duração dos sintomas de asma foi de 32,11 ± 16,35 anos. Os pacientes eram regularmente tratados no programa há 36,65 ± 18,10 meses. Baseados na percepção subjetiva do controle, 8% dos pacientes consideraram a sua asma não controlada, enquanto 38,8% obtiveram escore do ACQ ≥ 1,5, indicando falta de controle. O coeficiente kappa revelou fraca concordância entre os ...

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Validação do Teste de Controle da Asma em português para uso no Brasil: validation for use in Brazil

Cited by 88 publications

References 24 publications

Vascular function in asthmatic children and adolescents

Vascular function in asthmatic children and adolescents

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

Comparação entre dois métodos de avaliação do controle da asma baseados na percepção individual

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