Addressing the risk domain in the long‐term management of pediatric asthma

Abstract

There is growing concern regarding the long‐term outcomes of early and poorly controlled childhood asthma, either of which can potentially lead to the development of severe asthma in adults and irrecoverable loss of lung function leading to chronic obstructive pulmonary disease. These outcomes of inadequately controlled asthma should prompt a change in practice to better and/or earlier identify children at risk of adverse respiratory outcomes of asthma, to monitor disease progression, and to design intervention strategies that could either prevent or reverse asthma progression in children. The careful follow‐up of spirometry over time—in the form of lung function trajectories, the application of biomarkers to assist in the diagnosis of early asthma and medication selection for these patients, as well as methods to identify patients at risk of asthma attacks—can be used to develop individualized management strategies for children with asthma. It is now time for asthma specialists to communicate this information to patients, parents, and primary care physicians and to incorporate them into routine clinical assessments of children with asthma. In time, these concepts of risk management and prevention can be refined to provide a more comprehensive approach to asthma care so as to prevent adverse respiratory outcomes from poorly controlled childhood asthma.

Cross-cultural validation of the Portuguese from Portugal version of the Test for Respiratory and Asthma Control in Kids questionnaire

“…Similar results were reported by other authors (8,9) because this last item reflects another different dimension of control, the risk instead of impairment. These related two domains may change independently (19), allowing us to accept values lower than the desirable, in the range of 0.60 to 0.69.…”

Bronchial asthma in children of Ukraine: medical and environmental parallels of morbidity and prevalence

“…Хоча можливі тригери розвитку БА достатньо вивчені, вивчення можливих взаємодій спадковість-довкілля може допомогти краще розкрити детермінанти астми [9]. Існує достатньо доказів, які свідчать про те, що забруднювачі повітря, такі як викиди автотранспорту, промисловості та тютюновий дим, знижують у дітей функцію легень і викликають загострення астми та збільшують число госпіталізацій [4,13,17,18].…”

COVID‐19 and its impact on allergic and immunologic diseases in children

“…The authors underline the importance of enhanced patient care in children with asthma in order to achieve the ultimate goal of preventing asthma exacerbations. Risk domains in the long-term management of asthma have recently been developed in PAI, 18 as well as various environmental and infectious factors promoting asthma exacerbations. 19,20 At the end of this editorial, I would like to acknowledge the strong commitment of our contributors, the reviewers, and the editorial team for a fast and efficient production of this thematic issue of PAI I hope you will enjoy reading.…”