Perception of dyspnea in children with asthma

Douros, Konstantinos; Boutopoulou, Barbara; Papadopoulos, Marios C.; Fouzas, Sotirios

doi:10.2741/e743

Cited by 3 publications

(1 citation statement)

References 45 publications

(51 reference statements)

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“…The ability to perceive the onset and severity of symptoms of asthma varies among children and depends on multifactorial causes and very complex and largely undefined psycho-physiological mechanisms [ 12 , 13 ]. The use of peak flow meters (calibrated instruments used to measure lung capacity in monitoring breathing disorders such as asthma) is recommended to help the patient objectify the degree of bronchial obstruction, but previous studies have shown that there is only a weak correlation between objective measures of respiratory distress and the subjective dyspnea sensation described by the patient [ 14 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Telehome Monitoring of Symptoms and Lung Function in Children with Asthma

Fossati

Challier

et al. 2022

Healthcare

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Background: The ability to perceive bronchial obstruction is variable in asthma. This is one of the main causes of inaccurate asthma control assessment, on which therapeutic strategies are based. Objective: Primary: To evaluate the ability of physicians to characterize the bronchial obstruction perception profile in asthmatic children using a clinical and spiro-metric telemonitoring device. Secondary: To evaluate its impact on asthma management (control, treatment, respiratory function variability) and the acceptability of this telemonitoring system. Methods: 26 asthmatic children aged 6–18 years equipped with a portable spirometer and a smartphone application were home-monitored remotely for 3 months. Clinical and spiro-metric data were automatically transmitted to a secure internet platform. By analyzing these data, three physicians blindly and independently classified the patients according to their perception profile. The impact of telemonitoring on the quantitative data was assessed at the beginning (T0) and end (T3 months) of telemonitoring, using matched statistical tests. Results: Patients could initially be classified according to their perception profile, with a concordance between the three observers of 64% (kappa coefficient: 0.55, 95%CI [0.39; 0.71]). After discussion among the observers, consensus was reached for all patients but one. There was a significant >40% decrease in FEV1 and PEF variability, with good acceptance of the device. Conclusions: Clinical and spiro-metric tele-home monitoring is applicable and can help define the perception profile of bronchial obstruction in asthmatic children. The device was generally well accepted.

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Section: Introductionmentioning

confidence: 99%

Telehome Monitoring of Symptoms and Lung Function in Children with Asthma

Fossati

Challier

et al. 2022

Healthcare

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Asthma-Like Features and Anti-Asthmatic Drug Prescription in Children with Non-CF Bronchiectasis

Douros

Sardeli

Prountzos

et al. 2020

JCM

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Bronchiectasis and asthma may share some characteristics and some patients may have both conditions. The present study aimed to examine the rationale of prophylactic inhaled corticosteroids (ICS) prescription in children with bronchiectasis. Data of children with radiologically established bronchiectasis were retrospectively reviewed. Episodes of dyspnea and wheezing, spirometric indices, total serum IgE, blood eosinophil counts, sensitization to aeroallergens, and air-trapping on expiratory CT scans, were recorded. The study included 65 children 1.5–16 years old, with non-CF bronchiectasis. Episodes of dyspnea or wheezing were reported by 22 (33.8%) and 23 (35.4%), respectively. Skin prick tests to aeroallergens (SPTs) were positive in 15 (23.0%) patients. Mosaic pattern on CT scans was observed in 37 (56.9%) patients. Dyspnea, presence of mosaic pattern, positive reversibility test, and positive SPTs were significantly correlated with the prescription of ICS. The prescription of ICS in children with bronchiectasis is more likely when there are certain asthma-like characteristics. The difficulty to set the diagnosis of real asthma in cases of bronchiectasis may justify the decision of clinicians to start an empirical trial with ICS in certain cases.

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Blunted perception of dyspnea in asthmatic children: A potential misleading criterion

Douros

Boutopoulou

Priftis

2015

WJCP

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Dyspnea (or breathlessness) is a symptom describing a perceived experience of breathing discomfort. Children's awareness of dyspnea is variable and there is only a poor correlation between the objective respiratory distress measurements and the subjectively awareness of dyspnea. Those who do not perceive dyspnea may not be motivated to comply with their daily prophylactic treatment. Since dyspnea is the main symptom of asthma, and disease management is based largely on the description of symptoms between clinic visits, unreliable symptom report may mislead decision-making for long-term treatment of asthma. Thus, therapeutic decisions should not be taken solely on patients' perception and description of dyspnea.

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Perception of dyspnea in children with asthma

Cited by 3 publications

References 45 publications

Telehome Monitoring of Symptoms and Lung Function in Children with Asthma

Telehome Monitoring of Symptoms and Lung Function in Children with Asthma

Asthma-Like Features and Anti-Asthmatic Drug Prescription in Children with Non-CF Bronchiectasis

Blunted perception of dyspnea in asthmatic children: A potential misleading criterion

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