Relación del flujo espiratorio máximo con la exploración clínica y la gasometría arterial en la valoración de gravedad de la crisis asmática

Fábregas, M. León; Damiá, A de Diego; Francés, Manuela Martínez; Rodríguez, P. Cordero; Tordera, Miguel Perpiñá

doi:10.1016/s0300-2896(15)30830-9

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…27 Alternatively, to provide a faster assessment of acute asthma, HCP must consider evaluating the clinical parameter of central cyanosis. Moreover, Fábregas et al 14 reported that the clinical parameter of cyanosis was more reliable to assess degree of airway obstruction than the assessment of use of respiratory muscles, pulse rate, or respiratory rate. The authors confirmed the condition of respiratory insufficiency by investigating the partial pressure of oxygen (PaO 2 ), which was significantly reduced in patients with PEF < 50%.…”

Section: Discussionmentioning

confidence: 99%

“…The PEF was evaluated for patients aged more than 5 years who were able to measure PEF (sub-item 6.1) effectively, and if they had limitations or were not available for PEF measurement, then persistence of central cyanosis (sub-item 6.2) was assessed. 14 The composite score range was 6-12 for BASS and 0-14 for WDFS. Higher scores indicated a higher degree of severity for asthma exacerbations.…”

Section: Acute Asthma Severity Assessment Scores and Data Collectionmentioning

confidence: 99%

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The Buddhasothorn Asthma Severity Score (BASS): A practical screening tool for predicting severe asthma exacerbations for pediatric patients

Ittiporn¹,

Prajongdee²

2023

Allergol Immunopathol

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Background and aim: A precise scaling system of acute asthma leads to an accurate assessment of disease severity. This study aimed to compare the accuracy of the Buddhasothorn Asthma Severity Score (BASS) with the Wood–Downes–Ferrés Scale (WDFS) to recognize the severity level of acute asthma. Materials and methods: A cross-sectional study was conducted comprising Thai children aged 2–15 years with acute asthma. The BASS and WFDS were rated once in the emergency department. The degree of severity was determined by frequency and type of nebulized bronchodilator administrations at the time of initial treatment. The optimum cutoff points for the area under the curve (AUC) were established to predict severe asthma exacerbations. Results: All 73 episodes of asthma exacerbations (EAEs) in 35 participants were analyzed. Fifty-nine (80.8%) EAEs were classified as severe. Both scales had good significance to recognize the selection of nebulized bronchodilator treatments by AUC of 0.815 (95% Confidence Interval [CI]: 0.680–0.950) in case of BASS, and AUC of 0.822 (95% CI: 0.70–0.944) in case of WDFS. Cutoff points of BASS ≥ 8 had sensitivity 72.9%, specificity 64.3%, positive predictive value (PPV) 89.6%, negative predictive value (NPV) 36.0% at an AUC of 0.718 (95% CI: 0.563–0.873) for severe exacerbations. These results were consistent for cutoff points of WDFS ≥ 5 with sensitivity 78.0%, specificity 50.0%, PPV 86.8%, NPV 35.0% at an AUC of 0.768 (95% CI: 0.650–0.886) for predicting severe exacerbations. There was no significant difference between the AUCs of both scales. Conclusions: Both the BASS and WDFS were good and accurate scales and effective screening tools for predicting severe asthma exacerbations in pediatric patients by optimal cutoff points.

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Section: Discussionmentioning

confidence: 99%

Section: Acute Asthma Severity Assessment Scores and Data Collectionmentioning

confidence: 99%

The Buddhasothorn Asthma Severity Score (BASS): A practical screening tool for predicting severe asthma exacerbations for pediatric patients

Ittiporn¹,

Prajongdee²

2023

Allergol Immunopathol

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Características de los pacientes con asma bronquial atendidos de urgencia en un hospital de referencia de un área semirrural

Barreiro

Rubio

Felisart³

et al. 2000

Archivos de Bronconeumología

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Tratamiento de la crisis asmática en un servicio de urgencias hospitalario. ¿Se cumplen las normativas?

Rogado

Diego

Cuadra

et al. 1997

Archivos de Bronconeumología

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Relación del flujo espiratorio máximo con la exploración clínica y la gasometría arterial en la valoración de gravedad de la crisis asmática

Cited by 3 publications

References 17 publications

The Buddhasothorn Asthma Severity Score (BASS): A practical screening tool for predicting severe asthma exacerbations for pediatric patients

The Buddhasothorn Asthma Severity Score (BASS): A practical screening tool for predicting severe asthma exacerbations for pediatric patients

Características de los pacientes con asma bronquial atendidos de urgencia en un hospital de referencia de un área semirrural

Tratamiento de la crisis asmática en un servicio de urgencias hospitalario. ¿Se cumplen las normativas?

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