A Clinical profile and Factors associated with Bronchial Asthma in Pediatric patients at tertiary health care center
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 7
Abstract
Introduction: The prevalence of childhood asthma is increasing worldwide. Status asthmaticus refers to an acute severe asthma (ASA) exacerbation, in which bronchial obstruction is severe and continues to worsen, or not improve, despite the institution of adequate standard therapy. Aims and Objectives: To study Clinical profile and Factors associated precipitating factors with Bronchial Asthma in Pediatric patients at Teerthankar Mahaveer Medical College and Research Centre, Moradabad, UP. Materials and Methods: This was a cross -sectional study carried out at Pediatrics Department of a tertiary health care center during January 2015 to December 2015. A total of 82 children of age 1 to 12 years old, who were newly diagnosed with bronchial asthma were included in this study. Diagnosis was made on the basis of detailed history and clinical examination of each patient. After consent from Parents of the children they were interviewed and information was collected concerning history of asthma, allergy, comorbidities, number of hospital admissions and duration of symptoms prior to treatment. The data regarding the variables was collected by pre-tested, semi-structured questionnaire. The statistical analysis done by proportions and percentages. Result: The majority of patients were in the age group of 5-8 yrs. i.e. 54.87% followed by 9-12 yrs. -34.14% followed by 1-4 yrs.- 10.97%. The majority of the patients were males i.e. 62.19% followed by females 37.80%. The majority of the patients were having Moderate persistent- 35.36% followed by Mild persistent in 26.82%; Severe persistent-21.95%; intermittent persistent -15.85% symptoms. The majority of the precipitating factors for asthma were Cold air and Dust i.e. in 82.92% followed by Only Cold air in 74.39%, Only to Dust in 71.95%, H/o URTI -67.07%, Exposure to Smoke (Chulha ) in 39.02%, Exposure to pollens in 35.36%, Exposure to passive smoking in 24.39%, H/o Ingestion of peculiar food in 23.17%. Conclusion: The majority of patients in our study were in the age group of 5-8 yrs. and was more common in males. The majority of the patients were having Moderate persistent symptoms followed by Mild persistent symptoms. The majority of the precipitating factors for asthma were Cold air and Dust, followed by Only Cold air, Only to Dust, H/o URTI, Exposure to Smoke (Chulha) , Exposure to pollens , Exposure to passive smoking in H/o Ingestion of peculiar food.
Authors and Affiliations
Shivakumar R
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