Do subtle findings on chest X-ray predict worse outcomes for paediatric asthma?
| Autor: | Meredith Akerman, Melodi Pirzada, Claudia Halaby, Michael Abeles |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Adolescent 03 medical and health sciences 0302 clinical medicine Adrenal Cortex Hormones 030225 pediatrics Internal medicine medicine Humans Outpatient clinic 030212 general & internal medicine Child Retrospective Studies Asthma medicine.diagnostic_test business.industry X-Rays Infant Newborn Infant Retrospective cohort study General Medicine Emergency department medicine.disease Peribronchial Thickening Chronic cough Paediatric asthma Child Preschool medicine.symptom Emergency Service Hospital Chest radiograph business |
| Zdroj: | Postgraduate Medical Journal. 98:183-186 |
| ISSN: | 1469-0756 0032-5473 |
| DOI: | 10.1136/postgradmedj-2020-139165 |
| Popis: | Background Asthma, a common childhood condition, often presents with chronic cough. While evaluating for chronic cough, many specialists obtain a baseline chest radiograph (CR) to assess for other causes. Usually read as ‘normal’, sometimes CRs will reveal evidence of airway inflammation in the form of subtle findings, such as ‘increased interstitial markings’ or ‘peribronchial thickening’. There is sparse literature in the outpatient setting correlating findings on baseline CRs with adverse outcomes such as systemic steroid use, emergency department (ED) visit or hospitalisation. Methods This was a retrospective study of patients seen at our institution's Pediatric Pulmonology outpatient clinic. We reviewed the charts of all new patients aged 0–18 years who presented between January 2015 and December 2017. Patients were included if they were diagnosed with asthma, had a CR after the initial visit and were followed up at least twice. Adverse outcomes include systemic steroid use, ED visit or hospitalisation. Results 130 subjects were included. 89 subjects had clear CRs and 41 subjects had CRs with airway inflammation. Overall events were higher in the airway inflammation group (22.5% vs 46.3%, respectively, p Conclusion This study shows a positive correlation between airway inflammation findings on baseline CR and subsequent ED visits in patients with asthma. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|