Twice-Daily Peak Expiratory Flow Rate Monitoring for the Assessment of Childhood Asthma
Autor: | O Linna |
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Rok vydání: | 1993 |
Předmět: |
Male
Pulmonary and Respiratory Medicine Pediatrics medicine.medical_specialty Time Factors Adolescent Vital Capacity Maximal Midexpiratory Flow Rate Peak Expiratory Flow Rate Bedtime FEV1/FVC ratio Clinical work immune system diseases Forced Expiratory Volume medicine Humans Immunology and Allergy Child Monitoring Physiologic Asthma Morning Childhood asthma business.industry General Medicine respiratory system medicine.disease respiratory tract diseases Peak expiratory flow rate monitoring Female Methacholine business circulatory and respiratory physiology medicine.drug |
Zdroj: | Allergy and Asthma Proceedings. 14:33-36 |
ISSN: | 1088-5412 |
DOI: | 10.2500/108854193778816824 |
Popis: | The reliability of the home recording of peak expiratory flow rate (PEFR) in 31 newly diagnosed school-aged asthmatic children was monitored. The patients recorded their PEFR values in the morning and at bedtime and filled in their diary cards for 14 days. The mean amplitude of PEFR variation between the highest and lowest daily recordings varied from 1.9 to 34.4% (mean 6.7%) of the daily mean. Seven children, six of whom belonging to the most seriously affected half in the group had two or more daily PEFR variations of 15% or higher, but only two of them had their mean amplitude of variation at that limit or more. When the whole group was considered, however, no significant correlation was found between the mean amplitude of PEFR variation and the symptom score, the medication needed, baseline FEV1/FVC, or the methacholine threshold. The findings indicate that twice-daily PEFR monitoring may help the physician detect some troublesome cases of childhood asthma, but it is of limited value for diagnostic purposes or when assessing the degree of severity of asthma in routine clinical work. |
Databáze: | OpenAIRE |
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