Nihon Shoni Arerugi Gakkaishi. The Japanese Journal of Pediatric Allergy and Clinical Immunology
Online ISSN : 1882-2738
Print ISSN : 0914-2649
ISSN-L : 0914-2649
PROGNOSIS OF CHILDHOOD ASTHMA WHO HAD BEEN ADMITTED WITH ASTHMA ATTACKS: 20 YEARS FOLLOW-UP
Kazuko InoueYukako YokouchiEmiko SaitoMituhiko HaraYasuhito YamamotoTisato Inuo
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2007 Volume 21 Issue 3 Pages 289-296

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Abstract
The prognoses that had been made for asthmatic children admitted to our hospital with asthmatic attack from 1980 through 1984 were followed up by survey conducted in 2001. The subjects of our investigation were 239 patients, of whom 101 (42.2%) respondent to our survey instrument, a questionnaire. The survey revealed a remission rate of 50.5%, among the respondents. A relation between the severity of the patients' asthma attacks at the first visit to our hospital and the remission rates was also revealed: The result shows that the remission rate for the mild cases was 90.5%; the moderate cases, 48.3%; the severe cases,18.2%. The correlation between our prognosis and patients' personal factors (sex, age at the first asthma attack, severity of asthma attack at the first hospital visit, type of allergy, and IgE-value, and frequency of hospitalization) was investigated by the Logistic Regression Analysis. The result shows that severity of asthma attack at the first hospital visit was most strongly correlated. Considering the results of this study and that 43.7% of the patients were not given treatments when attacks were absent, we conclude that clearer explanations to the patients and their parents are needed not only about treatments of asthma attacks but also about the patients' asthma as well as the importance of long-term preventive control.
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© 2007 Japanese Society of Pediatric Allergy and Clinical Immunology
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