Investigation of managed control states of pediatric asthma patients using modified Japanese Pediatric Asthma Control Program (JPAC)

Abstract

Objective: We evaluated the actual control conditions of pediatric asthma patients in long-term management with JPAC and we developed modified JPAC by adding new three questions about daytime symptoms, particularly exercise-induced asthma (EIA) to reveal the symptoms which guardians cannot notice.
Method: We conducted JPAC surveys on 0 to 18 year-old asthma patients and their guardians at our outpatient clinics. Added three questions were asked patients directly.
Results: In 341 cases, JPAC was performed in the first month and the scores were checked three times in series once a month in 129 cases. The treatment steps tend to be elevated in three months. The control conditions were significantly improved. Regarding the daytime symptoms, particularly for EIA, the answers of “no symptoms” were induced from 146 patients who have done any exercises in the first month, however, existence of the EIA was suspected for 15.8% of the patients by the direct hearing of new three questions.
Conclusion: Utility of JPAC was reaffirmed and our modified JPAC was also found to be useful in this investigation.