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VOLUME 56 , ISSUE 2 ( April-June, 2014 ) > List of Articles

Original Article

Assessment of Control of Bronchial Asthma in Children Using Childhood Asthma Control Test

Shiva Prasad Chalise, Nisha K. Bhatta, Rupa R. Singh, Maya Shankar Prasad, Prakash Poudel

Keywords : Childhood asthma, FEV1, Childhood Asthma Control Test

Citation Information : Chalise SP, Bhatta NK, Singh RR, Prasad MS, Poudel P. Assessment of Control of Bronchial Asthma in Children Using Childhood Asthma Control Test. Indian J Chest Dis Allied Sci 2014; 56 (2):75-78.

DOI: 10.5005/ijcdas-56-2-75

License: CC BY-NC 4.0

Published Online: 28-06-2022

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Background. The use of Childhood Asthma Control Test (C-ACT) has been advised for monitoring asthma control by the Global Initiative for Asthma (GINA) guidelines. Objective. To validate the tool C-ACT for the assessment of control of asthma and to examine the correlation between C-ACT score and lung function assessed by forced expiratory volume in one second (FEV1). Methods. This was a prospective observational study conducted between January 2010 to January 2011. Children diagnosed to have bronchial asthma and aged 5 to 14 years, were enrolled in the study. Asthma severity and control status were classified according to the National Asthma Education and Prevention Programme (NAEPP) and GINA guidelines, respectively. Patients were followed-up at three and six months and C-ACT and spirometric measurements were obtained. Results. Significant positive correlations were found between C-ACT score and FEV1 at enrollment (r=0.772) (p<0.001), three months (r=0.815) (p<0.001) and at six months follow-up (r=0.908) (p<0.001). Baseline C-ACT score was useful for predicting the levels of control of asthma upto three months (0.004), but not at six months follow-up (0.787). A cut-off C-ACT value of > 19 had a sensitivity, specificity, positive predictive value, negative predictive value and area under the curve (AUC) 98.5%, 89.1%, 94.9%, 96.6%, 0.717, respectively for the control of asthma. Conclusion. C-ACT is a simple and feasible tool to assess and predict the levels of control in children with bronchial asthma upto three months.


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