Prognosis of bronchial asthma in children with different pulmonary function phenotypes: A real-world retrospective observational study Article Swipe
Lu Liu
,
Hui Ma
,
Shuhua Yuan
,
Jing Zhang
,
Jinhong Wu
,
Muheremu Dilimulati
,
Yahua Wang
,
Shiyu Shen
,
Lei Zhang
,
Jilei Lin
,
Yong Yin
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fped.2022.1043047
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fped.2022.1043047
Objective To follow up on the changes in pulmonary function phenotypes in children with asthma in the first year after diagnosis, and explore the risk factors of poor control in children with good treatment compliance. Methods Children who were diagnosed with asthma in the Respiratory Department of Shanghai Children's Medical Center from January 1, 2019 to December 31, 2020 and were re-examined every 3 months after diagnosis for 1 year were continuously included, regardless of gender. We collected the clinical data, analyzed clinical characteristics of the different pulmonary function phenotypes at baseline and explored risk factors of poor asthma control after 1 year of standardized treatment. Results A total of 142 children with asthma were included in this study, including 54 (38.0%) with normal pulmonary function phenotype (NPF), 75 (52.8%) with ventilation dysfunction phenotype (VD), and 13 (9.2%) with small airway dysfunction phenotype (SAD) in the baseline. Among them, there were statistically significant differences in all spirometry parameters, age, and course of disease before diagnosis ( P < 0.05), and a negative correlation between age ( r 2 = −0.33, P < 0.001), course of disease before diagnosis ( r 2 = −0.23, P = 0.006) and FEV 1 /FVC. After 1-year follow-up, large airway function parameters and small airway function parameters were increased, fractional exhaled nitric oxide (FeNO) was decreased, the proportion of NPF was increased, the proportion of VD was decreased ( P < 0.05), while there was no significant difference in the proportion of SAD. After 1 year of standardized treatment, 21 patients (14.8%) still had partly controlled or uncontrolled asthma. Our results showed that the more asthma attacks occurred within 1 year (OR = 6.249, 95% CI, 1.711–22.818, P = 0.006), the more times SAD presented at baseline and Assessment 1–4 (OR = 3.092, 95% CI, 1.222–7.825, P = 0.017), the higher the possibility of incomplete control of asthma. Conclusion About 15% of the children with good treatment compliance were still not completely controlled after 1 year of treatment, which is closely associated with persistent small airway dysfunction.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fped.2022.1043047
- https://www.frontiersin.org/articles/10.3389/fped.2022.1043047/pdf
- OA Status
- gold
- Cited By
- 4
- References
- 26
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4313909948
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4313909948Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fped.2022.1043047Digital Object Identifier
- Title
-
Prognosis of bronchial asthma in children with different pulmonary function phenotypes: A real-world retrospective observational studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-01-09Full publication date if available
- Authors
-
Lu Liu, Hui Ma, Shuhua Yuan, Jing Zhang, Jinhong Wu, Muheremu Dilimulati, Yahua Wang, Shiyu Shen, Lei Zhang, Jilei Lin, Yong YinList of authors in order
- Landing page
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https://doi.org/10.3389/fped.2022.1043047Publisher landing page
- PDF URL
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https://www.frontiersin.org/articles/10.3389/fped.2022.1043047/pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://www.frontiersin.org/articles/10.3389/fped.2022.1043047/pdfDirect OA link when available
- Concepts
-
Medicine, Asthma, Observational study, Retrospective cohort study, Pulmonary function testing, Lung function, Pediatrics, Internal medicine, LungTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 1, 2023: 1Per-year citation counts (last 5 years)
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26Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.phenotypes | 10, 89 |
| abstract_inverted_index.proportion | 222, 228, 245 |
| abstract_inverted_index.regardless | 73 |
| abstract_inverted_index.spirometry | 156 |
| abstract_inverted_index.treatment, | 253, 332 |
| abstract_inverted_index.treatment. | 105 |
| abstract_inverted_index.Respiratory | 44 |
| abstract_inverted_index.compliance. | 34 |
| abstract_inverted_index.correlation | 172 |
| abstract_inverted_index.differences | 153 |
| abstract_inverted_index.dysfunction | 132, 141 |
| abstract_inverted_index.parameters, | 157 |
| abstract_inverted_index.possibility | 307 |
| abstract_inverted_index.re-examined | 61 |
| abstract_inverted_index.significant | 152, 241 |
| abstract_inverted_index.ventilation | 131 |
| abstract_inverted_index.continuously | 71 |
| abstract_inverted_index.dysfunction. | 341 |
| abstract_inverted_index.standardized | 104, 252 |
| abstract_inverted_index.uncontrolled | 262 |
| abstract_inverted_index.statistically | 151 |
| abstract_inverted_index.1.222–7.825, | 300 |
| abstract_inverted_index.1.711–22.818, | 281 |
| abstract_inverted_index.characteristics | 83 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5056677068, https://openalex.org/A5100531217, https://openalex.org/A5100699231 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 11 |
| corresponding_institution_ids | https://openalex.org/I183067930, https://openalex.org/I4210092101 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/1 |
| sustainable_development_goals[0].score | 0.6899999976158142 |
| sustainable_development_goals[0].display_name | No poverty |
| citation_normalized_percentile.value | 0.70834155 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |