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Revista Cubana de Medicina General Integral

Print version ISSN 0864-2125

Abstract

DE LA VEGA PAžITKOVA, Tatiana; PEREZ MARTINEZ, Víctor Tadeo  and  CASTILLO IRIARTE, Leonardo. Bronchial Asthma Clinical and epidemiological pattern in children younger 15 years. Rev Cubana Med Gen Integr [online]. 2013, vol.29, n.3, pp.253-266. ISSN 0864-2125.

Introduction: Bronchial Asthma is the most common chronic disease of childhood in Cuba whose estimated prevalence is 8.2%. The identification and control of its risk factors is an important pillar in the management of this entity. Objective: to characterize the clinical and epidemiological behavior of Asthma in children younger 15 years at Ana Betancourt polyclinic. Methods: a descriptive cross-sectional study was conducted from April 2010 to March 2011. Initially the ISSAC questionnaire was used to identify a possible asthma underreporting. 2007 Global Initiative for Asthma classification was used, which allowed clinically grouping minors into four categories. Finally, a questionnaire to identify risk factors was applied to the entire sample. Results: a hidden morbidity of 9.3% was identified. With mild intermittent asthma: 30 patients; mild persistent: 21; persistent moderate 28; and severe asthma: 14. All the patients had a family history of atopy, and crises were triggered by weather changes. 95.0% were sensitive to respiratory inhalants and 64.0% was detected to have smokers at home. Conclusions: Bronchial Asthma persists as an underdiagnosed disease. Regarding the epidemiological aspect, family history of atopy and weather changes, outdid the other associated risk factors.

Keywords : Asthma; under-diagnosis; risk factors.

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