Use este identificador para citar o ir al link de este elemento: http://hdl.handle.net/1843/69178
Tipo: Artigo de Periódico
Título: Severe pediatric asthma refractory to treatment: the ongoing challenge of exacerbation
Autor(es): Mônica Versiani Nunes Pinheiro de Queiroz
Joana Versiani Chiabi de Queiroz
Laura Maria de Lima Belizário Facury Lasmar
Resumen: The objective of this study was to review the last 16 years of literature on the clinical and functional risk factors for asthma exacerbation, as well as on biochemical parameters in severe pediatric asthma refractory to treatment (SPART). In searches of the Cochrane/Brazilian Virtual Library of Health, Latin American and Caribbean Health Sciences Literature, Medline, Brazilian Office for the Advancement of Higher Education, and PubMed databases, we employed the following search terms/strings: “severe asthma” or “refractory asthma” or “problematic asthma” or “difficult-to-treat asthma”; “exacerbation”; “risk factors” or “predictors”; and “pediatric” or “children and adolescents”. We limited our searches to articles published between 1999 and 2016. We selected 26 original or review articles on severe pediatric asthma that addressed age, recent severe exacerbations, the level of asthma control, regular follow-up, comorbidities, behavioral factors, viral infection, and passive smoking, biomarkers of inflammation, serum vitamin D levels, and pulmonary function. However, we found very few studies dealing with SPART. Severe asthma is a heterogeneous, dynamic disease in which the various predictors of exacerbation described assess different aspects of the disease and are complementary. Such factors should be analyzed from a multifactorial and individualized perspective, because many of them are potentially modifiable.
Asunto: Asma
Criança
Adolescente
Valor preditivo dos testes
Progressão da doença
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Institución: UFMG
Departamento: MED - DEPARTAMENTO DE PEDIATRIA
Tipo de acceso: Acesso Aberto
URI: http://hdl.handle.net/1843/69178
Fecha del documento: 2017
metadata.dc.url.externa: https://www.jscimedcentral.com/jounal-article-info/Clinical-Research-in-Pulmonology/Severe-Pediatric-Asthma--Refractory-to-Treatment%3A--The-Ongoing-Challenge-of--Exacerbation-2398#
metadata.dc.relation.ispartof: Clinical Research in Pulmonology
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