Asthma Severity and the Controller Prescription in Children at 12 Tertiary Hospitals

• DOI: 10.4168/aair.2017.9.1.52
• Publication Date: 2016-11-02T10:06:43Z
• Authors: Dong In Suh; Hyeon Jong Yang; Bong-Seong Kim; Youn Ho Shin; So-Yeon Lee; Geunhwa Park; Woo Kyung Kim; Hyo-Bin Kim; Heysung Baek; Ja-Kyoung Kim; Jin-Tack Kim; Dae Hyun Lim
• Keywords: Tertiary care

Guidelines need to be tailored where they are applied. We aimed describe the distinctive asthma severity profile and pattern of controller prescription in Korean children.Twelve pediatric allergists from tertiary medical centers reviewed records all asthmatic children who visited their clinics between September 1 November 30 2013. Controller prescriptions were re-classified into 4 categories, then prevalence each category patterns according assessed by a Western (Global Initiative for Asthma, GINA) an Asia-Pacific (Japanese Pediatric GuideLine, JPGL) guideline evaluated.A total 840 cases reviewed. Both GINA JPGL revealed that 328 (39.0%) 249 (29.6%) subjects had intermittent whereas 24 (2.9%) 21 (2.5%) severe persistent asthma, respectively. Although higher controllers tended prescribed those more there was much overlap categories groups with regard severities. Leukotriene receptor antagonists (LTRA) most frequently as single (40%) or add-on medication (19%) group <6 years.Korean have management strategies lower preference toward LTRA rather than low dose inhaled corticosteroids (ICS) alone long-acting beta-agonist (LABA) year-old asthmatics has not been predicted countries. Thus, regional situations developed recommended.