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Abstract
Background: Asthma is a common disease, with complex clinical manifestations, there is a need for a quick and convenient clinical scale for assessing acute asthma. Objectives: Analysis of clinical, laboratory features, and RAD score in acute asthma in children over 5 years old. Find out the relationship between the RAD score and the clinical, laboratory characteristics, and severity of acute asthma in children over 5 years old according to GINA.
Methods: A cross - sectional study of 126 children over 5 years old admitted to the hospital for acute asthma exacerbation at the Pediatric Department - Hue Central Hospital and Hue University of Medicine and Pharmacy Hospital from May 2020 to May 2021.
Results: Patients hospitalized for acute asthma excerbations with RAD score = 3 50.8%, RAD = 2 33.3%, RAD = 1 15.9%. There were relationships between the RAD score and the symptoms of posture, way of talking, tachycardia, fever, cough, wheezing, nasal fluttering, and SpO2. The RAD score has a moderate positive correlation with pulse frequency (r = 0,303; p < 0,01) and a moderate negative correlation with SpO2 (r = -0,348; p < 0,01). Patients with severe/life - threatening acute asthma had a higher median RAD score than mild/moderate acute asthma (p < 0,01). The concordance between the RAD score and GINA was good (Kappa = 0,714).
Conclusions: The RAD score relates to the clinical and laboratory features and severity of acute asthma exacerbations. Concordance between the RAD score and GINA was good. Therefore, this is a simple and effective clinical scale for assessing acute asthma
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| Published | 29-12-2024 | |
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| Issue | No. 94 (2024) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.94.16 | |
| Keywords | Cơn hen cấp, hen phế quản, thang điểm RAD, trẻ em, GINA Acute asthma exacerbation, asthma, RAD score, children, GINA |
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