DELAY IN DIAGNOSIS OF CHILDHOOD ASTHMA AND ITS INFLUENCE ON RESPIRATORY CONSULTATION RATES
DELAY IN DIAGNOSIS OF CHILDHOOD ASTHMA AND ITS INFLUENCE ON RESPIRATORY CONSULTATION RATES
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DOI：
10.1136/adc.66.5.633
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发表时间：
1991-05-01
影响因子：
5.2
通讯作者：
BAIN, J
中科院分区：
文献类型：
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作者：
CHARLTON, I;JONES, K;BAIN, J
对两家专门研究该病的普通诊所的哮喘病例进行的调查发现，截至1989年1月底，从出生起就在该诊所登记的212名0-16岁哮喘儿童。诊断延误，无论是在时间（中位数2.95年）和咨询次数（中位数7年）方面，都相当可观。诊断后由患者提出的呼吸道症状年问诊率显著下降（诊断前中位数= 1.80次，诊断后中位数= 0.95次/年），但由医生提出的次数显著上升（诊断前中位数= 0，诊断后中位数= 1.01次/年）。诊断前后总诊断率无显著差异（诊断前中位数= 2.04，诊断后中位数= 2.21）。需要加大努力减少这种延迟，从而最大限度地减少儿童哮喘的发病率。
A survey of cases of asthma in two general practices with a special interest in the disease identified 212 asthmatic children aged 0-16 years by the end of January 1989 who had been registered in that practice since birth. Delay in diagnosis, both in terms of time (median 2.95 years) and number of consultations (median 7), was considerable. Annual rates of consultations for respiratory symptoms that were initiated by the patients fell significantly after diagnosis (median before = 1.80, after = 0.95 consultations/year), but the number initiated by the doctors rose significantly (median before = 0, after = 1.01 consultations/year). The overall rates before and after diagnosis were not significantly different (median before = 2.04, after = 2.21 consultations/year). Increased efforts are required to reduce this delay thereby minimising the morbidity of asthma in childhood.