Pediatric Asthma Clinical Trial
Official title:
A Retrospective Study to Verify FEV1 Reversibility Criteria Proposed by the GINA Guidelines, in Asthmatic Children
Since 2015, GINA (Global INitiative on Asthma) guidelines were modified and adapted to better
fit the pediatric population. Asthma diagnosis is mainly based on the results of PFT
(Pulmonary Function Tests) and broncho-reversibility test in adult. GINA guidelines modified
the requirements to reach a diagnosis of Asthma in children, based on the reversibility test.
GINA guideline propose an increase of 12% of the FEV1 is considered as the diagnostic
criterium for asthma in pediatrics.
Nevertheless, in clinical practice, most physicians base their diagnosis of asthma in
children on the clinical signs presented by the patient and on the efficacy of the prescribed
therapy. Also, the spirometric criterium is not sufficiently corroborated by clinical
studies. No research has ever looked for the results of bronchoreversibility test in patients
receiving a clinical diagnosis of asthma. For this reason, in children with a clinical
diagnosis of asthma, the investigators want to look for the results of the
bronchoreversibility test and validate that an increase of 12% of the FEV1 correlate with a
physician-driven diagnosis of asthma in pediatrics. For further analysis the
investigatorswill evaluate also the reversibility of small airways (FEF25-75) and the z-score
of the results of the PFT in these children.
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