Dubai Final-v20.indd - World Allergy Organization

ABstrACts
ABstrACts
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THE USEFUlnESS oF Pram SCorE in aSSESSing THE SEVEriTY anD oUTComE oF an aCUTE EXaCErBaTion oF WHEEZE
in CHilDrEn
nagaraju, m. K. , r, D. , n, s. and r, g.
Pediatric allergy and immunology, Kanchi Kamakoti CHilDs trust Hospital, Chennai, india.
Background:
Clinical scores are valuable tools to assess asthma severity in children. Among the available scores the Pediatric respiratory
Assessment measure (PrAm) score is very useful one .
aims of study:
to study the usefulness of PrAm score in assessing the severity and outcome of an acute exacerbation of wheeze in children aged
1-17yrs.to identify the PrAm score predicting the need for hospitalization and iCU care. Period of study:
August 2008 to Dec 2009
Study design:
this is a prospective cohort study
Sample size:
127 children was calculated based on the pilot study from the initial 20 children. Assuming an alpha error of 5% and 80% power.
methodology :
Children diagnosed to have asthma based on ginA guidelines 2008 came with acute exacerbation of wheeze were enrolled in the
study ,had PrAm scores done at admission and following each treatment administered in the Er. All children were triaged and
treated as mild, moderate, severe exacerbation and appropriate treatment was given in the emergency room and the outcome
was recorded. statistical Analysis done using sPss – 15 version. relationship between admission scores and the outcome
were evaluated using paired t tests and one way AnOVA f test. receiver operator curve analysis(rOC)was used to identify score
predicting admission and need for iCU care.
results :
Of the 127 children 52% were aged 1 - 3 years, 27.6% between the ages of 3 – 6 years and 20.4% between the ages of 6 - 17
years . the mean PrAm scores at admission and discharge in all the 3 age groups was 7.3 and 4.1 respectively ,this difference is
statistically significant. rOC score of 5.5 and above had 89% sensitivity and 64% specificity for admission.
Conclusion:
PrAm scores is a useful score to assess asthma severity in children and a score of 6 predicted the need for hospitalization and
score of 9 predicted the need for iCU care .
PoSTEr SESSion 1-3: asthma epidemiology and mechanisms
1300
rElaTion oF PErimEnSTrUal aSTHma WiTH DiSEaSE SEVEriTY anD oTHEr allErgiC Co-morBiDiTiES-THE FirST
rEPorT oF PErimEnSTrUal aSTHma PrEValEnCE in SaUDi araBia
sabry, E. Y.
Chest OPD- internal medicine, saudi german Hospital, riyadh, saudi Arabia.
Background: Perimenstrual asthma (PmA) has been documented in 30% to 40% of asthmatic women; however, there have been
few epidemiological investigations of PmA in practice.
objectives: in this study, we analyzed PmA prevalence and relation to disease severity based on direct questions carried out in taif-
KsA and compared the results with those of studies reported previously.
results: the prevalence of PmA and its’ relation to asthma severity and to other allergic co-morbidities were studied. Prevalence
was 8.2% and asthma severity was found to be significantly related to PmA (p