The relevance of the criterion for asthma attack and modified pulmonary index score

  • Tatsumoto Chiho
    Aozora children’s hospital Department of Pediatrics, Kagoshhima City Hospital Department of Pediatrics, The Jikei University Daisan Hospital
  • Yoshishige Michiko
    Department of Pediatrics, Kagoshhima City Hospital
  • Sameshima Kouji
    Department of Pediatrics, Kagoshhima City Hospital
  • Watanabe Masako
    Department of Pediatrics, The Jikei University Daisan Hospital
  • Kimura Ayako
    Department of Pediatrics, The Jikei University Daisan Hospital
  • Akashi Kenichi
    Department of Pediatrics, The Jikei University Daisan Hospital
  • Katsunuma Toshio
    Department of Pediatrics, The Jikei University Daisan Hospital

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Other Title
  • 小児の喘息発作強度分類と修正Pulmonary Indexスコアの関連

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In Japan, it is conventional and common that the severity of asthma exacerbation in children is estimated based on the criterion for asthma exacerbation applied by the Japanese Pediatric Guidelines for the Treatment and Management of Asthma (JPGL). We applied the Modified Pulmonary Index score (MPIS) to assess the exacerbation of children’s acute asthma, and compared these results with those based on the JPGL 2012 criterion. Total of 94 patients participated and 129 cases were investigated in this study. Sixty-four cases were evaluated as mild exacerbation, 55 as moderate exacerbation and 10 as severe exacerbation. Each MPIS was 4.5±2.1 points (0-9) for mild exacerbation, 8.1±2.1 points (4-13) for moderate exacerbation, 13.2±1.9 points (11-16) for severe exacerbation. The difference between the three groups showed statistical significance. The findings suggest that the levels of MPIS appropriately reflect the conventional criterion of JPGL 2012. MPIS is more objective than conventional method, and has been found to have high consistency level of evaluation for asthma exacerbation among estimators. Therefore, we believe that MPIS is likely to be a more appropriate method to evaluate asthma exacerbation in children.

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