medigraphic.com
ISSN 1405-1699 (Print)
Órgano Oficial del Colegio Mexicano de Alergia, Asma e Inmunología Pediátrica y de la Asociación Latinoamericana de Pediatría

2002, Number 1

<< Back Next >>

Alerg Asma Inmunol Pediatr 2002; 11 (1)

Measuring of oxygen saturation and expiratory peak flow as predictives values in the evolution of asthmatic crisis in children

Ortiz AI, Ramírez SJDH, García CR, Cuevas SF

Language: Spanish
References: 14
Page: 12-15
PDF size: 185.19 Kb.


ABSTRACT

Prospective study, longitudinal, observational, comparative in 50 children, 30 male, 20 female from 5 through 18 years of age with clinical diagnosis of acute moderate asthma, oxygen saturation and expiratory peak flow were determine at the first evaluation, 30 minutes, 2, 4 and 24 hours after the administration of nebulized albuterol, in order to find out a prognosis value in the evolution of there patients. Only two patients were admitted to the emergency room. ED was found between basal oxygen saturation at the 2, 4 and 24 hours determination (p = 0.01) and the basal and 24 hours determination of expiratory peak flow (P = 0.01). Conclusion: Only the oxygen saturation has a predictive prognosis value for acute asthma.


REFERENCES

  1. Mitchel E. International trends in hospital admission rates of asthma. Art Dis Child 1985; 60: 376-76-B.

  2. Stein R, Canny G, Desmond J et al. Severe acute asthma in a pediatric intensive care unit: six years experience. Pediatrics 1989; 83: 1023-28.

  3. Richars W. Hospitalization of children with status asthmatics: a review. Pediatrics 1989; 89: 84-111-18.

  4. Wong C, Pavor L, Williams J et al. Bronchodilator, cardiovascular and hypokalemic effects of fenoterol, salbutamol and terbutalina in asthma. Lancet 1990; 336: 1396-99.

  5. Kelsen S, Kelsen D, Fleeger B et al. Emergency room assessment ant treatment of patients with acute asthma. Am J Med 1978; 64: 622-28.

  6. Nowak RM, Tamlanovich MC, Sarkar DD et al. Arterial blood gases and pulmonary function testing in acute bronchial asthma: predicting patients outcomes. JAMA 1983; 249: 2043-46.

  7. Rose C, Murphy JG, Schwartz S et al. Performance of and index predicting the response of patients with acute bronchial asthma to intensive emergency response department treatment. N Engl J Med 1984; 310: 573-77.

  8. Kerem E, Tibshirani PH, Levinson H et al. Predicting the need for hospitalization in children with acute asthma. Chest 1990; 98: 1355-61.

  9. Geelhoed G, landau. Oxymetry and peak expiratory flow in assessment of acute childhood asthma. J Pediatric 1990; 117: 907-09.

  10. Acute asthma. (ed). Lancet 1986; 1: 131-2.

  11. Centor RM, Arbrough B, Wood JP. Inhability to predict relapse in acute asthma. N Engl J Med 1984; 310: 577-80.

  12. Rose C, Murphy JG, Schwartz JS. Performance of an index. Performance of and index predicting the response of patients with acute bronchial asthma to intensive emergency response department treatment. N Engl J Med 1984; 310: 573-7.

  13. Kelsen S, Kelsen D, Fleeger B et al. Emergency room assessment and treatment of patients with acute asthma. Am J Med 1978; 64: 622-B.

  14. Godfred S, Kamburoff K. Spirometry, lung volume and airway resistance in normal children aged 5 to 18 years. B J Dis Chest 1970; 64: 15-24.




2020     |     www.medigraphic.com