Clinical Characteristics Influencing the Asthmatic Crisis Intensity in Pediatrics

• Autores: María Z. Cázares Ramos, Diego H. Ramírez Leyva, María Citlaly Ochoa, Elizabeth Medina Valentón, José Manuel Ornelas-Aguirre
• Localización: Atención familiar: Órgano de difusión científica del Departamento de Medicina Familiar, ISSN 1405-8871, Vol. 28, Nº. 4, 2021, págs. 263-268
• Idioma: inglés
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  • Objective: to determine the clinical characteristics that influence the asthmatic crisis intensity in pediatrics. Methods: analytical cross-sectional study. 148 patients who attended the Emergency Room for asthmatic crisis were studied. Severity was analyzed with the Wood Downes-Ferrés scale, and clinical and sociodemographic variables were measured as well. Results: the main symptoms were cough, wheezing and dyspnea. Seventy-one percent of the participants had no controller treatment and 78% presented an adequate nutritional status. A significant association was found between exposure to tobacco smoke and severity of asthmatic exacerbation. Patients exposed to tobacco smoke were ten times more at risk of presenting a moderate to severe crisis (or = 10.1, p<0.001). Conclusion: this study allowed us to identify a low frequency of controller treatment, high exposure to tobacco smoke was a risk factor for the presence of moderate to severe crisis in the studied population.