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Determination and assessment of impact of environmental triggers/ allergens and asthma severity in children in a tertiary care teaching hospital

Author: 
Jasmin Elizabeth Thomas, Ammu, A., Josna James, Merin Joseph, Muraleetharan, G., Apollo James and Sivakumar, T.
Subject Area: 
Health Sciences
Abstract: 

The present study is to assess the association between environmental triggers and asthma severity in children. The parental questionnaire was obtained from 500 respondents (202 non asthmatic & 298 asthmatic) between the age of 2-15. The questionnaire consists of patient demographic details, socio economic status, family history of asthma/atopy and environmental risk factors which leads to asthma exacerbation. Most of the patients were diagnosed with controlled (45%) or uncontrolled (15%) asthma. In controlled asthmatic, about 40.99% of the patients were within the age between 2-5 where as in uncontrolled asthmatic 36.88% belongs to the age between 6-10.The family history of asthma were significant among 27.5%. Boys have more predominance of asthma incidence than girls. Majority of the asthmatic patient were reported with lower socio economic status. There was no significant association between domestic animals, rat/mice, cockroach allergy, mould /dampness, exposure to parental smoking, vegetation and development of asthma in paediatrics. The study suggests that there is a positive relationship between seasonal exacerbation, dust allergy and outdoor pollutants with the asthma severity in children.

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