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Use of the Control of Allergic Rhinitis and Asthma Test and pulmonary function tests to assess asthma control in pregnancy

dc.contributor.authorAmaral, Luís
dc.contributor.authorMartins, Carla
dc.contributor.authorCoimbra, Alice
dc.date.accessioned2018-11-06T13:34:24Z
dc.date.available2018-11-06T13:34:24Z
dc.date.issued2018
dc.description.abstractINTRODUCTION: Asthma is one of the most prevalent chronic medical conditions to complicate pregnancy. Similarly, active management strategies that prioritise asthma control in this vulnerable population can have a far-reaching impact. AIM: To describe lung function parameters and results of the Control of Allergic Rhinitis and Asthma Test (CARAT) questionnaire in pregnant asthmatics and to analyse correlations between lung function tests and CARAT results. METHODS: All pregnant asthmatics who performed spirometry and CARAT between September 2014 and August 2015 were included. A medical records review was performed and data regarding demographics, sensitisation and medical prescriptions were recorded. Control of asthma and rhinitis was defined by CARAT total score (CARAT (T)) ≥ 24; upper airways (U) control if CARAT (U) > 8; lower airways (L) control if CARAT (L) > 15. RESULTS: Forty-two pregnant asthmatics were included, with a median age (interquartile range)of 32 (27-34) years; all had a previous medical diagnosis of asthma and rhinitis, 76% were atopic, 94% sensitised to dust mites and 43% were polissensitised. More than 80% presented poor control (CARAT (T) < 24) in the first assessment and 15% had a percentage forced expiratory volume in the first second < 80%. There were significant negative correlations between CARAT (L) and CARAT (T) scores and step-up of controller medication, (correlation coefficients = -0.453 and -0.392, respectively). CONCLUSION: The use of tools such as spirometry and validated questionnaires to objectively assess asthma control during pregnancy should be routinely applied to assist in the management of these patients. These data reinforce the importance of close monitoring of pregnant asthmatics to achieve and maintain better disease control.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAmaral L, Martins C, Coimbra A. Aust N Z J Obstet Gynaecol. 2018 Feb;58(1):86-90pt_PT
dc.identifier.doi10.1111/ajo.12673pt_PT
dc.identifier.issn0004-8666
dc.identifier.urihttp://hdl.handle.net/10400.26/24764
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWILEY, 111 RIVER ST, HOBOKEN 07030-5774, NJ USApt_PT
dc.relation.publisherversionhttps://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/ajo.12673pt_PT
dc.subjectasthmapt_PT
dc.subjectpregnancypt_PT
dc.subjectquestionnairept_PT
dc.subjectrhinitispt_PT
dc.subjectspirometrypt_PT
dc.titleUse of the Control of Allergic Rhinitis and Asthma Test and pulmonary function tests to assess asthma control in pregnancypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage90pt_PT
oaire.citation.issue1ª Ediçãopt_PT
oaire.citation.startPage86pt_PT
oaire.citation.titleAustralian and New Zealand Journal of Obstetrics and Gynaecologypt_PT
oaire.citation.volume58pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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