• The determine the moderate and severe asthma risk of children 

The determine the moderate and severe asthma risk of children 

PERINATOLOGIYA I PEDIATRIYA. 2016.2(66):112-115; doi 10.15574/PP.2016.66.112 

The determine the moderate and severe asthma risk of children 

Strizh V. O.

SO «National institute of phthisiology and pulmonology named after F.G. Yanovsky NAMS of Ukraine», Kyiv, Ukraine 

Purpose — a predictive algorithm for determine the risk of moderate or severe children's bronchial asthma to create.

Patients and methods. 261 child aged 3–18 years with bronchial asthma were observed: mild — 72, moderate — 128, severe — 61 patients. The life and disease history, results of clinical, somato- and spirometric examination were analysed. Tabular method of statistical forecasting was used.

Results. Parameters and prognostic coefficients of moderate and severe asthma risk factors were set. They are collected in the algorithm table (Quetelet index, Pushkarev, Kerdo, functional disorders, etc.). Their prognostic coefficients have summed and compared with a threshold of inequality Wald: sum >+10 — risk is real; <-12 — there's no risk; in the range between +10 and -12 — risk is not defined, it is necessary re-examination.

Conclusions. Prognostic algorithm is proposes to determine the children's moderate and severe asthma risk and relevant kinds of basic asthma treatment choose quickly, objectively and without additional financial cost, which can be recommended for use in clinical and outpatient pediatric practice.

Key words: bronchial asthma, children, severity, prognostic algorithm.


1. Wald A. 1960. Sequential analysis. Moscow, Fyzmatlyt: 328.

2. Hubler EV. 1978. Computational methods of analysis and detection of pathological processes. Leningrad, Medytsyna: 294.

3. Kul'bak SM. 1967. Information theory and statistics. Moscow, Nauka: 408.

4. Protsyuk TL. 2009. Prognostichnі ta konstatuyuchі kriterії viniknennya bronhіalnoї asthma dіtey. Zdorov'e rebenka. 5(20): 5—7.

5. Unified clinical protocols of primary, secondary (specialized) medical care. Asthma in children. MH Ukraine number 868 of 08.10.2013. Kyiv, 2013: 54.

6. Agache IO. 2013. From phenotypes to endotypes to asthma treatment. Current Opinion in Allergy & Clinical Immunology. 13;3: 249—256.

7. Global Strategy for Asthma Management and Prevention. http://www.ginasthma.org.