The effect of the COVID-19 pandemic on long-term treatment compliance and disease control in children with persistent asthma
Background. No long-term data exists on asthma treatment compliances (ATC), exacerbations (AE), and control (AC) during the COVID-19 pandemic in children. This study aimed to evaluate ATC, AE, AC and the related factors among children with persistent asthma (PA) within the first year of the p...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hacettepe University Institute of Child Health
2023-10-01
|
| Series: | The Turkish Journal of Pediatrics |
| Subjects: | |
| Online Access: | https://turkjpediatr.org/article/view/84 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850181937236279296 |
|---|---|
| author | Sevilay Özerden Özcan Sinem Polat Terece Gamze Yalçın Hacer İlbilge Ertoy-Karagöl Arzu Bakırtaş |
| author_facet | Sevilay Özerden Özcan Sinem Polat Terece Gamze Yalçın Hacer İlbilge Ertoy-Karagöl Arzu Bakırtaş |
| author_sort | Sevilay Özerden Özcan |
| collection | DOAJ |
| description |
Background. No long-term data exists on asthma treatment compliances (ATC), exacerbations (AE), and control (AC) during the COVID-19 pandemic in children. This study aimed to evaluate ATC, AE, AC and the related factors among children with persistent asthma (PA) within the first year of the pandemic Methods. Children aged 6-18 years with PA who were under regular inhaled corticosteroid treatment for at least a year prior to the first COVID-19 case in Türkiye were included. Data on AE and AC were collected from medical files. Factors affecting ATC and AC as well as COVID-19 history were assessed by means of a questionnaire.
Results. The study included 247 cases. COVID-19 was detected in 14.5% of them. In the first year of the pandemic, ATC decreased to 56.7% and the most common reason was the absence of asthma symptoms. There was a significant improvement in AC (p < 0.001). The number of upper respiratory tract infections (URTI) and AE were significantly decreased during the first year of the pandemic (p < 0.001). COVID-19 infection, smoking in the household, school attendance, a family member working outside the home, house dust mite sensitization or allergic rhinitis had no significant effect on AC (p > 0.05). Regression analysis determined that children who did not have any URTI had 2.4 times better AC compared to those who had (p= 0.02; %95 CI: 1.1-5.4).
Conclusions. Although ATC decreased significantly in the long-term in the first year of the pandemic, significant improvement was observed in AE and AC compared to the previous year, which was related only to not having URTI.
|
| format | Article |
| id | doaj-art-110fe2d8be2c40f788fe942bb409088f |
| institution | OA Journals |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-110fe2d8be2c40f788fe942bb409088f2025-08-20T02:17:47ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212023-10-0165510.24953/turkjped.2023.107The effect of the COVID-19 pandemic on long-term treatment compliance and disease control in children with persistent asthmaSevilay Özerden Özcan0Sinem Polat Terece1Gamze Yalçın2Hacer İlbilge Ertoy-Karagöl3Arzu Bakırtaş4Department of Pediatrics, Gazi University School of Medicine, Ankara.Department of Pediatric Allergy, Gazi University School of Medicine, Ankara, Türkiye.Department of Pediatrics, Gazi University School of Medicine, Ankara.Department of Pediatric Allergy, Gazi University School of Medicine, Ankara, Türkiye.Department of Pediatric Allergy, Gazi University School of Medicine, Ankara, Türkiye. Background. No long-term data exists on asthma treatment compliances (ATC), exacerbations (AE), and control (AC) during the COVID-19 pandemic in children. This study aimed to evaluate ATC, AE, AC and the related factors among children with persistent asthma (PA) within the first year of the pandemic Methods. Children aged 6-18 years with PA who were under regular inhaled corticosteroid treatment for at least a year prior to the first COVID-19 case in Türkiye were included. Data on AE and AC were collected from medical files. Factors affecting ATC and AC as well as COVID-19 history were assessed by means of a questionnaire. Results. The study included 247 cases. COVID-19 was detected in 14.5% of them. In the first year of the pandemic, ATC decreased to 56.7% and the most common reason was the absence of asthma symptoms. There was a significant improvement in AC (p < 0.001). The number of upper respiratory tract infections (URTI) and AE were significantly decreased during the first year of the pandemic (p < 0.001). COVID-19 infection, smoking in the household, school attendance, a family member working outside the home, house dust mite sensitization or allergic rhinitis had no significant effect on AC (p > 0.05). Regression analysis determined that children who did not have any URTI had 2.4 times better AC compared to those who had (p= 0.02; %95 CI: 1.1-5.4). Conclusions. Although ATC decreased significantly in the long-term in the first year of the pandemic, significant improvement was observed in AE and AC compared to the previous year, which was related only to not having URTI. https://turkjpediatr.org/article/view/84COVID-19asthmachildrencomplianceexacerbationtreatment |
| spellingShingle | Sevilay Özerden Özcan Sinem Polat Terece Gamze Yalçın Hacer İlbilge Ertoy-Karagöl Arzu Bakırtaş The effect of the COVID-19 pandemic on long-term treatment compliance and disease control in children with persistent asthma The Turkish Journal of Pediatrics COVID-19 asthma children compliance exacerbation treatment |
| title | The effect of the COVID-19 pandemic on long-term treatment compliance and disease control in children with persistent asthma |
| title_full | The effect of the COVID-19 pandemic on long-term treatment compliance and disease control in children with persistent asthma |
| title_fullStr | The effect of the COVID-19 pandemic on long-term treatment compliance and disease control in children with persistent asthma |
| title_full_unstemmed | The effect of the COVID-19 pandemic on long-term treatment compliance and disease control in children with persistent asthma |
| title_short | The effect of the COVID-19 pandemic on long-term treatment compliance and disease control in children with persistent asthma |
| title_sort | effect of the covid 19 pandemic on long term treatment compliance and disease control in children with persistent asthma |
| topic | COVID-19 asthma children compliance exacerbation treatment |
| url | https://turkjpediatr.org/article/view/84 |
| work_keys_str_mv | AT sevilayozerdenozcan theeffectofthecovid19pandemiconlongtermtreatmentcomplianceanddiseasecontrolinchildrenwithpersistentasthma AT sinempolatterece theeffectofthecovid19pandemiconlongtermtreatmentcomplianceanddiseasecontrolinchildrenwithpersistentasthma AT gamzeyalcın theeffectofthecovid19pandemiconlongtermtreatmentcomplianceanddiseasecontrolinchildrenwithpersistentasthma AT hacerilbilgeertoykaragol theeffectofthecovid19pandemiconlongtermtreatmentcomplianceanddiseasecontrolinchildrenwithpersistentasthma AT arzubakırtas theeffectofthecovid19pandemiconlongtermtreatmentcomplianceanddiseasecontrolinchildrenwithpersistentasthma AT sevilayozerdenozcan effectofthecovid19pandemiconlongtermtreatmentcomplianceanddiseasecontrolinchildrenwithpersistentasthma AT sinempolatterece effectofthecovid19pandemiconlongtermtreatmentcomplianceanddiseasecontrolinchildrenwithpersistentasthma AT gamzeyalcın effectofthecovid19pandemiconlongtermtreatmentcomplianceanddiseasecontrolinchildrenwithpersistentasthma AT hacerilbilgeertoykaragol effectofthecovid19pandemiconlongtermtreatmentcomplianceanddiseasecontrolinchildrenwithpersistentasthma AT arzubakırtas effectofthecovid19pandemiconlongtermtreatmentcomplianceanddiseasecontrolinchildrenwithpersistentasthma |