Perfil clínico de crianças asmáticas acompanhadas em ambulatório especializado

Abstract

Objective: To characterize the clinical children profile with asthma admitted and monitored in a specialized outpatient. Methods: Observational, retrospective and descriptive study. From the review of the medical records were collected informations about age of beginning of symptoms, sex, clinical manifestations of asthma, frequency limitation to exercise and nocturnal awakenings, frequency of going to the urgency and hospitalizations in the last year, comorbid allergic, adherence and response to treatment control set. Results: Were evaluated 54 patients with a mean age of 6.5 years and 61.1% male. The mean age of beginning of symptoms was 27 months. The most common manifestations were dyspnea, cough and wheezing. Limitation on exercises and nighttime awakenings were present in 43.6% and 50% of patients, respectively. Approximately 65% of cases reported visits to emergency services and 11.1% are hospitalized with the disease last year. The most frequent comorbidities were allergic rhinitis (98.1%) and atopic dermatitis (14.8%). At the end of the first consultation, were prescribed inhaled corticosteroids for 30 patients. The consistent and correct use of inhaled corticosteroids was done for 24 patients, 66.6% of them progressed to total improvement of symptoms and 7 (29.2%), partial improvement. Conclusions: Most asthmatic children who seek specialized service have picture of uncontrolled asthma and history of frequent search by emergency services due to the disease. With the start of control treatment, there is an improvement of symptoms in most cases.