The use of a screening questionnaire to identify children with likely asthma.
BACKGROUND
The theory that airway remodeling and possible fixed asthma may result from failure to treat asthma airway inflammation highlights the importance of the early identification of patients with likely asthma.


OBJECTIVE
To identify children with likely asthma whose condition is unknown to the medical services.


METHODS
Postal questionnaire survey.


METHODS
Children in two general practice populations in 1999.


METHODS
Parents completed the postal questionnaire surveys. Two validated scoring systems were used to identify children with 'likely asthma': first, three or more positive responses to five key questions; second, three or more positive responses to the same five questions and one more severe symptom (e.g. exercise-induced wheeze). Questionnaire responses were linked to practice records to determine those with a recorded diagnosis of asthma (ever) or of inhaled medication (past 12 months).


RESULTS
Using the first scoring system, 22.5% of children were identified as having likely asthma; more than one-third of these (35.1%) had no corroborative evidence recorded in the practice records. With the second system, 15.5% had likely asthma, a quarter of whom had no corroborative evidence. Depending on the scoring system chosen, between 3.5% and 8% of children in these practices had likely asthma but no corroborative evidence in their records.


CONCLUSIONS
Children identified using either of these scoring systems would require full clinical assessment to determine their need for medical intervention. These findings have implications for the allocation of health care resources.
Frank
P I
PI
General Practice Research Unit, North West Lung Centre, Wythenshawe Hospital, Manchester M23 9LT.
Frank
T L
TL
Cropper
J
J
Hirsch
S
S
Niven
R M
RM
Hannaford
P
P
McNamee
R
R
D000293:Adolescent; D001249:Asthma / Q000175:diagnosis*; D002648:Child; D002675:Child, Preschool; D004739:England; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008499:Medical Records; D011795:Surveys and Questionnaires