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Risk Factors in Preschool Children for Predicting Asthma During the Preschool Age and the Early School Age: a Systematic Review and Meta-Analysis

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机构: [1]Shanghai Jiao Tong Univ, Natl Childrens Med Ctr, Shanghai Childrens Med Ctr, Sch Med, Shanghai 200127, Peoples R China; [2]Shanghai EverBetter Pubin Childrens Hosp, Dept Pediat, Shanghai 200120, Peoples R China; [3]Zhejiang Univ, Childrens Hosp, Dept Resp Dis, Sch Med, Hangzhou 310006, Zhejiang, Peoples R China; [4]Chongqing Med Univ, Dept Resp Dis, Childrens Hosp, Chongqing 400016, Peoples R China; [5]Capital Med Univ, Beijing Childrens Hosp, Natl Childrens Hosp Ctr, Dept Allergy, Beijing 100045, Peoples R China; [6]Nanjing Med Univ, Dept Resp Dis, Childrens Hosp, Nanjing 210029, Jiangsu, Peoples R China; [7]Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Dept Pediat, 100 Haining Rd, Shanghai 200080, Peoples R China
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关键词: Asthma Persistent asthma Risk factors Predictive Childhood asthma

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Purpose of Review The aim of this study was to identify risk factors of asthma among children < 6 years old (preschool age) for predicting asthma during the preschool age and early school age (<= 10 years of age). Method of the study MEDLINE, Cochrane, EMBASE, and Google Scholar databases were searched until June 30, 2017. Prospective or retrospective cohort and case-control studies were included. Studies had to have evaluated risk factors or a predictive model for developing asthma in children <= 6 years of age or persistent asthma in early school age. Recent Findings A total of 17 studies were included in the analysis. Factors associated with developing asthma in children <= 10 years of age (both pre-school and early school age) included male gender (pooled OR = 1.70, P < 0.001), atopic dermatitis (pooled OR = 2.02, P < 0.001), a family history of asthma (pooled OR = 2.20, P < 0.001), and serum IgE levels <= 60 kU/l or having specific IgE (pooled OR = 2.36, P < 0.001). A history of exposure to smoke or wheezing was also associated with persistent asthma in early school age (pooled OR = 1.51, P = 0.030 and pooled OR = 2.59, P < 0.001, respectively). In general, asthma predictive models (e.g., API, PIAMA, PAPS) had relatively low sensitivity (range, 21% to 71.4%) but high specificity (range, 69% to 98%). Summary The study found that male gender, exposure to smoke, atopic dermatitis, family history of asthma, history of wheezing, and serum IgE level = 60 kU/l or having specific IgE were significantly associated with developing asthma by either preschool or early school age. Asthma predictive models can be developed by those risk factors.

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出版当年[2016]版
大类 | 3 区 医学
小类 | 3 区 过敏 4 区 免疫学
最新[2023]版
大类 | 2 区 医学
小类 | 2 区 过敏 2 区 免疫学
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Q2 IMMUNOLOGY Q2 ALLERGY
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Q1 ALLERGY Q1 IMMUNOLOGY

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第一作者机构: [1]Shanghai Jiao Tong Univ, Natl Childrens Med Ctr, Shanghai Childrens Med Ctr, Sch Med, Shanghai 200127, Peoples R China; [2]Shanghai EverBetter Pubin Childrens Hosp, Dept Pediat, Shanghai 200120, Peoples R China;
通讯作者:
通讯机构: [1]Shanghai Jiao Tong Univ, Natl Childrens Med Ctr, Shanghai Childrens Med Ctr, Sch Med, Shanghai 200127, Peoples R China; [2]Shanghai EverBetter Pubin Childrens Hosp, Dept Pediat, Shanghai 200120, Peoples R China; [7]Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Dept Pediat, 100 Haining Rd, Shanghai 200080, Peoples R China
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