tailieunhanh - Assessing atopic disease in children two to six years old: reliability of a revised questionnaire

Children rarely present with the symptoms classically associated with heart disease in adults (chest pain, shortness of breath, swollen ankles) – rather they present with a variety of symptoms such as failure to thrive, frequent chest infections, or unexplained ‘funny turns’. A careful history and examination is key, as are special investigations such as CXR, ECG and pulse oximetry. An echocardiogram is the gold standard investigation required to confirm the diagnosis. Cardiac catheterisation is used as a diagnostic tool to answer specific questions, for instance to measure the pulmonary vascular resistance, or investigate the anatomy of the. | Primary Care Respiratory Journal 2008 17 3 164-168 Copyright GPIAG - reproduction prohibited ORIGINAL RESEARCH Primary Care RESPIRATORY JOURNAL Assessing atopic disease in children two to six years old reliability of a revised questionnaire Torbj0rn 0iena Ola Storr0a Roar Johnsenb a Research Fellow Department of Public Health and General Practice Faculty of Medicine Norwegian University of Science and Technology NTNU Trondheim Norway b Professor Department of Public Health and General Practice Faculty of Medicine NTNU Trondheim Received 18th December 2006 revised version received 24th April 2007 accepted 25th January 2008 online 16th March 2008 Abstract Background Primary intervention - reducing second hand smoking SHS indoor dampness and increased intake of omega-3-fatty acids - for allergic diseases such as asthma rhinoconjunctivitis and eczema dermatitis in children was started in Trondheim in 2002. To our knowledge no validated or reliable questionnaires for the study age groups were availabl o Aims To test the reliability of a revised questionnaire for studying atopic disease in children two to six years old in Trondheim. Methods Seventy-seven families were invited to fill in a questionnaire adapted fr for the age group studied. Completed questionnaires and information from medi analysed by Kappa statistics and proportional agreement. Results Agreement was excellent for questions repor not the child had had an allergy test k and use or hospital treatment for asthma k medication f disease k and past infections k Conclusion Questions on asthma diagnosis eczema allergic rhinoconjunctivitis and i misclassification. om the ISAAC protocol which was made appropriate ical records were compared and the agreement was 2008 General Practice Airways Group. All rights reserved. T 0ien et al. Prim Care Resp J 2008 17 3 164-168. doi ch as doctor-diagnosed asthma k whether or agreement was good for questions .