From: Phenotypes of severe asthma among children and adolescents in Brazil: a prospective study
Variable | Severe uncontrolled asthma | P | |
---|---|---|---|
Treatment-resistant asthma | Difficult-to-treat asthma | ||
(n = 20) | (n = 16) | ||
Female gender | 13 (65.0) | 10 (62.5) | 0.846 |
Age (years) | 12.0 (6.4–17.8) | 11.0 (6.2–17.7) | 0.514 |
Pattern of sputum cellularityb | |||
Eosinophilic | 5 (31.3) | 1 (14.3) | 0.52 |
Neutrophilic | 3 (18.8) | 1 (14.3) | |
Paucicellulara | 6 (37.5) | 4 (57.1) | |
Mixed | 2 (12.5) | 1 (14.3) | |
Number of ICU admissions | 0.0 (0.0–6.0) | 0.0 (0.0–4.0) | 0.621 |
Courses of oral corticosteroids in the last 12 months (n) | 0.5 (0.0–7.0) | 1.00 (0.0–12.0) | 0.143 |
Exacerbations in the last 12 months | 6 (1–12.0) | 4 (1–20.0) | 0.311 |
Time to achieve ≥ 80% adherence and complete the protocol (months) | 6.2 (0.7–24.2) | 5.8 (1.4–17.3) | 0.987 |
Asthma Control Test score | 14 (6–24) | 18 (10–24) | 0.091 |
Rhinitis score | 7.5 (4–15) | 9 (0–15) | 0.886 |
FVC (% of predicted) | 74.9 (59.6–106.7) | 93.6 (81.3–117) | <0.001 |
FEV1 (% of predicted) | 61.0 (36.0–98.6) | 87.0 (72.1–113) | <0.001 |
FEV1/FVC ratio | 78.3 (43.1–86.1) | 84.3 (72.1–98.9) | 0.009 |
FEF25–75% (%of predicted) | 39.8 (16.0–83.1) | 74.6 (29.1–131.3) | 0.002 |
Post-BD variation in FEV1 (%) | 17.0 (1.7–70.0) | 6.2 (0.0–38.3) | 0.012 |
Post-BD variation in FEF25–75% (%) | 38.9 (1.4–166.0) | 24.6 (0.0–59.2) | 0.031 |
Equivalent dose of budesonide (μg) | 800 (800–1200) | 800 (800–800) | 0.975 |
FeNO (ppb) | 40 (7–125) | 12 (5–53) | 0.037 |
Total IgE total (mg/dl) | 1040 (65–3000) | 454 (11–2500) | 0.098 |
Sensitization to dust mite allergens | 20 (100) | 12 (80) | 0.069 |
Sensitization to fungi | 7 (35) | 5 (33.3) | 0.603 |
Sensitization to pet dander | 5 (25) | 4 (26.7) | 0.605 |
Sensitization to cockroach allergens | 4 (20) | 3 (20) | 0.659 |