Allergy Asthma Immunol Res.  2014 Jul;6(4):357-361. 10.4168/aair.2014.6.4.357.

Predictive Value of the TRACK Questionnaire as a Measure of Asthma Control in Preschool Aged Children

Affiliations
  • 1Celal Bayar Univ Medical Faculty, Department of Pediatric Allergy and Pulmonology, Manisa, Turkey. oyilmaz_76@hotmail.com
  • 2Celal Bayar Univ Medical Faculty, Department of Pediatrics, Manisa, Turkey.

Abstract

Assessment of asthma control in preschool children is important for therapeutic decisions. Aim of this study was to evaluate the predictive value of TRACK questionnaire scores for subsequent clinical parameters and to investigate the validity and reliability of the Turkish version of the TRACK questionnaire. We enrolled 100 children with asthma aged 4 years or younger in this cohort study. We recorded sociodemographic characteristics and clinical severity parameters. A pediatric allergist filled in the asthma severity scale and the caregiver of the child filled in the TRACK questionnaire. We called in the children again at the end of one month and recorded the same parameters and administered TRACK again. Uncontrolled asthma was defined as a TRACK score below 80. According to the TRACK score, 65% of the children had controlled asthma initially while at the end of the study 64.1% had controlled asthma. At the beginning of the study, all clinical parameters were worse in children with uncontrolled asthma according to TRACK score. Similarly, other objective clinical parameters during the following one month period were worse in children with initial uncontrolled asthma. Cronbach's alpha score for the TRACK questionnaire was 0.84. Turkish TRACK questionnaire is a valid and reliable tool that is predictive of short term asthma prognosis.

Keyword

Asthma; preschool; questionnaire

MeSH Terms

Asthma*
Caregivers
Child*
Child, Preschool
Cohort Studies
Humans
Prognosis
Reproducibility of Results
Surveys and Questionnaires

Figure

  • Figure Sensitivity of the TRACK scores to change in clinical asthma status. *Mann Whitney U test.


Cited by  1 articles

Translation and linguistic validation of Korean version of the Test for Respiratory and Asthma Control in Kids instrument
Hea Lin Oh, Young Yull Koh, Dong In Suh, Byoung-Chul Kang, Bong-Seong Kim, Woo Kyung Kim, Jakyoung Kim, Jin Tack Kim, Hyo-Bin Kim, Geunhwa Park, Heysung Baek, Dae Jin Song, Mee Yong Shin, Hyeon-Jong Yang, Sung-Il Woo, Young Yoo, Jinho Yu, So-Yeon Lee, Dae Hyun Lim
Allergy Asthma Respir Dis. 2016;4(1):22-30.    doi: 10.4168/aard.2016.4.1.22.


Reference

1. Global Initiative for Asthma (US). Global strategy for the diagnosis and management of asthma in children 5 years and younger, Global Initiative for Asthma (GINA) 2009 [Internet]. Vancouver (WA): Global Initiative for Asthma;2008. cited 2013 January. Available from: http://www.ginasthma.org/documents/6.
2. Baena-Cagnani C, Rossi GA, Canonica GW. Airway remodelling in children: when does it start? Curr Opin Allergy Clin Immunol. 2007; 7:196–200.
3. Sekerel BE, Soyer OU, Keskin O, Uzuner N, Yazicioglu M, Kiliç M, Artaç H, Ozmen S, Can D, Zeyrek D, Cokugras H, Canitez Y, Aydogan M, Kuyucu S, Inal A, Gurkan F, Orhan F, Yilmaz O, Boz AB, Tahan F, Cevit O. The reliability and validity of Turkish version of Childhood Asthma Control Test. Qual Life Res. 2012; 21:685–690.
4. Soyer OU, Oztürk F, Keskin O, Asilsoy S, Altinel N, Karaman O, Yazicioğlu M, Sapan N, Zeyrek D, Kuyucu S, Ozmen S, Reisli I, Aydoğan M, Altintaş DU, Orhan F, Yüksel H, Boz AB, Gürkan F, Tahan F, Cevit O, Sekerel BE. Perceptions of parents and physicians concerning the childhood asthma control test. J Asthma. 2012; 49:868–874.
5. Zeiger RS, Mellon M, Chipps B, Murphy KR, Schatz M, Kosinski M, Lampl K, Ramachandran S. Test for respiratory and asthma control in kids (TRACK): clinically meaningful changes in score. J Allergy Clin Immunol. 2011; 128:983–988.
6. Luskin AT. What the asthma end points we know and love do and do not tell us. J Allergy Clin Immunol. 2005; 115:S539–S545.
7. Liu LL, Gallaher MM, Davis RL, Rutter CM, Lewis TC, Marcuse EK. Use of a respiratory clinical score among different providers. Pediatr Pulmonol. 2004; 37:243–248.
8. National Asthma Education and Prevention Program. Expert panel report 3 (EPR-3): guidelines for the diagnosis and management of asthma-summary report 2007. J Allergy Clin Immunol. 2007; 120:S94–S138.
9. Szefler SJ. Advances in pediatric asthma in 2009: gaining control of childhood asthma. J Allergy Clin Immunol. 2010; 125:69–78.
10. Bateman ED, Reddel HK, Eriksson G, Peterson S, Ostlund O, Sears MR, Jenkins C, Humbert M, Buhl R, Harrison TW, Quirce S, O'Byrne PM. Overall asthma control: the relationship between current control and future risk. J Allergy Clin Immunol. 2010; 125:600–608. 608.e1–608.e6.
11. Bush A. How early do airway inflammation and remodeling occur? Allergol Int. 2008; 57:11–19.
12. Saglani S, Payne DN, Zhu J, Wang Z, Nicholson AG, Bush A, Jeffery PK. Early detection of airway wall remodeling and eosinophilic inflammation in preschool wheezers. Am J Respir Crit Care Med. 2007; 176:858–864.
13. McCoy K, Shade DM, Irvin CG, Mastronarde JG, Hanania NA, Castro M, Anthonisen NR. American Lung Association Asthma Clinical Research Centers. Predicting episodes of poor asthma control in treated patients with asthma. J Allergy Clin Immunol. 2006; 118:1226–1233.
14. Sharma HP, Matsui EC, Eggleston PA, Hansel NN, Curtin-Brosnan J, Diette GB. Does current asthma control predict future health care use among black preschool-aged inner-city children? Pediatrics. 2007; 120:e1174–e1181.
15. Mortimer KM, Redline S, Kattan M, Wright EC, Kercsmar CM. Are peak flow and symptom measures good predictors of asthma hospitalizations and unscheduled visits? Pediatr Pulmonol. 2001; 31:190–197.
16. Chipps B, Zeiger RS, Murphy K, Mellon M, Schatz M, Kosinski M, Lampl K, Ramachandran S. Longitudinal validation of the test for respiratory and asthma control in kids in pediatric practices. Pediatrics. 2011; 127:e737–e747.
17. Murphy KR, Zeiger RS, Kosinski M, Chipps B, Mellon M, Schatz M, Lampl K, Hanlon JT, Ramachandran S. Test for respiratory and asthma control in kids (TRACK): a caregiver-completed questionnaire for preschool-aged children. J Allergy Clin Immunol. 2009; 123:833–839.e9.
18. Waibel V, Ulmer H, Horak E. Assessing asthma control: symptom scores, GINA levels of asthma control, lung function, and exhaled nitric oxide. Pediatr Pulmonol. 2012; 47:113–118.
Full Text Links
  • AAIR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr