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Diagnostic values of combination of free running asthma screening test and total serum allergen IgE level in children with asthma

摘要Background A free running asthma screening test is usually used for screening exercise-induced bronchoconstriction.The total serum allergen IgE level can reveal the patient's atopy characteristics.Our study is to evaluate the diagnostic values of the combination of the two tests in asthmatic children and compare this new diagnostic method with the Intemational Study of Asthma and Allergies in Childhood (ISSAC) questionnaires and the bronchial provocation test,which are popular diagnostic tool for pediatric asthma.Methods A total of 773 school children were recruited in this study.The children's asthma was diagnosed by means of a combination of the free running asthma screening test and total serum allergen IgE level.The new diagnostic method value was assessed using receiver operating characteristic (ROC) curves and compared with other diagnostic tools such as ISSAC questionnaires and the bronchial provocation test.Results The AUC of this new diagnostic method was higher than 0.9.When the cut-off value of total serum allergen IgE level was ≥47 KU/L,the sensitivity and the specificity were 71.4% and 85.1%,respectively,which were better than those of either the ISSAC questionnaires or bronchial provocation test.Conclusion The combination of the free running asthma screening test and total serum allergen IgE level may be an effective diagnostic tool for children's asthma.

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作者单位 Department of Senior Officials Health Care,China-Japan Friendship Hospital, Beijing 100029, China [1] Department of Respiratory Medicine, China-Japan Friendship Hospital, Beijing 100029, China [2] Department of Clinical Laboratory, China-Japan Friendship Hospital, Beijing 100029, China [3]
栏目名称 ORIGINAL ARTICLES
DOI 10.3760/cma.j.issn.0366-6999.20132576
发布时间 2014-04-01
基金项目
This study was supported by a grant from Specific Funding for Research Projects on Chronic Respiratory Diseases,Clinical Medicine Division of Chinese Medical Association
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中华医学杂志(英文版)

中华医学杂志(英文版)

2014年127卷5期

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