Identification of infants and preschool children at risk for asthma: predictive scores and biomarkers

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dc.citation.issue2
dc.citation.volume16
dc.contributor.authorWandalsen, Gustavo Falbo [UNIFESP]
dc.contributor.authorSolé, Dirceu [UNIFESP]
dc.contributor.authorBacharier, Leonard B.
dc.coveragePhiladelphia
dc.date.accessioned2020-07-22T13:23:21Z
dc.date.available2020-07-22T13:23:21Z
dc.date.issued2016
dc.description.abstractPurpose of reviewPredictive asthma scores and biomarkers are important tools that help many physicians in the identification of infants and preschool children at high risk for asthma. Our objective was to review recent data regarding this subject.Recent findingsRecently, two new predictive asthma scores were developed with some innovative features, such as the definition of scales of asthma risk. In a systematic review, 12 asthma-predictive models were identified with heterogeneous performance. Prospective studies have shown that elevated fractional concentration of nitric oxide (FeNO) is a strong risk factor for latter asthma among early wheezers, and a predictive asthma score with FeNO values has been proposed. Plasma cytokines and exhaled volatile organic compounds were also identified as potential asthma predictors.SummaryPredictive scores are simple, practical, and inexpensive tools to identify children at high risk for asthma at school age. Whereas some scores are better at identifying asthmatic children, others are better at excluding the diagnosis of asthma. Although promising, clear evidence for FeNO as a robust asthma predictor in comparison to clinical scores is still lacking. Specific IgE and eosinophil counts remain the most consistent biomarkers for the identification of children at risk for asthma, and further studies are necessary to clarify the role of other biomarkers.en
dc.description.affiliationUniv Fed Sao Paulo, Sao Paulo, Brazil
dc.description.affiliationWashington Univ, Sch Med, St Louis, MO USA
dc.description.affiliationSt Louis Childrens Hosp, St Louis, MO 63178 USA
dc.description.affiliationUnifespUniv Fed Sao Paulo, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipCNPq
dc.description.sponsorshipNational Institutes of Health
dc.format.extent120-126
dc.identifierhttp://dx.doi.org/10.1097/ACI.0000000000000240
dc.identifier.citationCurrent Opinion In Allergy And Clinical Immunology. Philadelphia, v. 16, n. 2, p. 120-126, 2016.
dc.identifier.doi10.1097/ACI.0000000000000240
dc.identifier.issn1528-4050
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/56197
dc.identifier.wosWOS:000371825500007
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofCurrent Opinion In Allergy And Clinical Immunology
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectasthmaen
dc.subjectbiomarkersen
dc.subjectChildrenen
dc.subjectexhaled nitric oxideen
dc.subjectpredictive scoresen
dc.titleIdentification of infants and preschool children at risk for asthma: predictive scores and biomarkersen
dc.typeinfo:eu-repo/semantics/article
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