Table 2.
Spectrum of Childhood Allergic Asthma |
||||
---|---|---|---|---|
|
Mild |
Moderate |
Severe |
Fixed Airflow |
Cluster 1 | Cluster 2 | Cluster 3 | Cluster 4 | |
% of all subjects in group | 30 | 32 | 20 | 18 |
Severe, % | <30 | 50–60 |
>80 | |
African American, % | 31 | 48 | 59 | 83 |
Female sex, % | 50 |
66 |
||
Asthma onset | ||||
Age, median (IQR), yr* | 6 (3–9) | 1 (1–4) | 1 (0–1) | 1 (0–2) |
Relevant life events | School aged | Preschoolers | Infants | Toddlers |
Atopy measures | ||||
≥1 pos SPT, % | 57 | 83 | 87 | 89 |
Baseline FEV1 % predicted* | 96 (82–108) | 91 (80–99) | 89 (75–99) | 73 (64–88) |
Maximal FEV1 % predicted* | 109 (95–124) | 103 (97–111) | 99 (85–109) | 91 (80–101) |
Summary lung function | Normal | Normal | Obstructed, more reversible | Obstructed, less reversible |
Medications, % subjects | ||||
High-dose ICS | 33 | 59 | 63 | 83 |
OCS | 0 | 8 | 16 | 10 |
Taking ≥3 controllers | 31 | 71 | 66 | 83 |
Health care utilization, past yr, % subjects | ||||
≥3 exacerbations with OCS | 65 | 79 | 72 | 90 |
Hospitalization for asthma | 23 | 33 | 41 | 48 |
Definition of abbreviations: ICS = inhaled corticosteroids; IQR = interquartile range; OCS = oral corticosteroids; SPT = skin prick testing.
Data expressed as median (25–75% [IQR]). Table adapted with permission from Ref. 12.