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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Pediatric Pulmonolog...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Pediatric Pulmonology
Article . 2025 . Peer-reviewed
License: Wiley Online Library User Agreement
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GINA Versus Childhood Asthma Control Test (CACT), Asthma Control Test (ACT), and Asthma Control Questionnaire (ACQ) to Determine Asthma Control in Children

Authors: Saurabh Agarwal; Prawin Kumar; Kuldeep Singh; Jagdish Prasad Goyal;

GINA Versus Childhood Asthma Control Test (CACT), Asthma Control Test (ACT), and Asthma Control Questionnaire (ACQ) to Determine Asthma Control in Children

Abstract

ABSTRACT Background There are several tools to assess the level of control for childhood asthma, but there is a scarcity of data comparing the available tools together in clinical practice. Hence, this study was conducted to determine the performance of the Asthma Control Test (ACT), Childhood ACT (CACT) and Asthma Control Questionnaire (ACQ) in relation to the Global Initiatives for Asthma (GINA) symptom control tool. Methods In this cross‐sectional study, 145 asthmatic children in follow‐up for at least 3 months were enrolled. Control assessment was done using the CACT/ACT, ACQ and GINA control tools together with spirometry at the same visit. Results ACT showed the maximum area under the curve of 0.95, followed by CACT (0.9) and ACQ (0.83). ACT showed a strong agreement with GINA (κ c = 0.79), while CACT and ACQ showed a lower agreement (κ c = 0.52 and 0.51, respectively). CACT at a score of 22 classified well‐controlled asthma with an improved specificity (48.15% to 81.48%), positive predictive value (73.08% to 86.49%), and agreement (0.52 to 0.65) with GINA criteria along with lung function parameters. ACQ and ACT showed the best diagnostic accuracy at a score of 0.93 and 19.5 respectively for well‐controlled asthma. Conclusion The cut‐off for CACT with improved diagnostic accuracy was found to be > 22, which is higher than the recommended cut‐off of > 19. ACT performed best at the originally recommended score of > 19. ACQ performed best at ≤ 0.93 as opposed to the previously recommended score of < 0.75.

Keywords

Male, Cross-Sectional Studies, Adolescent, Spirometry, Predictive Value of Tests, Surveys and Questionnaires, Child, Preschool, Humans, Female, Child, Sensitivity and Specificity, Asthma

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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