{"doi":"10.1002/ppul.71288","title":"Observational Study: Lung Function and Symptom Control in Youth With Asthma up to 34 Months After COVID‐19","abstract":"ABSTRACT Introduction Prior studies of pediatric asthma control and lung function after COVID‐19 have been limited by short follow‐up intervals. We aimed to evaluate symptom control and lung function in children with asthma up to 34 months post‐COVID‐19. Methods We conducted a prospective observational chart review study. We reviewed electronic health records of children with asthma in the Western Pennsylvania COVID‐19 Registry, abstracting pre‐ and all post‐infection spirometry results and Childhood Asthma Control Test (C‐ACT) or Asthma Control Test (ACT) scores (to measure symptom control) through August 2023. We conducted adjusted mixed models with linear spline to compare C‐ACT/ACT or FEV 1 before and after COVID‐19. For individuals with worse outcomes at initial follow‐up, we evaluated characteristics associated with lack of eventual recovery. Results We found no significant differences between baseline and post‐infection symptom control ( n = 267) or lung function ( n = 196). Of the 28% of children who had worse lung function at initial follow‐up, 34% fully recovered at final follow‐up. Of the 19% with worse C‐ACT/ACT score at initial follow‐up, 38% fully recovered at final follow‐up. Final follow‐up median C‐ACT/ACT scores and mean FEV 1 were in the normal range even for the group without eventual recovery. Obesity ( p = 0.04) was associated with hindered symptom control recovery. Conclusion There were no significant differences between baseline and follow‐up symptom control or lung function in children with asthma up to 34 months post‐COVID‐19. Only a small proportion of children worsened and did not recover, and decrements were generally small. Obesity was associated with impaired symptom control recovery.","journal":"Pediatric Pulmonology","year":2025,"id":534672,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.5681,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":386222,"name":"Nicholas Bergum","orcid":null,"position":1,"is_corresponding":false},{"id":700813,"name":"Daniel J. Weiner","orcid":"0000-0001-8245-1961","position":2,"is_corresponding":false},{"id":277431,"name":"Erick Forno","orcid":"0000-0001-6497-9885","position":3,"is_corresponding":false},{"id":558540,"name":"K.M. Gaietto","orcid":"0000-0002-4618-2984","position":0,"is_corresponding":true}],"reference_count":30,"raw_metadata":null,"created_at":"2026-07-19T02:51:52.019261Z","pmid":"40923689","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}