Effects of short-term exposure to particulate matter on emergency department admission and hospitalization for asthma exacerbations in Brescia district

Pini, Laura; Giordani, J.; Concoreggi, C.; Zanardini, Elena; Pini, Alessandro; Perger, Elisa; Bargagli, Elena; Bona, Danilo Di; Ciarfaglia, Manuela; Tantucci, Claudio

doi:10.1080/02770903.2021.1929310

Cited by 9 publications

(6 citation statements)

References 30 publications

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“…Otros estudios han demostrado que la exposición a contaminante aéreos durante el embarazo se asocia con mayor probabilidad de asma en los niños; [10][11] pero en el lado opuesto, tal parece que la exposición a contaminantes aéreos contribuye más consistentemente a un incremento en la utilización de los servicios médicos de los pacientes con asma. [12][13][14] Una circunstancia que va emparejada con las condiciones geográficas y climáticas, y su posible influencia en la prevalencia de asma es la exposición a aeroalérgenos; los climas húmedos y cálidos favorecen el desarrollo de los ácaros del polvo casero, la exposición a sus alérgenos y sensibilización alérgica en sujetos genéticamente predispuestos, lo que puede provocar síntomas respiratorios. 15 En México, la península de Yucatán se caracteriza por un clima húmedo y cálido que favorece la sensibilización alérgica a los ácaros del polvo casero; 7 este factor puede explicar parcialmente por qué la prevalencia de asma fue mayor en la región Sureste, pero no advierte por qué resultó ser igualmente mayor en la región Noroeste, donde el clima es seco y cálido.…”

Section: Discussionunclassified

Variación geográfica en la prevalencia de asma en niños mexicanos durante la pandemia de la COVID-19

et al. 2023

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Objetivo: Estimar la prevalencia de asma en pacientes pediátricos, según su lugar de residencia en la República Mexicana, durante la pandemia por SARS-CoV-2. Métodos: Estudio transversal, llevado a cabo a partir de la revisión de datos del Sistema de Vigilancia Epidemiológica para Enfermedades Respiratorias en México, analizados del 27 febrero al 5 de noviembre de 2020. Criterios de inclusión: pacientes que acudieron a la detección de infección por SARS-CoV2, menores de 18 años. La fuerza de asociación se estimó con la razón de momios. Resultados: De 1,048,576 pacientes que acudieron a la detección de infección de SARS-CoV2, 35,899 correspondieron a pacientes pediátricos que cumplieron con los criterios del estudio. La prevalencia nacional de asma estimada fue de 3.9% (IC95%: 3.7-4.1%); la prevalencia mínima se observó en la región Suroeste (2.8%) y la máxima en el Sureste (6.8%); comparada con la región Suroeste, que registró la prevalencia mínima a nivel nacional, y la Noroeste (RM = 2.41) y Sureste (RM = 1.33) mostraron el mayor riesgo de asma en la población pediátrica. Conclusión: La prevalencia de asma en niños mexicanos difirió notoriamente en los diferentes estados de la República Mexicana; sobresalieron las regiones Noroeste y Sureste. Este estudio pone de manifiesto el papel del medio ambiente en la prevalencia del asma en pacientes pediátricos mexicanos.

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Section: Discussionunclassified

Variación geográfica en la prevalencia de asma en niños mexicanos durante la pandemia de la COVID-19

et al. 2023

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“…Monitoring the progress of asthma through spirometry could allow the pediatrician in the primary care to intervene early by modifying the maintenance therapy and help the patient to achieve good control of the disease. Moreover, considering the results of studies that showed the effect of particulate matter in inducing asthma exacerbation events leading to emergency room admission or hospitalization [ 108 , 109 ], further research should analyze the impact of air pollutants in the management of asthma attacks in pediatric age.…”

Section: Discussionmentioning

confidence: 99%

Management of Children with Acute Asthma Attack: A RAND/UCLA Appropriateness Approach

Fainardi

Caffarelli

Bergamini

et al. 2021

IJERPH

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Bronchial asthma is the most frequent chronic disease in children and affects up to 20% of the pediatric population, depending on the geographical area. Asthma symptoms vary over time and in intensity, and acute asthma attack can resolve spontaneously or in response to therapy. The aim of this project was to define the care pathway for pediatric patients who come to the primary care pediatrician or Emergency Room with acute asthmatic access. The project was developed in the awareness that for the management of these patients, broad coordination of interventions in the pre-hospital phase and the promotion of timely and appropriate assistance modalities with the involvement of all health professionals involved are important. Through the application of the RAND method, which obliges to discuss the statements derived from the guidelines, there was a clear increase in the concordance in the behavior on the management of acute asthma between primary care pediatricians and hospital pediatricians. The RAND method was found to be useful for the selection of good practices forming the basis of an evidence-based approach, and the results obtained form the basis for further interventions that allow optimizing the care of the child with acute asthma attack at the family and pediatric level. An important point of union between the primary care pediatrician and the specialist hospital pediatrician was the need to share spirometric data, also including the use of new technologies such as teleconsultation. Monitoring the progress of asthma through spirometry could allow the pediatrician in the area to intervene early by modifying the maintenance therapy and help the patient to achieve good control of the disease.

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“…Previous reports have shown that exposure to ambient air pollution was associated with acute exacerbation of asthma and severe asthma attack, [16][17][18] but less is known about the relationship between the exposure levels of particle pollutants and asthma patients with or without FO. In the study, we found that short-term exposure to PM10, PM2.5 and PM1 (on lags of 1-3 days) was associated with severe exacerbations in asthma patients with RO, and may be the independent risk factor for these adverse asthma events.…”

Section: Discussionmentioning

confidence: 99%

Effects of Air Pollutant Exposure on Exacerbation Severity in Asthma Patients with or without Reversible Airflow Obstruction

Fang¹,

Li²,

Liu

et al. 2021

JAA

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Background Reversible airflow obstruction (RO) and fixed airflow obstruction (FO) are two important clinical phenotypes of asthma. However, the relationship between air pollutant exposure and exacerbation of the two phenotypes is unknown. Objective To study the effects of air pollutant exposure on exacerbation severity in asthma patients with or without FO. Methods A total of 197 severe asthma patients were enrolled, and divided into two groups: the FO group (n=81) and the RO group (n=116). We collected the demographic data, laboratory parameters, pulmonary function test parameters, and the daily average concentrations of different air particles in Shenzhen on the different lag days of each subject. The receiver operating characteristic (ROC) curve was used to identify the effects of major air pollutants on the severity of asthma patients with RO. Results Compared with the RO group, the FO group had fewer women, lower body mass index (BMI), longer disease duration, higher smoking history rate, allergic family history rate, FeNO level, and lower levels of large airway parameters. The median exposure levels of PM10 and PM2.5 in the severe RO subgroup were both higher than those in the mild-to-moderate RO subgroup on Lag0, 1 and 3, and the median exposure level of PM1 on Lag0 in the severe RO subgroup was significantly higher than that in the mild-to-moderate RO subgroup. Logistic regression modeling indicated exposure to PM2.5 and PM1.0 on Lag0, and PM10 on Lag0-2 were the independent risk factors for hospital admissions for asthma patients with RO. By performing an ROC curve analysis, PM2.5 on Lag0 (AUC = 0.645, p = 0.027) provided a best performance to predict severe asthma exacerbations with RO, with a sensitivity of 36.0% and a specificity of 91.2%. Conclusion Short-term exposure to PM10, PM2.5 and PM1 may play a role in exacerbation severity among asthma patients with RO.

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Effects of short-term exposure to particulate matter on emergency department admission and hospitalization for asthma exacerbations in Brescia district

Cited by 9 publications

References 30 publications

Variación geográfica en la prevalencia de asma en niños mexicanos durante la pandemia de la COVID-19

Variación geográfica en la prevalencia de asma en niños mexicanos durante la pandemia de la COVID-19

Management of Children with Acute Asthma Attack: A RAND/UCLA Appropriateness Approach

Effects of Air Pollutant Exposure on Exacerbation Severity in Asthma Patients with or without Reversible Airflow Obstruction

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