Trends in asthma hospitalizations among adults in Spain: Analysis of hospital discharge data from 2011 to 2020

Caballero-Segura, Francisco J.; López‐de‐Andrés, Ana; Jiménez‐García, Rodrigo; Miguel‐Yanes, José M. de; Hernández‐Barrera, Valentín; Carabantes-Alarcón, David; Zamorano-León, José J.; Miguel-Díez, Javier de

doi:10.1016/j.rmed.2022.107009

Cited by 6 publications

(6 citation statements)

References 43 publications

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“…The study findings indicate that asthma exacerbations represent a substantial proportion of admissions to pulmonology (8.3%), with an admission incidence of 47/100,000 inhabitants per year when considered as the primary diagnosis. This incidence is lower than that reported in the Basque Country (88.9%) [18] and is similar to the trends observed in Spain from 2011 to 2020 [5].…”

Section: Discussionsupporting

confidence: 85%

“…A recent study indicated that exacerbations are associated with multimorbidity, asthma severity, poor control, increased obstruction, and a high inflammatory pattern [20]. The higher seasonality observed in the autumn and winter months is related to respiratory infections, as evidenced in other series [5]. However, pollen exposure is also a risk factor for moderate to severe exacerbations, particularly in individuals under the age of 18 years [21].…”

Section: Discussionmentioning

confidence: 99%

“…However, when asthma is a secondary diagnosis during hospitalization, both increase significantly. This is likely due to an increase in comorbidities in the aging population [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Analysis of Patients Admitted for Asthma Exacerbation in a Tertiary Hospital in Spain

Chiner,

Machetti,

Boira

et al. 2024

Cureus

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Objectives: To analyze the characteristics of adult patients admitted for asthma exacerbation and determine optimization, treatment adherence, and follow-up in clinics. Methods: Patients ≥ 18 years old admitted from May 2021 to June 2023 with a primary diagnosis of asthma exacerbation were included. Patients with a secondary diagnosis of asthma exacerbation and those without a confirmed diagnosis were excluded. Results: A total of 186 patients were analyzed, 63% were female, with a mean age of 49 ± 34 years, mean body mass index (BMI) of 26.4 ± 5 kg/m2, mean immunoglobulin E level of 132 ± 235 IU/mL (range: 25-2041), mean eosinophils count of 180 ± 443, and length of stay of 8.6 ± 5 days. Comparing patients with one admission to those with multiple admissions, differences were observed in age (39 ± 15 vs. 58 ± 20, p < 0.0001), BMI (25.2 ± 3 vs. 27.4 ± 4, p < 0.0003), comorbidity (15% vs. 60%, p < 0.0001), and length of stay (4.5 ± 2 vs. 11 ± 3, p < 0.0001). Of the patients, 15% had undiagnosed asthma, 28% had known asthma without maintenance therapy, 23% were managed by primary care, and 34% were followed by pneumology. The mean Test of Adherence to Inhalers (TAI) score was 42.5 ± 8 points, with 70% showing erratic non-adherence, 46% showing deliberate non-adherence, and 21% showing unconscious non-adherence. Conclusions: The young population represents a significant percentage of admissions for asthma exacerbation due to poor follow-up in pulmonology clinics, inadequate treatment optimization, and low adherence. This study adds that it is necessary to improve the approach to asthma in primary care to optimize treatment, reduce under-diagnosis, and avoid hospital admissions.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

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Analysis of Patients Admitted for Asthma Exacerbation in a Tertiary Hospital in Spain

Chiner,

Machetti,

Boira

et al. 2024

Cureus

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“…Portuguese National Funds and Community Funds from the European Social Fund and Programa Por_Norte through Fundação para a Ciência e a Tecnologia, 2022.12787.BD Rafael José Vieira 1,2 Ana Margarida Pereira 1,3,4 Luís Taborda-Barata 5,6,7 Frederico S. Regateiro 5,8,9,10 Manuel Marques-Cruz 1 Carlos Robalo Cordeiro 11,12 Cláudia Chaves Loureiro 11,12 Ignacio J. Dávila 13,14,15 Jean Bousquet 16,17,18 João A.…”

Section: Conflict Of Interest Statementunclassified

“…The Spanish database contains data from all private and public hospitals, while the Portuguese database contains data from all public hospitals (accounting for 85% of Portuguese hospitalisations). 6 , 7 We included all inpatient episodes of patients aged ≥20 years with a main diagnosis of asthma (ICD‐9‐CM code 493.x or ICD‐10‐CM code J45.x) from 2012 to 2016. For each episode, we had data on patients' age, sex and third level of Nomenclature of Territorial Units for Statistics (NUTS3) of residence.…”

Section: Figurementioning

confidence: 99%

Regional, sex, and age inequities in asthma hospital admissions in Spain and Portugal

Vieira,

Pereira,

Taborda‐Barata

et al. 2024

Clinical & Translational All

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BackgroundAsthma presents a significant health challenge, imposing a considerable burden on healthcare services. Discrepancies in asthma‐related hospitalisations may reflect underlying health disparities. We aimed to analyse inequities in asthma hospital admissions in mainland Portugal and Spain, from a regional perspective and considering sex and age.MethodsWe conducted a retrospective study using data from the Spanish and Portuguese national hospitalisations databases. We calculated crude national and regional yearly hospitalisation rates according per Nomenclature of Territorial Units for Statistics region. Additionally, we calculated hospitalisation rates adjusted for asthma prevalence and the female‐to‐male ratio in asthma hospital admissions per age group, considering the female‐to‐male ratio in the overall population.ResultsBetween 2012 and 2016, there were 92,084 asthma hospital admissions in mainland Spain and 7717 in mainland Portugal. There was a trend for a higher‐than‐average rate of asthma‐related hospitalisations in the Northern regions of both countries. Women had a hospitalisation rate that was 3.2 times higher than men. Age was associated with higher risk for asthma hospitalisation, with individuals aged 65 and older displaying a hospitalisation rate 4.5 times higher than those under 65. Additionally, while hospitalisations in women aged <65 years were 2.3 times more likely than in men of the same age, hospitalisations in women aged ≥65 years were 3.5 times higher than in men aged ≥65 years.ConclusionThis study suggests that marked regional inequities in asthma hospital admissions exist in Spain and Portugal. Additionally, women are particularly at risk of hospitalisation due to asthma, and such risk increases with age.

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Limosilactobacillus fermentum modulates the gut-airway axis by improving the immune response through FOXP3 activation on combined allergic rhinitis and asthma syndrome (CARAS)

et al. 2023

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Trends in asthma hospitalizations among adults in Spain: Analysis of hospital discharge data from 2011 to 2020

Cited by 6 publications

References 43 publications

Analysis of Patients Admitted for Asthma Exacerbation in a Tertiary Hospital in Spain

Analysis of Patients Admitted for Asthma Exacerbation in a Tertiary Hospital in Spain

Regional, sex, and age inequities in asthma hospital admissions in Spain and Portugal

Limosilactobacillus fermentum modulates the gut-airway axis by improving the immune response through FOXP3 activation on combined allergic rhinitis and asthma syndrome (CARAS)

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