Atak astmy
Epidemiologia
Atak astmy stanowi nagłe zaostrzenie przewlekłego zapalenia dróg oddechowych, manifestujące się dusznością, świszczącym oddechem, uczuciem ściskania w klatce piersiowej oraz kaszlem, co wymaga często pilnej interwencji medycznej. Epidemiologicznie, astma dotyka globalnie 262-340 milionów osób, z roczną śmiertelnością około 455 000, głównie w krajach o niskim i średnim dochodzie. W 2022 roku 11,3 miliona pacjentów (42,4% zdiagnozowanych) doświadczyło co najmniej jednego ataku astmy, co stanowi spadek o 25% względem 2001 roku. Najwyższy wskaźnik ataków odnotowano u dzieci poniżej 5 roku życia (67,9%). Występowanie ataków różni się w zależności od płci, wieku, pochodzenia etnicznego oraz statusu socjoekonomicznego, z wyższą częstością u kobiet (45,3%) niż mężczyzn (38,0%) oraz u osób z wykształceniem średnim lub GED (46,8%). Czynniki ryzyka obejmują infekcje wirusowe dróg oddechowych, zanieczyszczenia powietrza (30% ataków), ekspozycję na ruch drogowy (OR=1,38, 95% CI 1,05-1,81), a także czynniki hormonalne, np. stosowanie tabletek antykoncepcyjnych zawierających progesteron zwiększa ryzyko ataków u kobiet poniżej 35 roku życia o 39%.
- Epidemiologia ataku astmy
- Globalne rozpowszechnienie ataków astmy
- Różnice demograficzne w występowaniu ataków astmy
- Różnice geograficzne w występowaniu ataków astmy
- Czynniki ryzyka ataków astmy
- Systemy nadzoru i monitorowania ataków astmy
- Znaczenie systemów nadzoru nad atakami astmy
- Wyzwania w nadzorze nad atakami astmy
- Trendy i perspektywy w epidemiologii ataków astmy
- Znaczenie nadzoru nad atakami astmy
Epidemiologia ataku astmy
Atak astmy to nagłe nasilenie objawów astmatycznych, charakteryzujące się trudnościami w oddychaniu, świszczącym oddechem, uczuciem ściskania w klatce piersiowej i kaszlem. Jest to poważne zaostrzenie przewlekłego stanu zapalnego dróg oddechowych, które może wymagać natychmiastowej interwencji medycznej i stanowić zagrożenie dla życia pacjenta.1 Poniższy artykuł przedstawia szczegółowe informacje epidemiologiczne dotyczące ataków astmy, skupiając się na częstości występowania, czynnikach ryzyka oraz znaczeniu dla systemów nadzoru zdrowotnego.
Globalne rozpowszechnienie ataków astmy
Astma jest jedną z najczęstszych chorób niezakaźnych na świecie, dotykającą około 262-340 milionów osób globalnie.23 Każdego roku z powodu astmy umiera około 455 000 osób, przy czym większość zgonów ma miejsce w krajach o niskim i średnim dochodzie, gdzie niedodiagnozowanie i niedoleczenie choroby stanowi poważny problem.4 Globalna epidemia astmy, obserwowana zarówno u dzieci jak i dorosłych, nadal trwa, szczególnie w krajach o niskim i średnim dochodzie, chociaż w niektórych krajach rozwiniętych obserwuje się stabilizację trendów.5
Według danych z 2022 roku, 11,3 miliona osób (42,4% spośród wszystkich zdiagnozowanych z astmą) doświadczyło co najmniej jednego ataku astmy. Jest to spadek o 25% w porównaniu z 56,3% w 2001 roku.6 Dzieci poniżej 5 roku życia miały najwyższy wskaźnik ataków w porównaniu do innych grup wiekowych, wynoszący 67,9% w 2022 roku.7
Różnice demograficzne w występowaniu ataków astmy
Występowanie ataków astmy różni się znacząco w zależności od czynników demograficznych takich jak wiek, płeć i pochodzenie etniczne. Dane pokazują wyraźne wzorce epidemiologiczne:
Różnice płciowe
Kobiety (45,3%) były o 13% bardziej narażone na wystąpienie ataku astmy niż mężczyźni (38,0%) w 2022 roku.8 Występowanie astmy jest wyższe wśród chłopców w dzieciństwie, a prewalencja maleje z wiekiem. Natomiast u kobiet częstość występowania astmy wzrasta stopniowo w dzieciństwie, zrównując się z częstością u mężczyzn w wieku 14-17 lat. W wieku dorosłym kobiety zgłaszają wyższą częstość występowania astmy w porównaniu z mężczyznami.9 Ta różnica między płciami znajduje odzwierciedlenie również w częstości ataków astmy.10
Różnice wiekowe
Wzorce zachorowalności i częstości występowania astmy różnią się między dziećmi a dorosłymi. Podczas gdy zachorowalność i częstość występowania astmy są wyższe u dzieci, wykorzystanie opieki zdrowotnej związanej z astmą i śmiertelność są wyższe u dorosłych.11 Ataki astmy są częstsze wśród dzieci, w szczególności dzieci poniżej 5 roku życia mają najwyższy wskaźnik ataków.12
Różnice etniczne i rasowe
W latach 2019-2022 częstość ataków astmy była podobna dla większości grup rasowych i etnicznych w USA: osoby białe (41,6%), Latynosi (41,4%), Azjaci (38,4%), osoby czarnoskóre (38,1%), rdzenni mieszkańcy (37,6%).13 Jednak występują znaczące dysproporcje w ciężkości astmy i częstości hospitalizacji. Na przykład, w Stanach Zjednoczonych osoby czarnoskóre mają mniejsze prawdopodobieństwo otrzymania leczenia ambulatoryjnego z powodu astmy, mimo wyższej częstości występowania choroby. Są one znacznie bardziej narażone na wizyty na oddziale ratunkowym lub hospitalizację z powodu astmy. Są również trzy razy bardziej narażone na śmierć z powodu ataku astmy w porównaniu z osobami białymi.14
Status socjoekonomiczny
Częstość ataków astmy w 2022 roku była najwyższa wśród osób z wykształceniem średnim lub GED (46,8%), niższa wśród osób z niepełnym wykształceniem wyższym (41,6%) i najniższa wśród osób z wykształceniem poniżej średniego (38,7%) lub z tytułem licencjata lub wyższym (38,7%).15 Ogólnie, osoby o niższym statusie socjoekonomicznym są bardziej narażone na ciężkie ataki astmy, co może być związane z ograniczonym dostępem do opieki zdrowotnej, warunkami mieszkaniowymi i środowiskowymi.1617
Różnice geograficzne w występowaniu ataków astmy
Częstość występowania ataków astmy różni się znacząco w zależności od położenia geograficznego, zarówno na poziomie międzynarodowym, jak i w obrębie poszczególnych krajów:
Różnice międzynarodowe
Częstość występowania astmy waha się od 1% do 18% w różnych krajach, przy czym astma jest częściej spotykana w krajach rozwiniętych niż rozwijających się. Wskaźniki są niższe w Azji, Europie Wschodniej i Afryce.18 W Stanach Zjednoczonych astma dotyka około 7% populacji, w Wielkiej Brytanii około 5%, a w Kanadzie, Australii i Nowej Zelandii wskaźniki wynoszą około 14-15%.19
Różnice regionalne
W Stanach Zjednoczonych częstość występowania astmy jest wyższa wśród mieszkańców północnego wschodu (9,3%) i środkowego zachodu (8,8%) w porównaniu do mieszkańców południa.20 Częstość występowania astmy była wyższa w północno-wschodniej części USA niż na południu i zachodzie, szczególnie w małych obszarach metropolitalnych.21
Różnice miejskie-wiejskie
Częstość występowania ataków astmy różniła się według kategorii obszarów metropolitalnych w czterech stanach USA.22 Częstość wizyt na oddziałach ratunkowych i centrach pilnej opieki z powodu astmy była wyższa na południu niż na północnym wschodzie i środkowym zachodzie, a także wyższa w dużych centralnych obszarach metropolitalnych niż w obszarach mikropolitalnych i niecentrowych.23 Wskaźnik śmiertelności z powodu astmy był najwyższy w obszarach poza metropolitalnymi, szczególnie w regionach niecentrowych.24
| Region | Częstość występowania astmy | Częstość ataków astmy | Wizyty na oddziałach ratunkowych |
|---|---|---|---|
| Północny wschód USA | Wyższa | Zróżnicowana | Niższa |
| Południe USA | Niższa | Zróżnicowana | Wyższa |
| Duże obszary metropolitalne | Zróżnicowana | Zróżnicowana | Wyższa |
| Obszary wiejskie | Zróżnicowana | Zróżnicowana | Niższa |
Czynniki ryzyka ataków astmy
Ataki astmy mogą być wywołane przez wiele czynników środowiskowych, zarówno atmosferycznych, jak i domowych, a także tych spotykanych w szkołach i miejscach pracy.25 Kluczowe czynniki ryzyka obejmują:
Infekcje dróg oddechowych
Większość zaostrzeń astmy, szczególnie u dzieci, zbiega się z infekcjami wirusowymi dróg oddechowych, najczęściej spowodowanymi przez rinowirusy.26 Jednoczesna ekspozycja astmatyków z infekcjami wirusowymi dróg oddechowych na alergeny lub zanieczyszczenia powietrza może znacznie zwiększyć ryzyko zaostrzenia.27
Zanieczyszczenie powietrza
Szacuje się, że 30% ataków astmy jest wywołanych przez zanieczyszczenia powietrza zewnętrznego.28 Badania epidemiologiczne powiązały ekspozycję na ruch drogowy z zaostrzeniem astmy, używając podejść opartych na odległości (bliskość mieszkaniowa do dróg) i gęstości (średni dzienny ruch drogowy lub przejechane kilometry pojazdów).29 Wśród dorosłych astmatyków w USA ryzyko wystąpienia ataku astmy w ciągu ostatniego roku wzrosło o 38% (iloraz szans: 1,38, 95% przedział ufności: 1,05-1,81) u osób mieszkających najbliżej dróg w porównaniu do tych, którzy mieszkali najdalej.30
Czynniki hormonalne
Badania wskazują na potencjalny wpływ czynników hormonalnych na ryzyko ataków astmy. Na przykład, duże badanie obejmujące około 260 000 kobiet wykazało, że przyjmowanie tabletki antykoncepcyjnej zawierającej wyłącznie progesteron może zwiększać ryzyko ataków astmy u niektórych kobiet.31 Ryzyko ataków astmy u kobiet poniżej 35 roku życia było około 39% wyższe u tych przyjmujących tabletkę zawierającą tylko progesteron; u kobiet przyjmujących mniej leków przeciwastmatycznych ryzyko było około 20% wyższe; a u kobiet z astmą eozynofilową ryzyko było około 24% wyższe.32
Choroby współistniejące
Badania wskazują, że większość pacjentów astmatycznych ma co najmniej jedną chorobę współistniejącą, a obecność chorób współistniejących może mieć duży wpływ na kontrolę astmy.33 Na podstawie regresji dwumianowej z dopasowaniem wyników skłonności, współistniejąca przewlekła obturacyjna choroba płuc (POChP) (iloraz szans [OR]=2,06, 95% przedział ufności [CI] 1,80-2,36), choroba niedokrwienna serca (OR=1,86, 95% CI 1,64-2,10) i zdarzenia naczyniowo-mózgowe (OR=1,85, 95% CI 1,47-2,32) miały najsilniejszy negatywny wpływ na kontrolę astmy, a obecność wszystkich tych stanów zwiększała ryzyko niekontrolowanej astmy.34
Stopień kontroli astmy
Epidemiologicznie, stopień kontroli astmy osiągnięty przez astmatyków jest ważnym predyktorem prawdopodobieństwa zaostrzenia choroby, w tym niewydolności oddechowej, śmierci i korzystania z usług zdrowotnych.35 Mimo dostępności nowych terapii i ulepszonych inhalatorów do podawania terapii miejscowych, w ostatniej dekadzie nie zaobserwowano dalszej poprawy wskaźników śmiertelności ani hospitalizacji, zarówno u dzieci, jak i u dorosłych.36
Systemy nadzoru i monitorowania ataków astmy
Skuteczny nadzór nad astmą jest kluczowy dla kontroli astmy i zapobiegania zgonów, którym można zapobiec. Wykorzystanie cyfrowego nadzoru online oferuje możliwość dokładniejszego i szybszego uchwycenia początku astmy i ma potencjał do zmniejszenia obciążenia i zgonów spowodowanych astmą.37
Krajowe systemy nadzoru
Dane z nadzoru nad astmą na poziomie krajowym obejmują częstość występowania astmy u dorosłych i dzieci, ograniczenia aktywności, dni utracone w pracy lub szkole, stosowanie leków ratunkowych i kontrolnych, edukację w zakresie samozarządzania astmą, wizyty lekarskie, wizyty na oddziale ratunkowym, hospitalizacje z powodu astmy i zgony z powodu astmy z badań Narodowego Centrum Statystyk Zdrowia (NCHS) i Systemu Statystyk Życiowych.38
W Stanach Zjednoczonych Centra Kontroli i Zapobiegania Chorobom (CDC) prowadzą kompleksowe działania nadzoru nad astmą, zbierając i analizując dane dotyczące astmy zarówno na poziomie krajowym, jak i stanowym.39 Podobne systemy działają w innych krajach, na przykład System Informacji o Nadzorze nad Astmą w Ontario (OASIS) w Kanadzie.40
Stanowe i lokalne systemy nadzoru
Dane z nadzoru nad astmą na poziomie stanowym obejmują częstość występowania astmy u dorosłych i dzieci z Systemu Nadzoru Czynników Ryzyka Behawioralnego (BRFSS) oraz szczegółowe dane dotyczące astmy na poziomie stanowym i lokalnym poprzez wdrożenie Asthma Call-back Survey (ACBS) BRFSS.41
Wiele stanów w USA prowadzi własne programy nadzoru nad astmą. Na przykład:
- Program Kontroli Astmy w Illinois monitoruje częstość występowania astmy, kwestie jakości życia, hospitalizacje, wizyty na oddziale ratunkowym i śmiertelność.42
- Program Astmy Connecticut zapewnia najnowsze i wiarygodne dane na temat populacji Connecticut o wysokim ryzyku astmy, identyfikuje związane z astmą nierówności zdrowotne i trendy.43
- System Nadzoru nad Astmą Dziecięcą (PASS) w Dallas County zapewnia informacje o częstości występowania astmy dziecięcej w społeczności, wprowadzając nowy, zwalidowany Indeks Wrażliwości Astmy Dziecięcej, który łączy dane zdrowotne i społeczne, aby przewidzieć wrażliwość dzieci na złe wyniki astmy i zidentyfikować obszary nierówności zdrowotnych.4445
Systemy nadzoru nad astmą związaną z pracą
Istnieje kilka systemów nadzoru dedykowanych astmie związanej z pracą (WRA).46 Programy nadzoru nad WRA działają od ponad 20 lat w jurysdykcjach od lokalnych do krajowych.47 Astma związana z pracą to wyczerpująca, a czasem śmiertelna choroba. Wielu z dotkniętych nią osób stwierdziło, że musiało zmienić lub rzucić pracę z powodu astmy związanej z pracą. Ponad 300 substancji używanych w miejscu pracy jest znanych z tego, że albo powodują astmę u zdrowych pracowników, albo nasilają astmę u tych, którzy już cierpią na ten stan.48
Znaczenie systemów nadzoru nad atakami astmy
Systemy nadzoru nad astmą mają kluczowe znaczenie dla zarządzania zdrowiem publicznym z kilku powodów:
Identyfikacja populacji wysokiego ryzyka
Dane z nadzoru nad astmą i powiązane dane są wykorzystywane do identyfikacji populacji o zwiększonym ryzyku zachorowania na astmę, identyfikacji i monitorowania zmian ryzyka i trendów w czasie, kierowania zasobów i działań informacyjnych w celu zapobiegania i kontrolowania choroby oraz monitorowania postępów w kierunku obniżania ryzyka astmy.49
Planowanie interwencji
Dane są ważne w planowaniu programów edukacyjnych i interwencyjnych oraz w opracowywaniu polityk niezbędnych do zapobiegania i kontrolowania astmy w przyszłości.50 Charakteryzacja wskaźników astmy i określenie, jak zaostrzenia astmy i korzystanie z opieki zdrowotnej różnią się w Stanach Zjednoczonych według obszaru geograficznego, w tym różnic między obszarami miejskimi i wiejskimi, oraz według czynników socjodemograficznych, może pomóc w identyfikacji populacji zagrożonych powikłaniami związanymi z astmą.51
Monitorowanie ekonomicznego wpływu astmy
Astma powoduje znaczne koszty dla pacjentów, ich rodzin i systemów opieki zdrowotnej. Według badania obserwacyjnego przeprowadzonego w Iranie, około 6,5 miliona ludzi w tym kraju choruje na astmę, a ponad 3,2 miliarda dolarów amerykańskich wydaje się na pacjentów z astmą. Koszty bezpośrednie stanowiły około 30% całkowitych kosztów, a koszty pośrednie są ukryte i stanowią główną część kosztów.52 Koszty bezpośrednie obejmują leki, wizyty w klinikach i na oddziałach ratunkowych, przyjęcia do szpitala, badania diagnostyczne i laboratoryjne oraz koszty transportu. Koszty pośrednie są obliczane tylko dla dni pracy utraconych z powodu wizyt w placówkach opieki zdrowotnej.53
Poprawa wyników zdrowotnych
Nadzór nad astmą może przyczynić się do poprawy wyników zdrowotnych poprzez wspieranie zgodności z wytycznymi najlepszych praktyk w zakresie diagnozy i nadzoru astmy poprzez zachęcanie do stosowania obiektywnych metod potwierdzania diagnozy astmy w elektronicznej dokumentacji medycznej.54 Wyniki badań sugerują, że zapytania internetowe wykrywają początek objawów astmy wcześniej niż przyjęcia do szpitala, co może oferować nowe podejście do identyfikacji czasu i wielkości przyszłych przyjęć, aby efektywnie przygotować i zarządzać zasobami w szpitalach.55
Wyzwania w nadzorze nad atakami astmy
Pomimo znacznych postępów w nadzorze nad astmą, nadal istnieją istotne wyzwania:
Niedodiagnozowanie i niedoleczenie
Astma jest często niedodiagnozowana i niedoleczona, szczególnie w krajach o niskim i średnim dochodzie.56 Chociaż standardy diagnostyki astmy są dobrze ustalone, mniej niż połowa osób zdiagnozowanych z astmą ma potwierdzoną diagnozę poprzez wykorzystanie obiektywnych pomiarów funkcji płuc w ciągu dwóch lat od pierwotnej diagnozy.57
Nierównomierność danych
Częstość występowania astmy jest trudna do oszacowania globalnie ze względu na różnice w metodach badań oraz w diagnostyce i raportowaniu astmy.58 Szacunki ataków astmy dla niektórych grup rasowych i etnicznych nie są dokładne dla pojedynczych lat ze względu na małe rozmiary próby.59
Standardyzacja danych
Zapewnienie standardowych i regularnych danych dotyczących objawów astmy, przy użyciu badań reprezentatywnych dla populacji, jest kluczowe we wszystkich krajach, aby dokładnie mierzyć i śledzić globalne obciążenie astmą.60
Trendy i perspektywy w epidemiologii ataków astmy
Obserwuje się pewne istotne trendy w epidemiologii ataków astmy:
Zmiany czasowe
Częstość występowania astmy znacznie wzrosła między latami 60. a 2008 rokiem, a problem zdrowia publicznego jest uznawany od lat 70.61 W ostatnich latach obserwuje się stabilizację lub zmniejszenie częstości ataków astmy w niektórych grupach. Na przykład, odsetek osób z atakiem astmy w ciągu ostatniego roku zmniejszył się o 25% z 56,3% w 2001 roku do 42,4% w 2022 roku.62
Sezonowość ataków astmy
Przełomowe badanie opublikowane w Pediatric Research ujawniło przekonujące dowody, że zaostrzenia astmy dziecięcej wykazują wyraźne wzorce sezonowe ściśle związane z podstawowymi fenotypami astmy.63 Badanie analizuje epidemiologię zaostrzeń astmy poprzez analizę dużej kohorty pacjentów pediatrycznych w ciągu wielu sezonów, integrując nadzór nad patogenami wirusowymi.64 Interakcja między alergenami, infekcjami, zanieczyszczeniami i predyspozycją genetyczną tworzy złożoną sieć ryzyka, która zmienia się nie tylko sezonowo, ale także w zależności od indywidualnych odpowiedzi immunologicznych.65
Rola czynników środowiskowych
Czynniki środowiskowe są kluczowe dla wyjaśnienia zmian w częstości występowania astmy.66 Epidemia astmy doświadczana przez kraje rozwinięte w ciągu ostatnich 30 lat teraz dotyka kraje rozwijające się, gdy stają się one bardziej zurbanizowane.67 Przyszłe badania mogłyby skupić się na podstawowych przyczynach astmy nieatopowej w krajach o niskim i średnim dochodzie, ze szczególnym naciskiem na gradienty częstości występowania i ciężkości astmy w obszarach miejskich i wiejskich, aby rozwikłać środowiskowe czynniki ryzyka związane z urbanizacją i zmianami demograficznymi.68
Nowe metody nadzoru
Badania sugerują, że zapytania wyszukiwania internetowego mogą dostarczyć sygnału w czasie rzeczywistym dla zdarzeń astmatycznych i mogą być przydatne do pomiaru czasu wystąpienia objawów.69 Wyniki wskazują, że zapytania wyszukiwania internetowego wykrywają początek objawów astmy wcześniej niż przyjęcia do szpitala, co oferuje nowe podejście do identyfikacji czasu i wielkości przyszłych przyjęć.70
Znaczenie nadzoru nad atakami astmy
Skuteczny nadzór nad astmą ma kluczowe znaczenie dla podniesienia świadomości i poprawy wyników zdrowotnych:
- Pomaga w identyfikacji populacji wysokiego ryzyka i kierowaniu zasobów tam, gdzie są one najbardziej potrzebne71
- Dostarcza danych do planowania programów edukacyjnych i interwencyjnych72
- Pozwala na monitorowanie trendów w czasie i ocenę skuteczności interwencji73
- Wspiera opracowywanie polityk zdrowotnych74
- Przyczynia się do zmniejszenia obciążenia ekonomicznego związanego z astmą75
Mimo pewnych postępów w wynikach astmy w czasie, wyniki z badań wskazują, że dysproporcje we wskaźnikach astmy utrzymują się według charakterystyk demograficznych, poziomu ubóstwa i lokalizacji geograficznej.76 Dysproporcje w wynikach astmy i korzystaniu z opieki zdrowotnej w populacjach wiejskich i miejskich zidentyfikowane z badań NHIS i NVSS mogą pomóc programom zdrowia publicznego w kierowaniu zasobów i interwencji w celu poprawy wyników astmy.77
Podsumowując, kompleksowy nadzór nad atakami astmy jest niezbędny do zrozumienia epidemiologii tej choroby, zidentyfikowania populacji wysokiego ryzyka i opracowania ukierunkowanych interwencji. Skuteczne zarządzanie astmą musi być wdrożone wszędzie, aby złagodzić konsekwencje ciężkiej choroby.78
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1 Asthma | Texas DSHShttps://www.dshs.texas.gov/asthma
Asthma makes breathing difficult. Its a long-lasting lung disease and the most common long-lasting disease in children. In fact, nearly 7% of kids in Texas – more than 492,000 – have asthma.1 Currently, there isnt a cure, but asthma can be managed so that people with asthma can lead normal lives. […] An asthma attack occurs when something – a trigger – bothers the lungs and makes it hard for the person to breathe. A few asthma triggers are smoke, pollen, and even pets. Asthma can cause wheezing, shortness of breath, and coughing. […] Find data about hospital cases related to asthma and the costs.
- #2https://www.who.int/news-room/fact-sheets/detail/asthma
Asthma affected an estimated 262 million people in 2019 and caused 455 000 deaths. […] Most asthma-related deaths occur in low- and lower-middle-income countries, where under-diagnosis and under-treatment is a challenge. […] Asthma is often under-diagnosed and under-treated, particularly in low- and middle-income countries. […] If symptoms are severe, people with asthma may need to receive emergency health care and they may be admitted to hospital for treatment and monitoring. In the most severe cases, asthma can lead to death. […] Asthma is included in the WHO Global Action Plan for the Prevention and Control of NCDs and the United Nations 2030 Agenda for Sustainable Development. […] WHO is taking action to extend diagnosis of and treatment for asthma in a number of ways. […] The WHO Package of Essential Noncommunicable Disease Interventions (PEN) was developed to help improve NCD management in primary health care in low-resource settings. […] Air pollution is an important risk factor for asthma, causing new cases and making existing disease worse.
- #3 Primary care asthma surveillance: a review of knowledge translation tools and strategies for quality improvement | Allergy, Asthma & Clinical Immunology | Full Texthttps://aacijournal.biomedcentral.com/articles/10.1186/s13223-022-00755-2
Established KT eTools for asthma such as electronic questionnaires, computerized clinical decision support systems (CDSS), chronic disease surveillance networks, and asthma registries have been effective in improving the quality of asthma diagnosis and care. […] Chronic disease surveillance systems, severe asthma registries, and workplace asthma surveillance systems have demonstrated success in monitoring asthma outcomes. […] A digital asthma surveillance system could support adherence to best-practice guidelines of asthma diagnosis and surveillance by prompting use of objective methods of confirmation to confirm an asthma diagnosis within the EMR. […] Globally, the number of people diagnosed with asthma is over 340 million and has continually increased over a 10-year period. […] A major contributor to the burden of asthma on individuals and the healthcare system is that gaps exist between the published guidelines for asthma diagnosis and actual strategies for diagnosis used in primary care.
- #4https://www.who.int/news-room/fact-sheets/detail/asthma
Asthma affected an estimated 262 million people in 2019 and caused 455 000 deaths. […] Most asthma-related deaths occur in low- and lower-middle-income countries, where under-diagnosis and under-treatment is a challenge. […] Asthma is often under-diagnosed and under-treated, particularly in low- and middle-income countries. […] If symptoms are severe, people with asthma may need to receive emergency health care and they may be admitted to hospital for treatment and monitoring. In the most severe cases, asthma can lead to death. […] Asthma is included in the WHO Global Action Plan for the Prevention and Control of NCDs and the United Nations 2030 Agenda for Sustainable Development. […] WHO is taking action to extend diagnosis of and treatment for asthma in a number of ways. […] The WHO Package of Essential Noncommunicable Disease Interventions (PEN) was developed to help improve NCD management in primary health care in low-resource settings. […] Air pollution is an important risk factor for asthma, causing new cases and making existing disease worse.
- #5 Epidemiology of Asthma in Children and Adultshttps://pmc.ncbi.nlm.nih.gov/articles/PMC6591438/
Asthma is a globally significant non-communicable disease with major public health consequences for both children and adults, including high morbidity, and mortality in severe cases. […] The global epidemic of asthma that has been observed in both children and adults is still continuing, especially in low to middle income countries, although it has subsided in some developed countries. […] Patterns in asthma incidence and prevalence differ between children and adults. […] While asthma incidence and prevalence are higher in children, asthma-related healthcare use, and mortality are higher in adults. […] The current evidence suggests that asthma is a complex multifactorial disorder and its etiology is increasingly attributed to interactions between genetic susceptibility, host factors, and environmental exposures.
- #6 Asthma Trends Brief: Asthma Trends and Burden | American Lung Associationhttps://www.lung.org/research/trends-in-lung-disease/asthma-trends-brief/trends-and-burden
In 2022, 11.3 million, or 42.4% of those ever diagnosed with asthma by a health professional and still having asthma had at least one asthma attack. […] This proportion was a decrease of 25% from 56.3% in 2001. […] Children less than 5 years of age had the highest attack rates compared to other age groups at 67.9% in 2022. […] Females (45.3%) were 13 percent more likely than males (38.0%) to have had an asthma attack in 2022. […] Estimates of asthma attack rates are not accurate for some racial and ethnic groups for single years due to small sample sizes. […] To allow for accurate comparisons between groups, we combined four years of data and found that in 2019 to 2022, asthma attack rates were very similar for most racial and ethnic groups: White individuals 41.6%, Latino individuals 41.4%, Asian individuals 38.4%, Black individuals 38.1%, Indigenous Peoples 37.6%. […] Asthma attack rates in 2022 were highest for those with a high school diploma or GED (46.8%), lower for those with some college (41.6%), and lowest for those with less than a high school education (38.7%) or a bachelors degree or higher (38.7%).
- #7 Asthma Trends Brief: Asthma Trends and Burden | American Lung Associationhttps://www.lung.org/research/trends-in-lung-disease/asthma-trends-brief/trends-and-burden
In 2022, 11.3 million, or 42.4% of those ever diagnosed with asthma by a health professional and still having asthma had at least one asthma attack. […] This proportion was a decrease of 25% from 56.3% in 2001. […] Children less than 5 years of age had the highest attack rates compared to other age groups at 67.9% in 2022. […] Females (45.3%) were 13 percent more likely than males (38.0%) to have had an asthma attack in 2022. […] Estimates of asthma attack rates are not accurate for some racial and ethnic groups for single years due to small sample sizes. […] To allow for accurate comparisons between groups, we combined four years of data and found that in 2019 to 2022, asthma attack rates were very similar for most racial and ethnic groups: White individuals 41.6%, Latino individuals 41.4%, Asian individuals 38.4%, Black individuals 38.1%, Indigenous Peoples 37.6%. […] Asthma attack rates in 2022 were highest for those with a high school diploma or GED (46.8%), lower for those with some college (41.6%), and lowest for those with less than a high school education (38.7%) or a bachelors degree or higher (38.7%).
- #8 Asthma Trends Brief: Asthma Trends and Burden | American Lung Associationhttps://www.lung.org/research/trends-in-lung-disease/asthma-trends-brief/trends-and-burden
In 2022, 11.3 million, or 42.4% of those ever diagnosed with asthma by a health professional and still having asthma had at least one asthma attack. […] This proportion was a decrease of 25% from 56.3% in 2001. […] Children less than 5 years of age had the highest attack rates compared to other age groups at 67.9% in 2022. […] Females (45.3%) were 13 percent more likely than males (38.0%) to have had an asthma attack in 2022. […] Estimates of asthma attack rates are not accurate for some racial and ethnic groups for single years due to small sample sizes. […] To allow for accurate comparisons between groups, we combined four years of data and found that in 2019 to 2022, asthma attack rates were very similar for most racial and ethnic groups: White individuals 41.6%, Latino individuals 41.4%, Asian individuals 38.4%, Black individuals 38.1%, Indigenous Peoples 37.6%. […] Asthma attack rates in 2022 were highest for those with a high school diploma or GED (46.8%), lower for those with some college (41.6%), and lowest for those with less than a high school education (38.7%) or a bachelors degree or higher (38.7%).
- #9 Asthma epidemiology and demographics – wikidochttps://www.wikidoc.org/index.php/Asthma_epidemiology_and_demographics
Males are affected more often during their childhood and the prevalence declines with age. On the contrary, prevalence rises among females steadily through childhood equaling that among males between ages 14-17 years. During adulthood, females report higher current asthma prevalence compared with men. […] Asthma incidence and quality of treatment varies among different racial groups, though this may be due to correlations with income (and thus affordability of health care) and geography. For example, Black Americans are less likely to receive outpatient treatment for asthma despite having a higher prevalence of the disease. They are much more likely to have emergency room visits or hospitalization for asthma. They are also three times as likely to die from an asthma attack compared to whites. The prevalence of severe persistence asthma is also greater in low-income communities compared with communities with better access to treatment.
- #10 Epidemiology of asthma – Wikipediahttps://en.wikipedia.org/wiki/Epidemiology_of_asthma
Data regarding the epidemiology of asthma in the continent of Asia as whole is scarce, particularly regarding adult populations. However, similarly to much of the rest of the globe, prevalence of childhood asthma appears to be rising. […] In a review of studies on the prevalence of asthma among migrant populations, those born in high-income countries were found to have higher rates of asthma than migrants. Second-generation migrants had a higher risk of asthma than first-generation migrants, and the prevalence of asthma increases with longer time of residence in the host country. […] Disparities in the prevalence of asthma have been shown between different socioeconomic statuses. In the United States, socioeconomic status is associated with race, due to population trends, Black and Hispanic populations are more likely to have asthma, due to higher concentrations in low-income areas. […] Globally, there are 136 million women with asthma, 57% of the 235 million people living with asthma. In addition to being more common among women, women experience more severe symptoms and are more likely to die from asthma.
- #11 Epidemiology of Asthma in Children and Adultshttps://pmc.ncbi.nlm.nih.gov/articles/PMC6591438/
Asthma is a globally significant non-communicable disease with major public health consequences for both children and adults, including high morbidity, and mortality in severe cases. […] The global epidemic of asthma that has been observed in both children and adults is still continuing, especially in low to middle income countries, although it has subsided in some developed countries. […] Patterns in asthma incidence and prevalence differ between children and adults. […] While asthma incidence and prevalence are higher in children, asthma-related healthcare use, and mortality are higher in adults. […] The current evidence suggests that asthma is a complex multifactorial disorder and its etiology is increasingly attributed to interactions between genetic susceptibility, host factors, and environmental exposures.
- #12 Asthma Trends Brief: Asthma Trends and Burden | American Lung Associationhttps://www.lung.org/research/trends-in-lung-disease/asthma-trends-brief/trends-and-burden
In 2022, 11.3 million, or 42.4% of those ever diagnosed with asthma by a health professional and still having asthma had at least one asthma attack. […] This proportion was a decrease of 25% from 56.3% in 2001. […] Children less than 5 years of age had the highest attack rates compared to other age groups at 67.9% in 2022. […] Females (45.3%) were 13 percent more likely than males (38.0%) to have had an asthma attack in 2022. […] Estimates of asthma attack rates are not accurate for some racial and ethnic groups for single years due to small sample sizes. […] To allow for accurate comparisons between groups, we combined four years of data and found that in 2019 to 2022, asthma attack rates were very similar for most racial and ethnic groups: White individuals 41.6%, Latino individuals 41.4%, Asian individuals 38.4%, Black individuals 38.1%, Indigenous Peoples 37.6%. […] Asthma attack rates in 2022 were highest for those with a high school diploma or GED (46.8%), lower for those with some college (41.6%), and lowest for those with less than a high school education (38.7%) or a bachelors degree or higher (38.7%).
- #13 Asthma Trends Brief: Asthma Trends and Burden | American Lung Associationhttps://www.lung.org/research/trends-in-lung-disease/asthma-trends-brief/trends-and-burden
In 2022, 11.3 million, or 42.4% of those ever diagnosed with asthma by a health professional and still having asthma had at least one asthma attack. […] This proportion was a decrease of 25% from 56.3% in 2001. […] Children less than 5 years of age had the highest attack rates compared to other age groups at 67.9% in 2022. […] Females (45.3%) were 13 percent more likely than males (38.0%) to have had an asthma attack in 2022. […] Estimates of asthma attack rates are not accurate for some racial and ethnic groups for single years due to small sample sizes. […] To allow for accurate comparisons between groups, we combined four years of data and found that in 2019 to 2022, asthma attack rates were very similar for most racial and ethnic groups: White individuals 41.6%, Latino individuals 41.4%, Asian individuals 38.4%, Black individuals 38.1%, Indigenous Peoples 37.6%. […] Asthma attack rates in 2022 were highest for those with a high school diploma or GED (46.8%), lower for those with some college (41.6%), and lowest for those with less than a high school education (38.7%) or a bachelors degree or higher (38.7%).
- #14 Asthma epidemiology and demographics – wikidochttps://www.wikidoc.org/index.php/Asthma_epidemiology_and_demographics
Males are affected more often during their childhood and the prevalence declines with age. On the contrary, prevalence rises among females steadily through childhood equaling that among males between ages 14-17 years. During adulthood, females report higher current asthma prevalence compared with men. […] Asthma incidence and quality of treatment varies among different racial groups, though this may be due to correlations with income (and thus affordability of health care) and geography. For example, Black Americans are less likely to receive outpatient treatment for asthma despite having a higher prevalence of the disease. They are much more likely to have emergency room visits or hospitalization for asthma. They are also three times as likely to die from an asthma attack compared to whites. The prevalence of severe persistence asthma is also greater in low-income communities compared with communities with better access to treatment.
- #15 Asthma Trends Brief: Asthma Trends and Burden | American Lung Associationhttps://www.lung.org/research/trends-in-lung-disease/asthma-trends-brief/trends-and-burden
In 2022, 11.3 million, or 42.4% of those ever diagnosed with asthma by a health professional and still having asthma had at least one asthma attack. […] This proportion was a decrease of 25% from 56.3% in 2001. […] Children less than 5 years of age had the highest attack rates compared to other age groups at 67.9% in 2022. […] Females (45.3%) were 13 percent more likely than males (38.0%) to have had an asthma attack in 2022. […] Estimates of asthma attack rates are not accurate for some racial and ethnic groups for single years due to small sample sizes. […] To allow for accurate comparisons between groups, we combined four years of data and found that in 2019 to 2022, asthma attack rates were very similar for most racial and ethnic groups: White individuals 41.6%, Latino individuals 41.4%, Asian individuals 38.4%, Black individuals 38.1%, Indigenous Peoples 37.6%. […] Asthma attack rates in 2022 were highest for those with a high school diploma or GED (46.8%), lower for those with some college (41.6%), and lowest for those with less than a high school education (38.7%) or a bachelors degree or higher (38.7%).
- #16 Asthma epidemiology and demographics – wikidochttps://www.wikidoc.org/index.php/Asthma_epidemiology_and_demographics
Males are affected more often during their childhood and the prevalence declines with age. On the contrary, prevalence rises among females steadily through childhood equaling that among males between ages 14-17 years. During adulthood, females report higher current asthma prevalence compared with men. […] Asthma incidence and quality of treatment varies among different racial groups, though this may be due to correlations with income (and thus affordability of health care) and geography. For example, Black Americans are less likely to receive outpatient treatment for asthma despite having a higher prevalence of the disease. They are much more likely to have emergency room visits or hospitalization for asthma. They are also three times as likely to die from an asthma attack compared to whites. The prevalence of severe persistence asthma is also greater in low-income communities compared with communities with better access to treatment.
- #17 Status Asthmaticus: Practice Essentials, Pathophysiology, Etiologyhttps://emedicine.medscape.com/article/2129484-overview
According to the US Centers for Disease Control and Prevention (CDC), asthma affects 7.7% of the US population, or an estimated 25 million persons, including 5 million children. Prevalence has increased by 60% in all ages in the past two decades. A significant rise in hospitalization and asthma mortality has accompanied the increased incidence. […] Status asthmaticus is usually more common among persons in low socioeconomic groups, regardless of race, because they have less access to regular specialist medical care. People who live alone are particularly affected. In the United States, more than 11 million people with asthma (~44% of the total) live at or below the poverty level. […] The worldwide incidence of asthma is unclear but has been estimated at about 20 million cases. The dramatic rise in incidence has been attributed, in part, to pollution and industrialization.
- #18 Epidemiology of asthma – Wikipediahttps://en.wikipedia.org/wiki/Epidemiology_of_asthma
As of 2011, approximately 235 million people worldwide were affected by asthma, and roughly 250,000 people die per year from asthma-related causes. Low and middle income countries make up more than 80% of the mortality. Prevalences vary between countries from 1% to 18%. Asthma tends to be more prevalent in developed than in developing countries. Rates are lower in Asia, Eastern Europe, and Africa. […] Rates of asthma have increased significantly between the 1960s and 2008 with it being recognized as a major public health problem since the 1970s. Some 9% of US children had asthma in 2001, compared with just 3.6% in 1980. The World Health Organization (WHO) reports that some 10% of the Swiss population have asthma as of 2007, compared with 2% some 2530 years ago. In the United States the age-adjusted prevalence of asthma increased from 7.3 to 8.2 percent during the years 2001 through 2009.
- #19 Asthma – Wikipediahttps://en.wikipedia.org/wiki/Asthma
Global rates of asthma have increased significantly between the 1960s and 2008 with it being recognized as a major public health problem since the 1970s. Rates of asthma have plateaued in the developed world since the mid-1990s with recent increases primarily in the developing world. Asthma affects approximately 7% of the population of the United States and 5% of people in the United Kingdom. Canada, Australia and New Zealand have rates of about 14-15%. […] Population-based epidemiological studies describe temporal associations between acute respiratory illnesses, asthma, and development of severe asthma with irreversible airflow limitation (known as the asthma-chronic obstructive pulmonary disease „overlap” syndrome, or ACOS). Additional prospective population-based data indicate that ACOS seems to represent a form of severe asthma, characterized by more frequent hospitalizations, and to be the result of early-onset asthma that has progressed to fixed airflow obstruction.
- #20 Asthma epidemiology and demographics – wikidochttps://www.wikidoc.org/index.php/Asthma_epidemiology_and_demographics
Current research suggests that the prevalence of childhood asthma has been increasing. According to the Centers for Disease Control and Prevention’s National Health Interview Surveys, some 9% of US children below 18 years of age had asthma in 2001, compared with just 3.6% in 1980. The World Health Organization (WHO) reports that some 8% of the Swiss population suffers from asthma today, compared with just 2% some 2530 years ago. In the U.S., urban residents, Hispanics, and African Americans are affected more than the population as a whole. Globally, asthma is responsible for 180,000 deaths annually. According to the National Health Statistic Reports, 2009, there is higher prevalence of asthma among people residing in northeast (9.3%) and midwest (8.8%) regions of USA in comparison to those in south.
- #21 Asthma Surveillance – United States, 2006-2018 – PubMedhttps://pubmed.ncbi.nlm.nih.gov/34529643/
ED/UCC visits were more prevalent among children, women aged 18 years, and all racial and ethnic groups (i.e., Black, non-Hispanic Asian, multiple race, and Hispanic, including Puerto Rican, Mexican, and other Hispanic) except American Indian and Alaska Native persons compared with non-Hispanic White (White) persons. […] Asthma deaths were higher among adults, females, and Black persons. […] Current asthma prevalence was higher in the Northeast than in the South and the West, particularly in small MSA areas. […] The prevalence of asthma attacks differed by MSA category in four states. […] The prevalence of ED/UCC visits was higher in the South than the Northeast and the Midwest and was also higher in large central metropolitan areas than in micropolitan and noncore areas. […] The asthma mortality rate was highest in non-MSAs, specifically noncore areas.
- #22 Asthma Surveillance – United States, 2006-2018 – PubMedhttps://pubmed.ncbi.nlm.nih.gov/34529643/
ED/UCC visits were more prevalent among children, women aged 18 years, and all racial and ethnic groups (i.e., Black, non-Hispanic Asian, multiple race, and Hispanic, including Puerto Rican, Mexican, and other Hispanic) except American Indian and Alaska Native persons compared with non-Hispanic White (White) persons. […] Asthma deaths were higher among adults, females, and Black persons. […] Current asthma prevalence was higher in the Northeast than in the South and the West, particularly in small MSA areas. […] The prevalence of asthma attacks differed by MSA category in four states. […] The prevalence of ED/UCC visits was higher in the South than the Northeast and the Midwest and was also higher in large central metropolitan areas than in micropolitan and noncore areas. […] The asthma mortality rate was highest in non-MSAs, specifically noncore areas.
- #23 Asthma Surveillance – United States, 2006-2018 – PubMedhttps://pubmed.ncbi.nlm.nih.gov/34529643/
ED/UCC visits were more prevalent among children, women aged 18 years, and all racial and ethnic groups (i.e., Black, non-Hispanic Asian, multiple race, and Hispanic, including Puerto Rican, Mexican, and other Hispanic) except American Indian and Alaska Native persons compared with non-Hispanic White (White) persons. […] Asthma deaths were higher among adults, females, and Black persons. […] Current asthma prevalence was higher in the Northeast than in the South and the West, particularly in small MSA areas. […] The prevalence of asthma attacks differed by MSA category in four states. […] The prevalence of ED/UCC visits was higher in the South than the Northeast and the Midwest and was also higher in large central metropolitan areas than in micropolitan and noncore areas. […] The asthma mortality rate was highest in non-MSAs, specifically noncore areas.
- #24 Asthma Surveillance – United States, 2006-2018 – PubMedhttps://pubmed.ncbi.nlm.nih.gov/34529643/
ED/UCC visits were more prevalent among children, women aged 18 years, and all racial and ethnic groups (i.e., Black, non-Hispanic Asian, multiple race, and Hispanic, including Puerto Rican, Mexican, and other Hispanic) except American Indian and Alaska Native persons compared with non-Hispanic White (White) persons. […] Asthma deaths were higher among adults, females, and Black persons. […] Current asthma prevalence was higher in the Northeast than in the South and the West, particularly in small MSA areas. […] The prevalence of asthma attacks differed by MSA category in four states. […] The prevalence of ED/UCC visits was higher in the South than the Northeast and the Midwest and was also higher in large central metropolitan areas than in micropolitan and noncore areas. […] The asthma mortality rate was highest in non-MSAs, specifically noncore areas.
- #25 Asthma exacerbations · 1: Epidemiology | Thoraxhttps://thorax.bmj.com/content/61/8/722
Asthma exacerbations may be triggered by a number of atmospheric and domiciliary environmental factors as well as by those encountered in schools and workplaces. […] The majority of exacerbations, particularly in children, coincide with respiratory viral infections, most commonly rhinovirus. […] While similar in form between the sexes, they differ in amplitude, with boys having higher risks of exacerbation in childhood and women in adult life. […] Simultaneous exposure of asthmatics with respiratory viral infections to allergens or air pollutants may significantly increase the risks of exacerbation. […] Epidemiologically, the degree of asthma control achieved by asthmatics is an important predictor of the likelihood of disease exacerbation including respiratory failure, death, and health service consumption.
- #26 Asthma exacerbations · 1: Epidemiology | Thoraxhttps://thorax.bmj.com/content/61/8/722
Asthma exacerbations may be triggered by a number of atmospheric and domiciliary environmental factors as well as by those encountered in schools and workplaces. […] The majority of exacerbations, particularly in children, coincide with respiratory viral infections, most commonly rhinovirus. […] While similar in form between the sexes, they differ in amplitude, with boys having higher risks of exacerbation in childhood and women in adult life. […] Simultaneous exposure of asthmatics with respiratory viral infections to allergens or air pollutants may significantly increase the risks of exacerbation. […] Epidemiologically, the degree of asthma control achieved by asthmatics is an important predictor of the likelihood of disease exacerbation including respiratory failure, death, and health service consumption.
- #27 Asthma exacerbations · 1: Epidemiology | Thoraxhttps://thorax.bmj.com/content/61/8/722
Asthma exacerbations may be triggered by a number of atmospheric and domiciliary environmental factors as well as by those encountered in schools and workplaces. […] The majority of exacerbations, particularly in children, coincide with respiratory viral infections, most commonly rhinovirus. […] While similar in form between the sexes, they differ in amplitude, with boys having higher risks of exacerbation in childhood and women in adult life. […] Simultaneous exposure of asthmatics with respiratory viral infections to allergens or air pollutants may significantly increase the risks of exacerbation. […] Epidemiologically, the degree of asthma control achieved by asthmatics is an important predictor of the likelihood of disease exacerbation including respiratory failure, death, and health service consumption.
- #28 Asthma | Environmental Public Health Tracking | Health & Senior Serviceshttps://ephtn.dhss.mo.gov/EPHTN_Data_Portal/asthma/index.php
In 2019, 10.1% of Missouri adults reported a current asthma diagnosis. […] It is estimated that 30% of asthma attacks are triggered by outdoor air pollution. […] In the past decade, the number of people with asthma in the United States has risen by 15%. […] Asthma hospitalization and emergency department (ED) visit data are available from Missouri’s Environmental Public Health Tracking data query tool. […] These data provide information on the numbers and rates of visits for asthma. […] Asthma prevalence data are estimated numbers of individuals diagnosed with asthma. […] Asthma prevalence data are available from Behavioral Risk Factor Surveillance System (BRFSS) and the CDC Tracking Network Data Explorer. […] The Missouri Environmental Public Health Tracking program’s maps of Asthma and Related Factors display county-level rates of hospitalizations and emergency department visits for asthma.
- #29https://journals.lww.com/10.1097/01.ede.0000391858.04859.c4
Over 23 million Americans who are currently living with asthma, requiring $15 billion dollars in direct health care costs. […] Using distance-based (residential proximity to roadways) and density-based (average annual daily traffic or vehicle miles traveled) approaches, epidemiological studies have linked traffic exposure with exacerbation of asthma. […] Among US adult asthmatics, the risk of having asthma attack in the past year increased by 38% (odds ratios: 1.38, 95% confidence interval: 1.051.81) for those living closest to roadways compared to those who lived farthest away. […] Our findings from a large representative sample of adult US asthmatics show that living in close proximity to roadways increases the risk of asthma attacks. This is the first study to provide a national scale assessment of this relationship, and has implications for future land use and transportation policies.
- #30https://journals.lww.com/10.1097/01.ede.0000391858.04859.c4
Over 23 million Americans who are currently living with asthma, requiring $15 billion dollars in direct health care costs. […] Using distance-based (residential proximity to roadways) and density-based (average annual daily traffic or vehicle miles traveled) approaches, epidemiological studies have linked traffic exposure with exacerbation of asthma. […] Among US adult asthmatics, the risk of having asthma attack in the past year increased by 38% (odds ratios: 1.38, 95% confidence interval: 1.051.81) for those living closest to roadways compared to those who lived farthest away. […] Our findings from a large representative sample of adult US asthmatics show that living in close proximity to roadways increases the risk of asthma attacks. This is the first study to provide a national scale assessment of this relationship, and has implications for future land use and transportation policies.
- #31 Azthena logo with the word Azthenahttps://www.news-medical.net/news/20250507/Progesterone-only-contraceptive-pill-linked-to-increased-asthma-attacks-in-some-women.aspx
A major study of around 260,000 women shows that taking the progesterone-only contraceptive pill can increase asthma attacks in some women. […] The researchers used the UK’s Clinical Practice Research Datalink to study a group of 261,827 women aged between 18 and 50 who had been diagnosed with asthma. […] We found that the combined pill did not affect whether women had asthma attacks. But some women who took the progesterone-only pill had more asthma attacks. […] The risk of asthma attacks in women under 35 was around 39% higher in those taking the progesterone-only pill; in women taking fewer asthma treatments, the risk was around 20% higher; and in women with eosinophilic asthma the risk was around 24% higher. […] This study helps women and healthcare professionals make more informed decisions about which contraceptive pill might be best for them.
- #32 Azthena logo with the word Azthenahttps://www.news-medical.net/news/20250507/Progesterone-only-contraceptive-pill-linked-to-increased-asthma-attacks-in-some-women.aspx
A major study of around 260,000 women shows that taking the progesterone-only contraceptive pill can increase asthma attacks in some women. […] The researchers used the UK’s Clinical Practice Research Datalink to study a group of 261,827 women aged between 18 and 50 who had been diagnosed with asthma. […] We found that the combined pill did not affect whether women had asthma attacks. But some women who took the progesterone-only pill had more asthma attacks. […] The risk of asthma attacks in women under 35 was around 39% higher in those taking the progesterone-only pill; in women taking fewer asthma treatments, the risk was around 20% higher; and in women with eosinophilic asthma the risk was around 24% higher. […] This study helps women and healthcare professionals make more informed decisions about which contraceptive pill might be best for them.
- #33 Epidemiology of comorbidities and their association with asthma control | Allergy, Asthma & Clinical Immunology | Full Texthttps://aacijournal.biomedcentral.com/articles/10.1186/s13223-021-00598-3
Our study suggests that most asthmatic patients have at least one comorbidity, and the presence of comorbidities may have a high impact on asthma control measures. […] The presence of asthma might increase the risk of certain comorbidities that may worsen asthma symptoms and provoke acute flare-ups, especially if they are not treated appropriately. […] Our results suggest that the populations most affected by diseases are older, obese women with a history of heavy smoking, or who are still active heavy smokers. […] The most important strength of our study is the large sample size and the diversity of patients enrolled from all regions of Hungary: out of all registered adult asthmatics, 4.3% were enrolled by pulmonologists of 187 treatment centres. […] Our study has shown in a large, real-life patient cohort that most asthmatics have at least one comorbidity, the exact type of which is highly dependent on the patients basic characteristics, such as age or gender. Moreover, the presence of the most frequent comorbidities has a considerable impact on asthma control levels. Thus, the appropriate treatment of comorbidities is crucial before escalating asthma treatment.
- #34 Epidemiology of comorbidities and their association with asthma control | Allergy, Asthma & Clinical Immunology | Full Texthttps://aacijournal.biomedcentral.com/articles/10.1186/s13223-021-00598-3
The prevalence of comorbidities and their relation to asthma control and treatment is a topic of increasing interest, however comprehensive studies are scarce. […] We aimed to determine the prevalence of the most common comorbidities in asthma in relation to patient characteristics (age, gender and body mass index [BMI]) and their association with asthma control in a large, specialist-managed representative patient population. […] The frequency of uncontrolled asthma was higher in females (37.1%), in the age group of 46-65 years (39.6%), in severely obese patients (43.2%), in patients who had been diagnosed with asthma for more than 20 years (40.4%), and in active heavy smokers (55%), compared with respective groups in the same category. […] Based on the binomial regression with propensity score matching, concomitant chronic obstructive pulmonary disease (COPD) (odds ratio [OR]=2.06, 95% confidence interval [CI] 1.80-2.36), ischaemic heart disease (OR=1.86, 95% CI 1.64-2.10) and cerebrovascular events (OR=1.85, 95% CI 1.47-2.32) had the strongest negative effect on asthma control, with the presence of all of these conditions increasing the risk of uncontrolled asthma.
- #35 Asthma exacerbations · 1: Epidemiology | Thoraxhttps://thorax.bmj.com/content/61/8/722
Asthma exacerbations may be triggered by a number of atmospheric and domiciliary environmental factors as well as by those encountered in schools and workplaces. […] The majority of exacerbations, particularly in children, coincide with respiratory viral infections, most commonly rhinovirus. […] While similar in form between the sexes, they differ in amplitude, with boys having higher risks of exacerbation in childhood and women in adult life. […] Simultaneous exposure of asthmatics with respiratory viral infections to allergens or air pollutants may significantly increase the risks of exacerbation. […] Epidemiologically, the degree of asthma control achieved by asthmatics is an important predictor of the likelihood of disease exacerbation including respiratory failure, death, and health service consumption.
- #36 Epidemiology of Asthma in Children and Adultshttps://pmc.ncbi.nlm.nih.gov/articles/PMC6591438/
The increase in asthma prevalence has been paralleled by a similar increase in other allergies such allergic rhinitis and eczema. […] Asthma mortality and hospitalization rates with acute severe asthma attacks also increased in all age groups during the period from 1960 to 1985, with the highest rates of increase in young pre-school children. […] However, despite novel treatments and improved inhalers for the administration of topical therapies, no further improvements in either mortality or hospitalization rates have been observed in the last decade, either in children or in adults. […] Given that some childhood asthma persists into adulthood, it is possible that the asthma epidemic in children during the 1980-90s has subsequently translated into an increased adult prevalence. […] Definitions are key to our understanding of the epidemiology, pathophysiology and etiology of asthma, and ascertaining similarities or differences between childhood and adult asthma.
- #37 JMIR Public Health and Surveillance – Estimation of Asthma Symptom Onset Using Internet Search Queries: Lag-Time Series Analysishttps://publichealth.jmir.org/2021/5/e18593/
Asthma affects over 330 million people worldwide. A major challenge for health systems is the length of time between symptom onset and care seeking, which could result in delayed treatment initiation and worsening of symptoms. […] Our findings demonstrate that internet search queries may provide a real-time signal for asthma events and may be useful to measure the timing of symptom onset. […] Results from our study suggest that internet search queries detect asthma symptom onset earlier than hospital admissions. […] Our results highlight that online internet search queries about symptoms may offer a novel approach to identify the timing and the magnitude of future admissions, to prepare and manage resources efficiently at the hospitals. […] Improving surveillance is crucial for the control of asthma and the prevention of avoidable deaths due to this disease. The use of online digital surveillance offers the ability to capture the onset of asthma more accurately and rapidly and has the potential to reduce the burden and deaths caused by asthma.
- #38 Asthma Surveillance Data | Asthma Data | CDChttps://www.cdc.gov/asthma-data/about/index.html
Asthma surveillance data includes collection and analyses of asthma data at both the national and the state level. National data is available on asthma morbidity, emergency department visits, hospitalizations due to asthma, and asthma mortality. […] National data is available on asthma prevalence, activity limitation, days of work or school lost, rescue and control medication use, asthma self-management education, physician visits, emergency department visits, hospitalizations due to asthma, and deaths due to asthma from National Center for Health Statistics (NCHS) surveys and the Vital Statistics System. […] Asthma surveillance data at the state level include adult and child asthma prevalence from the Behavioral Risk Factor Surveillance System (BRFSS) and in-depth state and local asthma data through implementation of the BRFSS Asthma Call-back Survey (ACBS).
- #39 Asthma Surveillance Data | Asthma Data | CDChttps://www.cdc.gov/asthma-data/about/index.html
Asthma surveillance data includes collection and analyses of asthma data at both the national and the state level. National data is available on asthma morbidity, emergency department visits, hospitalizations due to asthma, and asthma mortality. […] National data is available on asthma prevalence, activity limitation, days of work or school lost, rescue and control medication use, asthma self-management education, physician visits, emergency department visits, hospitalizations due to asthma, and deaths due to asthma from National Center for Health Statistics (NCHS) surveys and the Vital Statistics System. […] Asthma surveillance data at the state level include adult and child asthma prevalence from the Behavioral Risk Factor Surveillance System (BRFSS) and in-depth state and local asthma data through implementation of the BRFSS Asthma Call-back Survey (ACBS).
- #40 Primary care asthma surveillance: a review of knowledge translation tools and strategies for quality improvement | Allergy, Asthma & Clinical Immunology | Full Texthttps://aacijournal.biomedcentral.com/articles/10.1186/s13223-022-00755-2
Although standards for asthma diagnosis are well established, less than half of individuals diagnosed with asthma have a confirmed diagnosis through the use of objective measurements of pulmonary function within two years of their original diagnosis. […] These issues are compounded by a limited number of validated knowledge translation (KT) initiatives that could potentially support practitioners in the diagnosis and surveillance of asthma patients in primary care. […] Chronic disease surveillance networks are a category of asthma KT eTool that exist at international, national, and regional levels. […] An example of a chronic disease surveillance network for asthma is the Ontario Asthma Surveillance Information System (OASIS). […] OASIS uses a previously validated asthma case definition derived from hospital administrative data in Ontario and provides a population-based longitudinal surveillance system for asthma.
- #41 Asthma Surveillance Data | Asthma Data | CDChttps://www.cdc.gov/asthma-data/about/index.html
Asthma surveillance data includes collection and analyses of asthma data at both the national and the state level. National data is available on asthma morbidity, emergency department visits, hospitalizations due to asthma, and asthma mortality. […] National data is available on asthma prevalence, activity limitation, days of work or school lost, rescue and control medication use, asthma self-management education, physician visits, emergency department visits, hospitalizations due to asthma, and deaths due to asthma from National Center for Health Statistics (NCHS) surveys and the Vital Statistics System. […] Asthma surveillance data at the state level include adult and child asthma prevalence from the Behavioral Risk Factor Surveillance System (BRFSS) and in-depth state and local asthma data through implementation of the BRFSS Asthma Call-back Survey (ACBS).
- #42 Asthma Surveillancehttps://dph.illinois.gov/topics-services/diseases-and-conditions/asthma/il-asthma-surveillance.html
Surveillance activities include monitoring asthma prevalence, quality of life issues, hospitalizations, emergency department visits, and mortality. This data is important in planning education and intervention programs and in developing policies necessary for preventing and controlling asthma in the future. […] Periodically, asthma burden reports are released to report on asthma data trends. […] Asthma-Related Emergency Department Visits in Illinois, 2020. […] Surveillance Sources of National, State, and Local Level Asthma Data, 2013.
- #43 Asthma Surveillancehttps://portal.ct.gov/DPH/Health-Education-Management–Surveillance/Asthma/Asthma-Surveillance
Surveillance activities are one of five Infrastructure strategies under CDCs Cooperative Agreement (CA) on comprehensive asthma control (2014-2019). Under the Cooperative Agreement, the goal of Surveillance Infrastructure strategy is to maintain and enhance a statewide surveillance system, collect and analyze asthma-related data, and identify populations disproportionately affected by asthma. […] Moreover, the purpose of the Connecticut Asthma Program (CAP), Asthma Surveillance Epidemiology team, is to provide the most recent and reliable data on Connecticuts high-risk populations for asthma, identify asthma-related health disparities, and trends that stakeholders can use to help them guide program initiatives, rationalize intervention and develop custom local intervention/programs to target the most at-risk, to monitor progress toward Healthy People 2020 objectives and overall, to decrease the burden of asthma in Connecticut.
- #44 DCHHS | Asthma Control Programhttps://www.dallascounty.org/departments/dchhs/public-health/chronic-disease/asthma-control-overview.php
Asthma is a chronic disease that affects your lungs. It is one of the most common long-term diseases of children and adults. Asthma causes wheezing, breathlessness, chest tightness, and coughing. […] In partnership with Parkland Health and Parkland Center for Clinical Innovation, DCHHS is making available a new Pediatric Asthma Surveillance System (PASS) to provide community-based pediatric asthma prevalence information in Dallas County. […] The Pediatric Asthma Surveillance System (PASS) is a community wide dashboard that provides holistic insights into Pediatric Asthma Vulnerability in Dallas County. PASS introduces a novel, validated Pediatric Asthma Vulnerability Index, which brings together health and social data insights to predict childrenâs vulnerability to poor asthma outcomes and identify areas of health disparities.
- #45 DCHHS | Asthma Control Programhttps://www.dallascounty.org/departments/dchhs/public-health/chronic-disease/asthma-control-overview.php
The Pediatric Asthma Vulnerability Index (also referred to as Vulnerability Index) predicts the probability of a community-level asthma-related emergency department (ED) visit or hospitalization within three months, by incorporating the effect of ten community indicators such as socioeconomic conditions, demographic characteristics, medication use patterns, health services utilization and environmental conditions, on community-level asthma risk. […] The Vulnerability Index and all indicators are categorized as Very High, High, Moderate, Low, or Very Low Risk based on their impact on Pediatric Asthma Vulnerability in the community.
- #46 Primary care asthma surveillance: a review of knowledge translation tools and strategies for quality improvement | Allergy, Asthma & Clinical Immunology | Full Texthttps://aacijournal.biomedcentral.com/articles/10.1186/s13223-022-00755-2
Quality of care monitoring systems for asthma are emerging as useful eTools for KT. […] There are several surveillance systems dedicated to work-related asthma (WRA). […] WRA surveillance programs have been active for over 20 years in jurisdictions ranging from local to national in scale. […] Despite the potential for quality of care monitoring systems to improve adherence to best-practice guidelines and patient outcomes, this literature review did not identify any quality of care monitoring systems for asthma that have achieved scale at a national or international level.
- #47 Primary care asthma surveillance: a review of knowledge translation tools and strategies for quality improvement | Allergy, Asthma & Clinical Immunology | Full Texthttps://aacijournal.biomedcentral.com/articles/10.1186/s13223-022-00755-2
Quality of care monitoring systems for asthma are emerging as useful eTools for KT. […] There are several surveillance systems dedicated to work-related asthma (WRA). […] WRA surveillance programs have been active for over 20 years in jurisdictions ranging from local to national in scale. […] Despite the potential for quality of care monitoring systems to improve adherence to best-practice guidelines and patient outcomes, this literature review did not identify any quality of care monitoring systems for asthma that have achieved scale at a national or international level.
- #48 Department of Health | Workplace Health and Safety | Work-Related Asthma Guidance for Workershttps://www.nj.gov/health/workplacehealthandsafety/occupational-health-surveillance/work-related-asthma/
Work-related asthma is a debilitating and sometimes fatal disease. Many of those affected said they had to change or quit their job due to work-related asthma. More than 300 substances used in the workplace are known to either cause asthma in healthy workers or aggravate asthma in those who already have the condition. […] Work-related asthma can be prevented. New Jersey law requires physicians, physician assistants, and advanced practice nurses to report work-related asthma cases for proper public health follow-up. […] Work-related asthma is usually reversible. But permanent lung damage, or even death, can occur if exposure to the substance that causes the disease continues. In some workers, very small amounts of the substance can cause an asthma attack.
- #49 Asthma | Environmental Public Health Tracking | Health & Senior Serviceshttps://ephtn.dhss.mo.gov/EPHTN_Data_Portal/asthma/index.php
Asthma and related data are used to identify populations at increased risk of suffering from asthma. […] identify and monitor changes in risk and trends over time. […] direct resources and outreach efforts for preventing and controlling the disease. […] monitor progress towards lowering asthma risks.
- #50 Asthma Surveillancehttps://dph.illinois.gov/topics-services/diseases-and-conditions/asthma/il-asthma-surveillance.html
Surveillance activities include monitoring asthma prevalence, quality of life issues, hospitalizations, emergency department visits, and mortality. This data is important in planning education and intervention programs and in developing policies necessary for preventing and controlling asthma in the future. […] Periodically, asthma burden reports are released to report on asthma data trends. […] Asthma-Related Emergency Department Visits in Illinois, 2020. […] Surveillance Sources of National, State, and Local Level Asthma Data, 2013.
- #51 Asthma Surveillance – United States, 2006-2018 – PubMedhttps://pubmed.ncbi.nlm.nih.gov/34529643/
Asthma is a chronic disease of the airways that requires ongoing medical management. […] Characterizing asthma indicators (i.e., prevalence of current asthma, asthma attacks, emergency department and urgent care center [ED/UCC] visits, and asthma-associated deaths) and determining how asthma exacerbations and health care use vary across the United States by geographic area, including differences between urban and rural areas, and by sociodemographic factors can help identify subpopulations at risk for asthma-related complications. […] Current asthma was higher among boys aged 18 years, women aged 18 years, non-Hispanic Black (Black) persons, non-Hispanic multiple-race (multiple-race) persons, and Puerto Rican persons. […] Asthma attacks were more prevalent among children, females, and multiple-race persons.
- #52https://www.alliedacademies.org/articles/the-surveillance-system-diagnosis-and-treatment-challenges-of-asthma-and-health-policy-orientation-of-main-challenges-7023.html
Asthma is a chronic inflammation of the airway and has affected 300 million individuals throughout the world which causes 250000 deaths per year. […] An observational study was designed in primary care settings in Iran in order to determinate the main challenges of surveillance system, diagnosis, control and treatment of asthma. […] According to our searches from ministry health database, about 6.5 million people in Iran are asthmatic and more than 3.2 billion US$ is spent on asthmatic patients in Iran. […] The direct costs represented about 30% of the total costs and the indirect costs is hidden and is the main part of costs. The high morbidity and mortality rates of asthma should be added to these costs. Health policy should emphasis on improving asthma control which can be beneficial for the patients, their families, even though the economies of countries as reductions in the cost of asthma care and increases in productivity.
- #53https://www.alliedacademies.org/articles/the-surveillance-system-diagnosis-and-treatment-challenges-of-asthma-and-health-policy-orientation-of-main-challenges-7023.html
The objective of this study is focusing on the main challenges of asthma that have association with direct and indirect costs. […] The direct costs include medications, clinic and emergency visits, admissions to hospital, diagnostic and laboratory tests and transportation costs. Indirect costs are calculated only for workdays lost due to visits to health care facilities. […] Both direct and indirect asthma related costs are increasing. […] The high morbidity and mortality rates of asthma should be added to these costs. Economic impact is correlated with disease severity. […] The asthma guidelines for patients, family and health care system should include daily, weekly and seasonal management. […] Managing patients with severe asthma is complex and requires a multidisciplinary approach with standardized protocol.
- #54 Primary care asthma surveillance: a review of knowledge translation tools and strategies for quality improvement | Allergy, Asthma & Clinical Immunology | Full Texthttps://aacijournal.biomedcentral.com/articles/10.1186/s13223-022-00755-2
Established KT eTools for asthma such as electronic questionnaires, computerized clinical decision support systems (CDSS), chronic disease surveillance networks, and asthma registries have been effective in improving the quality of asthma diagnosis and care. […] Chronic disease surveillance systems, severe asthma registries, and workplace asthma surveillance systems have demonstrated success in monitoring asthma outcomes. […] A digital asthma surveillance system could support adherence to best-practice guidelines of asthma diagnosis and surveillance by prompting use of objective methods of confirmation to confirm an asthma diagnosis within the EMR. […] Globally, the number of people diagnosed with asthma is over 340 million and has continually increased over a 10-year period. […] A major contributor to the burden of asthma on individuals and the healthcare system is that gaps exist between the published guidelines for asthma diagnosis and actual strategies for diagnosis used in primary care.
- #55 JMIR Public Health and Surveillance – Estimation of Asthma Symptom Onset Using Internet Search Queries: Lag-Time Series Analysishttps://publichealth.jmir.org/2021/5/e18593/
Asthma affects over 330 million people worldwide. A major challenge for health systems is the length of time between symptom onset and care seeking, which could result in delayed treatment initiation and worsening of symptoms. […] Our findings demonstrate that internet search queries may provide a real-time signal for asthma events and may be useful to measure the timing of symptom onset. […] Results from our study suggest that internet search queries detect asthma symptom onset earlier than hospital admissions. […] Our results highlight that online internet search queries about symptoms may offer a novel approach to identify the timing and the magnitude of future admissions, to prepare and manage resources efficiently at the hospitals. […] Improving surveillance is crucial for the control of asthma and the prevention of avoidable deaths due to this disease. The use of online digital surveillance offers the ability to capture the onset of asthma more accurately and rapidly and has the potential to reduce the burden and deaths caused by asthma.
- #56https://www.who.int/news-room/fact-sheets/detail/asthma
Asthma affected an estimated 262 million people in 2019 and caused 455 000 deaths. […] Most asthma-related deaths occur in low- and lower-middle-income countries, where under-diagnosis and under-treatment is a challenge. […] Asthma is often under-diagnosed and under-treated, particularly in low- and middle-income countries. […] If symptoms are severe, people with asthma may need to receive emergency health care and they may be admitted to hospital for treatment and monitoring. In the most severe cases, asthma can lead to death. […] Asthma is included in the WHO Global Action Plan for the Prevention and Control of NCDs and the United Nations 2030 Agenda for Sustainable Development. […] WHO is taking action to extend diagnosis of and treatment for asthma in a number of ways. […] The WHO Package of Essential Noncommunicable Disease Interventions (PEN) was developed to help improve NCD management in primary health care in low-resource settings. […] Air pollution is an important risk factor for asthma, causing new cases and making existing disease worse.
- #57 Primary care asthma surveillance: a review of knowledge translation tools and strategies for quality improvement | Allergy, Asthma & Clinical Immunology | Full Texthttps://aacijournal.biomedcentral.com/articles/10.1186/s13223-022-00755-2
Although standards for asthma diagnosis are well established, less than half of individuals diagnosed with asthma have a confirmed diagnosis through the use of objective measurements of pulmonary function within two years of their original diagnosis. […] These issues are compounded by a limited number of validated knowledge translation (KT) initiatives that could potentially support practitioners in the diagnosis and surveillance of asthma patients in primary care. […] Chronic disease surveillance networks are a category of asthma KT eTool that exist at international, national, and regional levels. […] An example of a chronic disease surveillance network for asthma is the Ontario Asthma Surveillance Information System (OASIS). […] OASIS uses a previously validated asthma case definition derived from hospital administrative data in Ontario and provides a population-based longitudinal surveillance system for asthma.
- #58 The Global Asthma Report 2022https://globalasthmareport.org/burden/burden.php
Asthma is a chronic disease affecting people around the world at all life stages. Severe disease may cause a substantial burden on individuals and health services, including premature death or a severely reduced quality of life. […] The prevalence of asthma is hard to estimate globally due to differences in survey methods, and in the diagnosis and reporting of asthma. […] The overall prevalence of current asthma symptoms in GAN Phase I was 9.1% for children, 11.0% for adolescents, and 6.6% for adults. […] In terms of overall numbers, the Global Burden of Disease Study (GBD) estimated that in 2019, there were 262 million people affected by asthma, equating to an age-standardised rate of 3416 cases per 100,000 population. […] GAN Phase I defined severe asthma symptoms as current asthma symptoms along with 4 or more attacks of wheeze, waking at night with asthma symptoms one or more times per week, and/or any episodes of wheeze severe enough to limit the ability to speak, over the past 12 months.
- #59 Asthma Trends Brief: Asthma Trends and Burden | American Lung Associationhttps://www.lung.org/research/trends-in-lung-disease/asthma-trends-brief/trends-and-burden
In 2022, 11.3 million, or 42.4% of those ever diagnosed with asthma by a health professional and still having asthma had at least one asthma attack. […] This proportion was a decrease of 25% from 56.3% in 2001. […] Children less than 5 years of age had the highest attack rates compared to other age groups at 67.9% in 2022. […] Females (45.3%) were 13 percent more likely than males (38.0%) to have had an asthma attack in 2022. […] Estimates of asthma attack rates are not accurate for some racial and ethnic groups for single years due to small sample sizes. […] To allow for accurate comparisons between groups, we combined four years of data and found that in 2019 to 2022, asthma attack rates were very similar for most racial and ethnic groups: White individuals 41.6%, Latino individuals 41.4%, Asian individuals 38.4%, Black individuals 38.1%, Indigenous Peoples 37.6%. […] Asthma attack rates in 2022 were highest for those with a high school diploma or GED (46.8%), lower for those with some college (41.6%), and lowest for those with less than a high school education (38.7%) or a bachelors degree or higher (38.7%).
- #60 The Global Asthma Report 2022https://globalasthmareport.org/burden/burden.php
GBD estimated that in 2019, there were 21.6 million DALYs attributed to asthma across all ages globally and asthma was ranked 34th among the leading causes of burden of disease, responsible for a fifth of total DALYS from chronic respiratory diseases. […] Effective management of asthma needs to be implemented everywhere to mitigate the consequences of severe disease. […] Provision of standardised and regular data on asthma symptoms, using population representative surveys, is vital across all countries to accurately measure and track the global burden of asthma.
- #61 Epidemiology of asthma – Wikipediahttps://en.wikipedia.org/wiki/Epidemiology_of_asthma
As of 2011, approximately 235 million people worldwide were affected by asthma, and roughly 250,000 people die per year from asthma-related causes. Low and middle income countries make up more than 80% of the mortality. Prevalences vary between countries from 1% to 18%. Asthma tends to be more prevalent in developed than in developing countries. Rates are lower in Asia, Eastern Europe, and Africa. […] Rates of asthma have increased significantly between the 1960s and 2008 with it being recognized as a major public health problem since the 1970s. Some 9% of US children had asthma in 2001, compared with just 3.6% in 1980. The World Health Organization (WHO) reports that some 10% of the Swiss population have asthma as of 2007, compared with 2% some 2530 years ago. In the United States the age-adjusted prevalence of asthma increased from 7.3 to 8.2 percent during the years 2001 through 2009.
- #62 Asthma Trends Brief: Asthma Trends and Burden | American Lung Associationhttps://www.lung.org/research/trends-in-lung-disease/asthma-trends-brief/trends-and-burden
In 2022, 11.3 million, or 42.4% of those ever diagnosed with asthma by a health professional and still having asthma had at least one asthma attack. […] This proportion was a decrease of 25% from 56.3% in 2001. […] Children less than 5 years of age had the highest attack rates compared to other age groups at 67.9% in 2022. […] Females (45.3%) were 13 percent more likely than males (38.0%) to have had an asthma attack in 2022. […] Estimates of asthma attack rates are not accurate for some racial and ethnic groups for single years due to small sample sizes. […] To allow for accurate comparisons between groups, we combined four years of data and found that in 2019 to 2022, asthma attack rates were very similar for most racial and ethnic groups: White individuals 41.6%, Latino individuals 41.4%, Asian individuals 38.4%, Black individuals 38.1%, Indigenous Peoples 37.6%. […] Asthma attack rates in 2022 were highest for those with a high school diploma or GED (46.8%), lower for those with some college (41.6%), and lowest for those with less than a high school education (38.7%) or a bachelors degree or higher (38.7%).
- #63 Seasonal Trends in Pediatric Asthma and Phenotypeshttps://bioengineer.org/seasonal-trends-in-pediatric-asthma-and-phenotypes/
In a groundbreaking new study published in Pediatric Research, researchers have unveiled compelling evidence that pediatric asthma exacerbations exhibit distinct seasonal patterns intimately linked to underlying asthma phenotypes. […] The study delves into the epidemiology of asthma exacerbations by analyzing a large cohort of pediatric patients over multiple seasons. […] An important facet of the research lies in the integration of viral pathogen surveillance. […] This nuanced understanding has significant implications for both prognosis and treatment. […] The implications of this work resonate beyond the confines of academic medicine. […] The interaction between allergens, infections, pollutants, and genetic predisposition creates a complex web of risk that varies not only seasonally but also according to individual immune responses. […] In summary, the study conducted by Makrufardi and colleagues offers an unprecedented, detailed portrait of how pediatric asthma exacerbations ebb and flow with seasons in a phenotype-dependent manner.
- #64 Seasonal Trends in Pediatric Asthma and Phenotypeshttps://bioengineer.org/seasonal-trends-in-pediatric-asthma-and-phenotypes/
In a groundbreaking new study published in Pediatric Research, researchers have unveiled compelling evidence that pediatric asthma exacerbations exhibit distinct seasonal patterns intimately linked to underlying asthma phenotypes. […] The study delves into the epidemiology of asthma exacerbations by analyzing a large cohort of pediatric patients over multiple seasons. […] An important facet of the research lies in the integration of viral pathogen surveillance. […] This nuanced understanding has significant implications for both prognosis and treatment. […] The implications of this work resonate beyond the confines of academic medicine. […] The interaction between allergens, infections, pollutants, and genetic predisposition creates a complex web of risk that varies not only seasonally but also according to individual immune responses. […] In summary, the study conducted by Makrufardi and colleagues offers an unprecedented, detailed portrait of how pediatric asthma exacerbations ebb and flow with seasons in a phenotype-dependent manner.
- #65 Seasonal Trends in Pediatric Asthma and Phenotypeshttps://bioengineer.org/seasonal-trends-in-pediatric-asthma-and-phenotypes/
In a groundbreaking new study published in Pediatric Research, researchers have unveiled compelling evidence that pediatric asthma exacerbations exhibit distinct seasonal patterns intimately linked to underlying asthma phenotypes. […] The study delves into the epidemiology of asthma exacerbations by analyzing a large cohort of pediatric patients over multiple seasons. […] An important facet of the research lies in the integration of viral pathogen surveillance. […] This nuanced understanding has significant implications for both prognosis and treatment. […] The implications of this work resonate beyond the confines of academic medicine. […] The interaction between allergens, infections, pollutants, and genetic predisposition creates a complex web of risk that varies not only seasonally but also according to individual immune responses. […] In summary, the study conducted by Makrufardi and colleagues offers an unprecedented, detailed portrait of how pediatric asthma exacerbations ebb and flow with seasons in a phenotype-dependent manner.
- #66 Recent perspectives on global epidemiology of asthma in childhood | Allergologia et Immunopathologiahttps://www.elsevier.es/en-revista-allergologia-et-immunopathologia-105-articulo-recentperspectives-on-global-epidemiology-S0301054609001402
Environmental factors are the key to explain the variations and changes in asthma prevalence. […] Future research could study the underlying causes of non-atopic asthma in low and middle income countries with a particular emphasis on urban versus rural prevalence and severity gradients to unravel the environmental risk factors associated with urbanisation and demographic change.
- #67 Recent perspectives on global epidemiology of asthma in childhood | Allergologia et Immunopathologiahttps://www.elsevier.es/en-revista-allergologia-et-immunopathologia-105-articulo-recentperspectives-on-global-epidemiology-S0301054609001402
Most centres who undertook ISAAC Phase One repeated the study after at least five years, reflecting the large worldwide interest in time trends of prevalence. […] The central ISAAC approach has been to study symptoms of disease between populations, which has naturally led to ecological analyses between symptom prevalence values and potential environmental exposures. […] The ecological economic analysis undertaken in the ISAAC Phase Three global study of asthma prevalence revealed a significant trend towards a higher prevalence of current wheeze in centres in higher income countries in both age groups, but this trend was reversed for the prevalence of severe symptoms among children with current wheeze, especially in the adolescents. […] The asthma epidemic experienced by developed nations over the last 30 years is now affecting developing countries as they become more urbanised.
- #68 Recent perspectives on global epidemiology of asthma in childhood | Allergologia et Immunopathologiahttps://www.elsevier.es/en-revista-allergologia-et-immunopathologia-105-articulo-recentperspectives-on-global-epidemiology-S0301054609001402
Environmental factors are the key to explain the variations and changes in asthma prevalence. […] Future research could study the underlying causes of non-atopic asthma in low and middle income countries with a particular emphasis on urban versus rural prevalence and severity gradients to unravel the environmental risk factors associated with urbanisation and demographic change.
- #69 JMIR Public Health and Surveillance – Estimation of Asthma Symptom Onset Using Internet Search Queries: Lag-Time Series Analysishttps://publichealth.jmir.org/2021/5/e18593/
Asthma affects over 330 million people worldwide. A major challenge for health systems is the length of time between symptom onset and care seeking, which could result in delayed treatment initiation and worsening of symptoms. […] Our findings demonstrate that internet search queries may provide a real-time signal for asthma events and may be useful to measure the timing of symptom onset. […] Results from our study suggest that internet search queries detect asthma symptom onset earlier than hospital admissions. […] Our results highlight that online internet search queries about symptoms may offer a novel approach to identify the timing and the magnitude of future admissions, to prepare and manage resources efficiently at the hospitals. […] Improving surveillance is crucial for the control of asthma and the prevention of avoidable deaths due to this disease. The use of online digital surveillance offers the ability to capture the onset of asthma more accurately and rapidly and has the potential to reduce the burden and deaths caused by asthma.
- #70 JMIR Public Health and Surveillance – Estimation of Asthma Symptom Onset Using Internet Search Queries: Lag-Time Series Analysishttps://publichealth.jmir.org/2021/5/e18593/
Asthma affects over 330 million people worldwide. A major challenge for health systems is the length of time between symptom onset and care seeking, which could result in delayed treatment initiation and worsening of symptoms. […] Our findings demonstrate that internet search queries may provide a real-time signal for asthma events and may be useful to measure the timing of symptom onset. […] Results from our study suggest that internet search queries detect asthma symptom onset earlier than hospital admissions. […] Our results highlight that online internet search queries about symptoms may offer a novel approach to identify the timing and the magnitude of future admissions, to prepare and manage resources efficiently at the hospitals. […] Improving surveillance is crucial for the control of asthma and the prevention of avoidable deaths due to this disease. The use of online digital surveillance offers the ability to capture the onset of asthma more accurately and rapidly and has the potential to reduce the burden and deaths caused by asthma.
- #71 Asthma | Environmental Public Health Tracking | Health & Senior Serviceshttps://ephtn.dhss.mo.gov/EPHTN_Data_Portal/asthma/index.php
Asthma and related data are used to identify populations at increased risk of suffering from asthma. […] identify and monitor changes in risk and trends over time. […] direct resources and outreach efforts for preventing and controlling the disease. […] monitor progress towards lowering asthma risks.
- #72 Asthma Surveillancehttps://dph.illinois.gov/topics-services/diseases-and-conditions/asthma/il-asthma-surveillance.html
Surveillance activities include monitoring asthma prevalence, quality of life issues, hospitalizations, emergency department visits, and mortality. This data is important in planning education and intervention programs and in developing policies necessary for preventing and controlling asthma in the future. […] Periodically, asthma burden reports are released to report on asthma data trends. […] Asthma-Related Emergency Department Visits in Illinois, 2020. […] Surveillance Sources of National, State, and Local Level Asthma Data, 2013.
- #73 Asthma | Environmental Public Health Tracking | Health & Senior Serviceshttps://ephtn.dhss.mo.gov/EPHTN_Data_Portal/asthma/index.php
Asthma and related data are used to identify populations at increased risk of suffering from asthma. […] identify and monitor changes in risk and trends over time. […] direct resources and outreach efforts for preventing and controlling the disease. […] monitor progress towards lowering asthma risks.
- #74 Asthma Surveillancehttps://dph.illinois.gov/topics-services/diseases-and-conditions/asthma/il-asthma-surveillance.html
Surveillance activities include monitoring asthma prevalence, quality of life issues, hospitalizations, emergency department visits, and mortality. This data is important in planning education and intervention programs and in developing policies necessary for preventing and controlling asthma in the future. […] Periodically, asthma burden reports are released to report on asthma data trends. […] Asthma-Related Emergency Department Visits in Illinois, 2020. […] Surveillance Sources of National, State, and Local Level Asthma Data, 2013.
- #75https://www.alliedacademies.org/articles/the-surveillance-system-diagnosis-and-treatment-challenges-of-asthma-and-health-policy-orientation-of-main-challenges-7023.html
The objective of this study is focusing on the main challenges of asthma that have association with direct and indirect costs. […] The direct costs include medications, clinic and emergency visits, admissions to hospital, diagnostic and laboratory tests and transportation costs. Indirect costs are calculated only for workdays lost due to visits to health care facilities. […] Both direct and indirect asthma related costs are increasing. […] The high morbidity and mortality rates of asthma should be added to these costs. Economic impact is correlated with disease severity. […] The asthma guidelines for patients, family and health care system should include daily, weekly and seasonal management. […] Managing patients with severe asthma is complex and requires a multidisciplinary approach with standardized protocol.
- #76 Asthma Surveillance – United States, 2006-2018 – PubMedhttps://pubmed.ncbi.nlm.nih.gov/34529643/
Despite some improvements in asthma outcomes over time, the findings from this report indicate that disparities in asthma indicators persist by demographic characteristics, poverty level, and geographic location. […] Disparities in asthma outcomes and health care use in rural and urban populations identified from NHIS and NVSS can aid public health programs in directing resources and interventions to improve asthma outcomes.
- #77 Asthma Surveillance – United States, 2006-2018 – PubMedhttps://pubmed.ncbi.nlm.nih.gov/34529643/
Despite some improvements in asthma outcomes over time, the findings from this report indicate that disparities in asthma indicators persist by demographic characteristics, poverty level, and geographic location. […] Disparities in asthma outcomes and health care use in rural and urban populations identified from NHIS and NVSS can aid public health programs in directing resources and interventions to improve asthma outcomes.
- #78 The Global Asthma Report 2022https://globalasthmareport.org/burden/burden.php
GBD estimated that in 2019, there were 21.6 million DALYs attributed to asthma across all ages globally and asthma was ranked 34th among the leading causes of burden of disease, responsible for a fifth of total DALYS from chronic respiratory diseases. […] Effective management of asthma needs to be implemented everywhere to mitigate the consequences of severe disease. […] Provision of standardised and regular data on asthma symptoms, using population representative surveys, is vital across all countries to accurately measure and track the global burden of asthma.