The age-related characteristics of adults with asthma who visited emergency departments in Korea from 2007 to 2012

Lee, Mi-Hee; Seo, Hye-Jin; Shin, Eun Ju; Won, Youn Kyoung; Jung, Yousun; Suh, Seunghee; Jeong, Jinyoung; Lim, Young Shil; Kim, You Young; Chung, Eun Hee

doi:10.2500/aap.2018.39.4108

Cited by 6 publications

(9 citation statements)

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“…As far as demographic determinants are concerned, the slight although not significant prevalence of females in our dataset is consistent with other reports 19 ; the late onset asthma phenotype, more common in women and frequently associated with a more difficult disease control, may account for this observation 20 . In accordance with our results, a preponderance of elderly was described 19 as a determinant of re-admission as well 21 . In our population a higher proportion of red codes was detected among older patients.…”

Section: Discussionsupporting

confidence: 93%

“…According to our findings, a significant increase of ER admissions for asthma paralleled the grass pollen count peaks during the springtime. Although a seasonal distribution of ER admissions had been already reported, 19 molds and especially Alternaria among the inhalant allergens were described in the literature as major determinants of asthma exacerbation 28, 29, 30. By contrast, in our study no admission clusters were detected during the Alternaria season (July–September), despite a high presence of mold spores in our region during the same period 12 .…”

Section: Discussioncontrasting

confidence: 69%

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Trends and determinants of Emergency Room admissions for asthma: A retrospective evaluation in Northeast Italy

Caminati

Vianello

Ricci

et al. 2019

World Allergy Organization Journal

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Background Asthma still represents a cause of death and hospital admissions worldwide. Our study aimed at analyzing the trend of Emergency Room (ER) asthma admissions in Northeast Italy in order to investigate the relevance of specific patient-related determinants and environmental triggers (pollens, mold spores, and pollutants). Methods Retrospective data from admissions for asthma exacerbations registered between the years 2013 and 2015 in two main ERs in Northeast Italy were collected. Data about patients' age, sex and nationality were recorded. Classification of disease severity followed the current Italian ER triage scoring system (white: no need for emergency treatment; green: need for fast treatment; yellow: severe condition; red: life-threatening condition). Data on pollen/mold spore counts and pollutants were analyzed. Results Overall, 1745 ER admissions for asthma were registered, with a persistent and significant increase year by year. A slight prevalence of females and patients over 50 years old was observed. Immigrants accounted for 32%, 36% and 26% of admissions respectively in 2013, 2014 and 2015. The prevalence of immigrants' admissions was significantly higher when comparing the relative ratio of immigrant populations/Italian nationals (p < 0.05). The admissions were coded as follows: white, 6.30%; green, 35.36%; yellow, 39.37%; red, 18.97%. People aged ≥50 years were more frequently admitted with a red code, but the trend was not statistically significant (p = 0,0815). By contrast, amongst immigrants there was a higher prevalence of white and green codes observed in comparison with Italian nationals. Grass pollen peak and PM 10 high levels represented environmental determinants of ER admissions increase. Conclusions The increasing rate of asthma-related ER admissions highlights the need for implementing asthma control strategies. Investigating the traits of patients referring to ER for asthma exacerbations, as well as environmental-related determinants, may help in identifying at-risk individuals and in orienting preventive strategies accordingly. Immigrants represent the most vulnerable sub-population, and their potential difficulties in accessing treatments and health services should be specifically addressed. Overall, implementing patient education in order to improve treatment adherence, as well as providing an asthma action plan to every asthmatic patient, continue to be the most urgent needs.

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Section: Discussionsupporting

confidence: 93%

Section: Discussioncontrasting

confidence: 69%

Trends and determinants of Emergency Room admissions for asthma: A retrospective evaluation in Northeast Italy

Caminati

Vianello

Ricci

et al. 2019

World Allergy Organization Journal

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“…Different findings by age and sex were consistent with previous studies. [12][13][14] Marked differences were noted in the hospitalised cases following an ED visit among older patients, especially those aged above 70 years compared with the patients who aged under 70 years. The proportion of hospitalised cases and the ratio of ICU/general ward admissions were much higher in older patients.…”

Section: Discussionmentioning

confidence: 99%

“…6 16–18 An increased exacerbation of asthma in older patients has been reported in previous studies, but this study has an additional significance as it reports on other aspects of increased exacerbation that were not previously reported, such as nocturnal symptoms. 13 16 …”

Section: Discussionmentioning

confidence: 99%

Emergency department visits and hospitalisations for emergent asthmatic symptoms from 2014 to 2016: cross-sectional study in Korea

2020

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ObjectiveTo evaluate the characteristics of emergent patients with asthma who visited emergency departments (EDs) in Korea, and the consequences of these visits.DesignRetrospective cross-sectional study.SettingWe used data from the National Emergency Department Information System database from 2014 to 2016. The data included reports collected from 408 EDs in Korea.ParticipantsWe analysed the ED cases for asthma-related emergent symptoms that met the following inclusion criteria: (1) had a main diagnosis code of asthma (International Classification of Diseases 10th Revision code: J45/J46), and (2) recorded as an emergent symptom in the EDs.ResultsDuring 2014–2016, there were 58 713 ED visits related to an asthma diagnosis with emergent symptoms. Following an ED visit, 31.69% were hospitalised, of which 89.88% were admitted to the general wards, and 10.12% to the intensive care units (ICUs). More than 50% of the hospitalised cases included in the group ≥70 years of age. The incidence of death during hospitalisation generally increased with age and the proportion of death in ICU exceeded 10% among the group ≥70 years. The ratio of ICU/general ward admission at the arrival time of 0–03:00, in the ≥60 years age group was the highest compared with other times of the day and age groups.ConclusionsWe found that among all age groups, ED visits by older patients resulted in more ICU admissions. Our results can help in providing a better understanding of medical resource utilisation by emergent patients with asthma.

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“…In continuing with the topic of asthma, Lee et al 4 investigated the age-related characteristics of adult patients with asthma who visited emergency departments in Korea from 2007 to 2012. They reported unique age-specific seasonal patterns of emergency department visits for asthma.…”

mentioning

confidence: 99%

Allergic diseases: A collection of interactive immunologic disorders at the crossroads of genetics, environment, and immunity

Bellanti¹,

Settipane²

2018

allergy asthma proc

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The age-related characteristics of adults with asthma who visited emergency departments in Korea from 2007 to 2012

Abstract: In this nationwide study, which spanned 6 years, of adult patients with asthma, we observed an age-specific seasonal pattern of ED visits. Identifying the causes of age-related deterioration and seasonal visits to the ED will help prevent asthma symptoms and reduce medical costs.

Cited by 6 publications

References 0 publications

Trends and determinants of Emergency Room admissions for asthma: A retrospective evaluation in Northeast Italy

Trends and determinants of Emergency Room admissions for asthma: A retrospective evaluation in Northeast Italy

Emergency department visits and hospitalisations for emergent asthmatic symptoms from 2014 to 2016: cross-sectional study in Korea

Allergic diseases: A collection of interactive immunologic disorders at the crossroads of genetics, environment, and immunity

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