Asthma in patients admitted to emergency department for COVID-19: prevalence and risk of hospitalization

Fernandez, Marta Sacco; Bizzarri, Martina; Valeria, Abbate; Nicola, Acampora; Addolorato, Giovanni; Fabiana, Agostini; Elena, Ainora Maria; Karim, Abdul; Elena, Amato; Francesca, Andreani; Andriollo, Gloria; Giuseppina, Annetta Maria; Eleonora, Annicchiarico Brigida; Mariangela, Antonelli; Antonucci, Gabriele; Armuzzi, Alessandro; Fabiana, Baldi; Ilaria, Barattucci; Barillaro, Christian; Barone, Fabiana; Alfonso, Bellantone Rocco Domenico; Bellieni, Andrea; Giuseppe, Bello; Benicchi, Andrea; Benvenuto, Francesca; Ludovica, Berardini; Berloco, Filippo; Bernabei, Roberto; Bianchi, Antonio; Guerino, Biasucci Daniele; Marzio, Biasucci Luigi; Stefano, Bibbò; Alessandra, Bini; Bisanti, Alessandra; Biscetti, Federico; Bocci, Maria Grazia; Nicola, Bonadia; Bongiovanni, Filippo; Borghetti, Alberto; Giulia, Bosco; Bosello, Silvia Laura; Vincenzo, Bove; Bramato, Giulia; Vincenzo, Brandi; Teresa, Bruni; Carmine, Bruno; Dario, Bruno; Chiara, Bungaro Maria; Alessandro, Buonomo; Livia, Burzo; Angelo, Calabrese; Rosaria, Calvello Maria; Cambieri, Andrea; Chiara, Cambise; Cammà, Giulia; Candelli, Marcello; Gennaro, Canistro; Antonello, Cantanale; Gennaro, Capalbo; Capaldi, Lorenzo; Capone, Emanuele; Esmeralda, Capristo; Carbone, Luigi; Silvia, Cardone; Simone, Carelli; Carfì, Angelo; Carnicelli, Annamaria; Caruso, Cristiano; Antonio, Casciaro Francesco; Lucio, Catalano; Cauda, Roberto; Leonardo, Cecchini Andrea; Lucia, Cerrito; Melania, Cesarano; Chiarito, Annalisa; Cianci, Rossella; Callejas, Marta; Cicchinelli, Sara; Arturo, Ciccullo; Ciciarello, Francesca; Cingolani, Antonella; Camilla, C.; Ludovica, Consalvo Maria; Coppola, Gaetano; Maria, Corbo Giuseppe; Andrea, Corsello; Costante, Federico; Matteo, Costanzi; Covino, Marcello; Davide, Crupi; Lucio, Cutuli Salvatore; Stefano, D’Addio; Am, D'Alessandro; Elena, D’alfonso Maria; Emanuela, D’Angelo; Francesca, D’Aversa; Damiano, Fernando; Maria, Berardinis Gian De; Tommaso, Cunzo De; Katleen, Gaetano Donati de; Giulio, Luca De; Giuseppe, Matteis De; Gennaro, Pascale De; Paolo, Santis De; Martina, Siena De; Francesco, Vito De; Valeria, Gatto Del; Paola, Giacomo Del; Fabio, Zompo Del; Maria, Dell’Anna Antonio; Davide, Polla Della; Luca, Gialleonardo Di; Simona, Giambenedetto Di; Roberta, Luca Di; Luca, Maurizio Di; Mariangela, Muro Di; Alex, Dusina; Davide, Eleuteri; Esperide, Alessandra; Daniele, Facheci; Domenico, Faliero; Cinzia, Falsiroli; Fantoni, Massimo; Fedele, Annalaura; Daniela, Feliciani; Cristina, Ferrante; Giuliano, Ferrone; Festa, Roberto; Chiara, Fiore Maria; Andrea, Flex; Evelina, Forte; Franceschi, Francesco; Alessandra, Francesconi; Franza, Laura; Barbara, Funaro; Mariella, Fuorlo; Domenico, Fusco; Gabrielli, Maurizio; Gaetani, Eleonora; Claudia, Galletta; Antonella, Gallo; Gambassi, Giovanni; Matteo, Garcovich; Gaspar, António; Irene, Gasparrini; Silvia, Gelli; Giampietro, Antonella; Laura, Gigante; Gabriele, Giuliano; Giorgia, Giuliano; Bianca, Giupponi; Gremese, Elisa; Luca, Grieco Domenico; Guimarães, Manuel; Guglielmi, Valeria; Caterina, Guidone; Gullì, Antonio; Amerigo, Iaconelli; Aurora, Iafrati; Ianiro, Gianluca; Iaquinta, Angela; Impagnatiello, Michele; Inchingolo, Riccardo; Enrica, Intini; Iorio, Raffaele; Maria, Izzi Immacolata; Jovanović, Tamara; Kadhim, Cristina; Rosa, La Macchia; Ignazio, La Milia Daniele; Landi, Francesco; Giovanni, Landi; Landi, Rosario; Landolfi, Raffaele; Lenti, Massimo; Maria, Leone Paolo; Llull, Laura; Antônio, Luís; Lebrón-Aguilar, Rosa; Maria, Lizzio Marco; Rita, Lo Monaco Maria; Pietro, Locantore; Lombardi, Fabrizio; Lombardi, Gianmarco; Loris, Lopetuso; Valentina, Loria; Raffaella, Losito Angela; Patricia, Lucia Mothanje Barbara; Noemi, Macerola; Giampaolo, Maggi; Giuseppe, Maiuro; Montorsi, Francesco; Mangiola, Francesca; Manno, Alberto; Debora, Marchesini; Marco, Maresca Gian; Giuseppe, Marrone; Ilaria, Martis; Maria, Martone Anna; Emanuele, Marzetti; Mandò, Chiara; Valeria, Matteo Maria; Maviglia, Riccardo; Ada, Mazzarella; Carmen, Memoli; Miele, Luca; Migneco, Alessio; Irene, Mignini; Milani, Alessandro; Milardi, Domenico; Massimo, Montalto; Montemurro, Giuliano; Monti, Flavia; Luca, Montini; Christian, Morena Tony; Vincenzina, Morra; Davide, Moschese; Ambra, Murace Celeste; Mihalj, Martina; Murri, Rita; Napoli, Marco; Elisabetta, Nardella; Gerlando, Natalello; Daniele, Natalini; Maria, Navarra Simone; Nesci, Antonio; Alberto, Nicoletti; Filippo, Nicoletti Tommaso; Rebecca, Nicolò; Rocco, Nicoletti; Nicolotti, Nicola; Celestino, Nista Enrico; Nuzzo, Eugenia; Oggiano, Marco; Ojetti, Veronica; Cosimo, Pagano Francesco; Gianfranco, Paiano; Cristina, Pais; Federico, Paolillo; Federico, Pallavicini; Andrea, Palombo; Papa, Alfredo; Domenico, Papanice; Giovanni, Papparella Luigi; Mattia, Paratore; Parrinello, Giuseppe; Pasciuto, Giuliana; Pierpaolo, Pasculli; Pecorini, Giovanni; Simone, Perniola; Pero, Erika; Petricca, Luca; Petrucci, Martina; Pozzi, Chiara; Andrea, Piccioni; Annalisa, Piccolo; Edoardo, Piervincenzi; Pignataro, Giulia; Pignataro, Rossana; Gabriele, Pintaudi; Luca, Pisapia; Marco, Pizzoferrato; Fabrizio, Pizzolante; Pola, Roberto; Policola, Caterina; Pompili, Maurizio; Flavia, Pontecorvi; Valério, Patrícia; Francesca, Ponziani; Valentina, Popolla; Enrica, Porceddu; Angelo, Porfidia; Maria, Porro Lucia; Annalisa, Potenza; Pozzana, Francesca; Privitera, Giuseppe; Pugliese, Daniela; Gabriele, Pulcini; Simona, Racco; Francesca, Raffaelli; Vittoria, Ramunno; Ludovico, Rapaccini Gian; Richeldi, Luca; Emanuele, Rinninella; Sara, Rocchi; Romanò, Bruno; Romano, Stefano; Rosa, Federico; Rossi, Laura; Rossi, Raimondo; Enrica, Rossini; Elisabetta, Rota; Fabiana, Rovedi; Rubino, Carlotta; Rumi, G; Russo, Angelo; Andrea, Salerno; Sulzbach, Sara; Lucia, Salvatore; Samori, Dehara; Claudio, Sandroni; Sanguinetti, Maurizio; Sarchi, Luca; Paolo, Santini; Danilo, Santolamazza; Santoliquido, Angelo; Santopaolo, Francesco; Cosimo, Santoro Michele; Sardeo, Francesco; Caterina, Sarnari; Saviano, Angela; Luisa, Saviano; Scaldaferri, Franco; Roberta, Scarascia; Schepis, Tommaso; Schiavello, Francesca; Scoppettuolo, Giancarlo; Davide, Sedda; Sessa, Francesco; Luisa, Sestito; Settanni, Carlo Romano; Santoni, Matteo; Siciliano, Valentina; Rossella, Sicuranza; Benedetta, Simeoni; Simonetti, Jacopo; Smargiassi, Andrea; Maurizio, Soave Paolo; Sonnino, Chiara; Staiti, Domenico; Sommer, Claudia; Leonardo, Stella; Eleonora, Stival; Taddei, Eleonora; Rossella, Talerico; Elio, Tamburello; Enrica, Tamburrini; Sofia, Tanzarella Eloisa; Elena, Tarascio; Claudia, Tarli; Tersali, Alessandra; Pietro, Tilli; Timpano, Jacopo; Enrico, Torelli; Flavia, Torrini; Matteo, Tosato; Tosoni, Alberto; Tricoli, Luca; Tritto, Marcello; Mario, Tumbarello; Maria, Tummolo Anita; Sole, Vallecoccia Maria; Federico, Valletta; Varone, Francesco; Vassalli, Francesco; Ventura, Giulio; Lucrezia, Verardi; Lorenzo, Vetrone; Giuseppe, Vetrugno; Elena, Visconti; Felicia, Visconti; Andrea, Viviani; Zaccaria, Raffaella; Carmelina, Zaccone; Lorenzo, Zelano; Lorenzo, Zileri Dal Verme; Zuccalà, Giuseppe

doi:10.1007/s11739-021-02868-9

Intern Emerg Med

2021

DOI: 10.1007/s11739-021-02868-9

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Asthma in patients admitted to emergency department for COVID-19: prevalence and risk of hospitalization

Marta Sacco Fernandez

Martina Bizzarri

Abbate Valeria³

et al.

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Cited by 3 publications

References 14 publications

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Asthma and COPD as co-morbidities in patients hospitalised with Covid-19 disease: a global systematic review and meta-analysis

Finnerty,

Hussain,

Ponnuswamy

et al. 2023

BMC Pulm Med

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Background Factors predisposing to increased mortality with COVID-19 infection have been identified as male sex, hypertension, obesity, and increasing age. Early studies looking at airway diseases gave some contradictory results. The purpose of our study was to determine global variation in studies in patients hospitalized with COVID-19 in the prevalence of COPD and asthma; and to determine whether the presence of asthma or COPD affected mortality in the same hospital population. Methods A systematic review and meta-analysis of the published literature of COPD and asthma as co-morbidities in patients hospitalized with COVID-19 was performed, looking firstly at the prevalence of these diseases in patients hospitalized with COVID-19, and secondly at the relative risk of death from any cause for patients with asthma or COPD. Results Prevalence of both airway diseases varied markedly by region, making meaningful pooled global estimates of prevalence invalid and not of clinical utility. For individual studies, the interquartile range for asthma prevalence was 4.21 to 12.39%, and for COPD, 3.82 to 11.85%. The relative risk of death with COPD for patients hospitalized with COVID-19 was 1.863 (95% CI 1.640–2.115), while the risk with asthma was 0.918 (95% CI 0.767 to 1.098) with no evidence of increased mortality. Conclusions For asthma and COPD, prevalence in patients hospitalized with COVID-19 varies markedly by region. We found no evidence that asthma predisposed to increased mortality in COVID-19 disease. For COPD, there was clear evidence of an association with increased mortality. Trial registration The trial was registered with PROSPERO: registration number CRD42021289886.

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Asthma and COPD as co-morbidities in patients hospitalised with Covid-19 disease: a global systematic review and meta-analysis

Finnerty,

Hussain,

Ponnuswamy

et al. 2023

BMC Pulm Med

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Adult Asthma Management in the Emergency Department during COVID-19 Pandemic: An Expert Opinion Survey

et al. 2022

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Adult patients with asthma often access the emergency department (ED) for the management of exacerbations or uncontrolled symptoms. Sometimes the first diagnosis of asthma occurs right in the ED. In the last couple of years, the COVID-19 pandemic spread around the world, causing an acute respiratory syndrome named SARS-CoV-2, characterized mainly by respiratory symptoms, such as cough and shortness of breath, in addition to fever. This clinical pattern partially overlaps with that caused by asthma, thus generating confusion in terms of diagnosis and management. It is also unclear whether asthma may be associated with a worse prognosis in COVID-19 infection. This expert opinion paper provides specific recommendations to ease the challenges related to adult patients with asthma admitted to the ED during the COVID-19 pandemic, with particular reference to diagnosis and treatment. Moreover, it provides well-defined indications to guide decisions on discharge, hospital admission, as well as follow-up. A panel of experts composed of emergency medicine physicians, pulmonologists and allergologists discussed, voted and approved all the recommendations.

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Prevalence and Outcome of Asthma in Adult Patients Admitted to the Emergency Department for COVID-19: A Case-Control Study

Gabrielli

Candelli²,

Pignataro³

et al. 2022

Applied Sciences

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(1) Background: Viral respiratory infections are common triggers for asthma exacerbation, often leading patients to the emergency department (ED). COVID-19, the disease caused by the SARS-CoV-2 virus, typically presents with respiratory symptoms, from minor symptoms, up to and including severe acute respiratory failure. Data on the association between asthma and COVID-19 are conflicting, and those from an ED setting are scarce. Our aims were to assess the prevalence and outcome of patients with asthma admitted to the ED for COVID-19. (2) Methods: We performed a case-control study, extracting data from a registry of adult patients with confirmed COVID-19 consecutively admitted to the ED of our hospital between March 2020 and January 2021. (3) Results: We identified 83 patients with asthma out of 935 individuals (prevalence 8.9%). There were no significant differences between cases and controls regarding both the proportion of hospital admissions and patients with critical COVID-19. (OR 1.37; 95% CI 0.52–3.56; and (OR 0.74; 95% CI 0.31–1.78 respectively). (4) Conclusions: In patients admitted to the ED for COVID-19, the prevalence of asthma was not higher than expected, and asthma was not associated with a worse outcome, in terms of the rate of hospitalization and critical COVID-19 disease.

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Asthma in patients admitted to emergency department for COVID-19: prevalence and risk of hospitalization

Cited by 3 publications

References 14 publications

Asthma and COPD as co-morbidities in patients hospitalised with Covid-19 disease: a global systematic review and meta-analysis

Asthma and COPD as co-morbidities in patients hospitalised with Covid-19 disease: a global systematic review and meta-analysis

Adult Asthma Management in the Emergency Department during COVID-19 Pandemic: An Expert Opinion Survey

Prevalence and Outcome of Asthma in Adult Patients Admitted to the Emergency Department for COVID-19: A Case-Control Study

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