Epidemiology of chronic respiratory diseases and associated factors in the adult Italian population

Ferrante, Gianluigi; Baldissera, Sandro; Campostrini, Stefano

doi:10.1093/eurpub/ckx109

Cited by 15 publications

(12 citation statements)

References 18 publications

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“…The study characteristics of the included studies are summarized in Table 2. In total, we included 27 studies published since 2011, except for one study that published in 1996: twelve from Europe [10, 12, 13, 16, 17, 20, 23, 25, 28–30, 35], nine from the North America (United States and Canada) [11, 15, 18, 21, 26, 27, 32–34], three East Asia (China and Korea) [19, 22, 36], three from the Latin America and 6 low- and middle-income countries and Australia [14, 24, 31]. The majority of the included studies were published after 2015.…”

Section: Resultsmentioning

confidence: 99%

Global prevalence of asthma-COPD overlap (ACO) in the general population: a systematic review and meta-analysis

et al. 2019

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BackgroundAsthma-COPD overlap (ACO) is a term that encompasses patients with features of both asthma and COPD. To date, the global prevalence of ACO in the general population remains unknown. The objective of this study was to estimate the prevalence of ACO in the general population using a systematic review and meta-analysis.MethodsA systematic search of ISI Web of Knowledge, MEDLINE/PubMed, and Scopus was performed up to May 2019 to identify studies reporting the prevalence of ACO. Reference lists from identified studies and relevant review articles were also searched. Eligibility criteria were studies reporting the prevalence of ACO, performed in general population, and published in English language. Pooled prevalence of ACO with 95% confidence interval (CI) was calculated using random effects Meta-analysis.ResultsA total of 27 studies were included in this meta-analysis. The Cochran Q test and I2 statistics revealed substantial heterogeneity among studies. Based on the random-effects model, the pooled prevalence of ACO was 2.0% (95% CI: 1.4–2.6%) in the general population, 26.5% (95% CI: 19.5–33.6%) among patients with asthma, and 29.6% (95% CI: 19.3–39.9%) among patients with COPD. In addition, for included studies, the global prevalence of asthma-only was 6.2% (95% CI: 5.0–7.4%) and COPD-only was 4.9% (95% CI: 4.3–5.5%).ConclusionWe estimated the global prevalence of ACO based on population-based studies and found that 2.0% of the general population is affected. However, the prevalence of ACO depends on its diagnostic criteria. Therefore, there is a vital need to better define the ACO diagnostic criteria, management and treatment. It is worth noting that the limitations of the present study include lack of studies in some region of the world and small number of studies included in the subgroup analyses.

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Section: Resultsmentioning

confidence: 99%

Global prevalence of asthma-COPD overlap (ACO) in the general population: a systematic review and meta-analysis

et al. 2019

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“…The epidemiology and disease burdens of CRDs vary substantially worldwide. Previous studies have estimated the prevalence of CRDs at the regional or national level but not at the global level [3][4][5]. Understanding the prevalence and incidence trends of CRDs is vital for improving the control and prevention of CRDs.…”

Section: Introductionmentioning

confidence: 99%

Trends in prevalence and incidence of chronic respiratory diseases from 1990 to 2017

et al. 2020

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Background: Chronic respiratory diseases (CRDs) are leading causes of morbidity worldwide. However, the spatial and temporal trends in prevalence and incidence of CRDs have not been estimated. Methods: Based on data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2017, we analyzed the prevalence and incidence trends of CRDs from 1990 to 2017 according to age, sex, region and disease pattern. Furthermore, the correlations between the incidence and the World Bank income levels, sociodemographic index (SDI), and human development index (HDI) levels were analyzed to assess the factors affecting incidence.Result: The total number of CRD cases increased by 39.5% from 1990 to 2017, nevertheless, the age-standardized prevalence rate (ASPR) and age-standardized incidence rate (ASIR) showed decreasing trends. The ASIRs of CRD, chronic obstructive pulmonary disease (COPD), pneumoconiosis, and asthma decreased, whereas the ASIR of interstitial lung disease and pulmonary sarcoidosis increased during the past 27 years. Significant differences between males and females in the incidence rates of pneumoconiosis, interstitial lung disease and pulmonary sarcoidosis were observed. Elderly people especially suffered from CRDs, except for asthma. For COPD, the ASIR decreased from low-SDI regions to high-SDI regions. The ASIR of interstitial lung disease and pulmonary sarcoidosis in the high-SDI region was highest and have increased mostly. The ASIRs for pneumoconiosis and asthma were inversely related to the HDI. Conclusions:In 2017, CRDs were still the leading causes of morbidity worldwide. A large proportion of the disease burden was attributed to asthma and COPD. The incidence rates of all four types of CRDs varied greatly across the world. Statistically significant correlation was found between the ASIR and SDI/HDI.

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“…Previous studies have shown that respiratory disease is one of the main disorders that require intensive care, and that the prognosis is poor in patients admitted to ICU due to various respiratory diseases [8][9][10][11][12][13]18,19]. The incidence and proportion of respiratory disease in the community has been increasing in recent years because of the increasing aging population, excessive body weight due to westernization, increased morbidity of chronic pulmonary disorders, and long-term air pollution exposure [20][21][22]. In our study, the percentage of critically ill patients with respiratory disease as the main cause of ICU admission increased annually.…”

Section: Discussionmentioning

confidence: 99%

A population-based observational study of patients with pulmonary disorders in intensive care unit

Lee

Ahn

et al. 2020

Korean J Intern Med

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Background/Aims Only a few epidemiologic studies on the patients with pulmonary disorders admitted to intensive care unit exist. We investigated the characteristics and clinical outcomes of the patients with severe pulmonary disorders. Methods The sample cohort database of National Health Insurance Sharing Service from 2006 to 2015 was used. Operational definition of critically ill patients was adults who were either admitted to intensive care unit for at least 3 days or expired within first 2 days in the unit. The pulmonary disorder group comprised of critically ill patients with respiratory disease as the main diagnosis. Results Among the 997,173 patients, 12,983 (1.3%) in 383 intensive care units were categorized as critically ill. Patients in the pulmonary disorder group tended to have more comorbidities or disabilities. The length of hospital stay and duration of mechanical ventilation were longer in the pulmonary disorder group. Overall mortality and re-admission were higher in the pulmonary disorder group, with adjusted incidence rate ratios of 1.22 (95% confidence interval, 1.18 to 1.27) and 1.26 (95% confidence interval, 1.17 to 1.36), respectively. After adjustment by Cox regression, the pulmonary disorder group was an independent risk factor for in-hospital mortality. Conclusions In critically ill patients with pulmonary disorder, the use of healthcare resources was higher, and their clinical outcomes were significantly worse than the non-pulmonary disorder group.

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Epidemiology of chronic respiratory diseases and associated factors in the adult Italian population

Cited by 15 publications

References 18 publications

Global prevalence of asthma-COPD overlap (ACO) in the general population: a systematic review and meta-analysis

Global prevalence of asthma-COPD overlap (ACO) in the general population: a systematic review and meta-analysis

Trends in prevalence and incidence of chronic respiratory diseases from 1990 to 2017

A population-based observational study of patients with pulmonary disorders in intensive care unit

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