Improved asthma control during the COVID-19 pandemic: are there lessons to be learnt?

Skene, Imogen; Pfeffer, Paul

doi:10.1136/thoraxjnl-2021-216930

Cited by 16 publications

(10 citation statements)

References 12 publications

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“…Our finding is consistent with the pediatric literature, which has found that childhood asthma outcomes have improved during the pandemic, including a reduction in pediatric asthma hospitalizations . Other studies in the United Kingdom have also reported reduced rates of asthma exacerbations in the outpatient and inpatient settings …”

Section: Discussionmentioning

confidence: 61%

Trends in Hospitalizations for Ambulatory Care–Sensitive Conditions During the COVID-19 Pandemic

et al. 2022

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IMPORTANCEThe association of the COVID-19 pandemic with the quality of ambulatory care is unknown. Hospitalizations for ambulatory care-sensitive conditions (ACSCs) are a well-studied measure of the quality of ambulatory care; however, they may also be associated with other patientlevel and system-level factors. OBJECTIVE To describe trends in hospital admissions for ACSCs in the prepandemic period (March 2019 to February 2020) compared with the pandemic period (March 2020 to February 2021). DESIGN, SETTING, AND PARTICIPANTS This cross-sectional study of adults enrolled in a commercial health maintenance organization in Michigan included 1 240 409 unique adults (13 011 176 person-months) in the prepandemic period and 1 206 361 unique adults (12 759 675 person-months) in the pandemic period.

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Section: Discussionmentioning

confidence: 61%

Trends in Hospitalizations for Ambulatory Care–Sensitive Conditions During the COVID-19 Pandemic

et al. 2022

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“… 46 , 47 Our participants saw the potential of the connected system to monitor the impact of COVID (or COVID immunization) on asthma and to be able to discuss this with their clinicians remotely. Similarly, remotely supported self-management has been used during COVID to support patients with other long-term conditions such as chronic pain, 44 diabetes, 46 COPD, 48 and epilepsy. 49 While our findings aligned with commonly described basic requirements to support adoption and continued use of any technology (easy to use interface, meeting users’ needs and expectations), 65 , 66 we further explored a number of other factors that influences our participants’ adoption and usage of a connected asthma system.…”

Section: Discussionmentioning

confidence: 99%

Assessing the technical feasibility of a flexible, integrated Internet-of-things connected for asthma (C4A) system to support self-management: a mixed method study exploring patients and healthcare professionals perspectives

et al. 2022

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Background A connected system with smart devices could transform patient care and empower patients control of their asthma. Objective To explore how a connected-for-asthma system (C4A) with smart devices from multiple companies (smart-inhaler; smart-watch; smart-peak-flow meter, manual digital thermometer during the Coronavirus disease (COVID)-pandemic) could support asthma self-management. Methods In a proof-of-concept mixed-methods study (Winter 2021/2022), we collected data from devices linked via the C4A app enabling patients to self-monitor and share a monitoring summary (in PDF format) with their clinician. Ten patients (range of age/gender, asthma experience, Apple/Android user) via social media, used C4A for a month. We conducted pre/post-interviews with patients, and a single post-interview with an asthma nurse and 3 general practitioners. Thematic analysis, informed by the Unified Theory of Acceptance and Use of Technology was triangulated with descriptive analysis of usage data. Results The system was perceived as “easy” to use. During the study, 7517 data points were collected from 10 patients; monitoring reduced over the month. Patients used devices if they trusted their “accuracy,” and adopted the system to monitor new medication or assess troublesome symptoms. One patient lost contact (because of COVID), 8 wanted to keep using C4A to manage their asthma, though were selective about the most useful devices. Clinicians wanted the report to provide an asthma score/status and reliever usage. Conclusion A connected system could enable flexible digital care by linking data from several devices to support self-management. To promote adoption/adherence, setup has to be simple, and patients need to trust that the devices accurately reflect their condition.

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“…21 Viral infections are the main triggers of asthma exacerbations in all age groups. 13,22 All over the world, there is a growing body of evidence regarding the reduction during the pandemic of health care utilization for asthma, [23][24][25][26][27][28][29][30][31][32][33] and reductions in hospital admissions for seasonal respiratory diseases (upper airway infections, bronchiolitis, and pneumonia) were widely recorded. 3,7,9,10,20,34,35 In addition, the decrease in recorded air pollutants must be considered, because exposure to air pollution is one of the external triggers for the onset of asthma, particularly in larger cities.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 mitigation strategies on asthma hospitalizations in Brazil

Friedrich¹,

Petry²,

Brum³

et al. 2022

Journal of Allergy and Clinical Immunology: Global

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Improved asthma control during the COVID-19 pandemic: are there lessons to be learnt?

Cited by 16 publications

References 12 publications

Trends in Hospitalizations for Ambulatory Care–Sensitive Conditions During the COVID-19 Pandemic

Trends in Hospitalizations for Ambulatory Care–Sensitive Conditions During the COVID-19 Pandemic

Assessing the technical feasibility of a flexible, integrated Internet-of-things connected for asthma (C4A) system to support self-management: a mixed method study exploring patients and healthcare professionals perspectives

Impact of COVID-19 mitigation strategies on asthma hospitalizations in Brazil

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