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Improved asthma control during the COVID-19 pandemic: are there lessons to be learnt?
Thorax ( IF 9.0 ) Pub Date : 2021-09-01 , DOI: 10.1136/thoraxjnl-2021-216930
Imogen P Skene 1 , Paul E Pfeffer 2, 3
Affiliation  

While the health impacts of acute COVID-19 pneumonia and long COVID have rightly been the focus of major medical research over the last 12 months, for many patients and healthcare providers an equal concern has been the impact of the pandemic on long-term conditions. Respiratory conditions are among the most common chronic diseases across patients of different ages. Three articles in this issue provide an informative lens through which to study the impact of the pandemic on airways disease, reporting significant reductions in severe exacerbations in different settings. Two research groups have addressed this issue by examining the effect of the pandemic on asthma exacerbations in the UK. As the incidence of exacerbations changes over time both groups used interrupted time series methodology to establish any impact of lockdown adjusted for variation across the year and between years, with both studies finding a reduction in incidence of severe asthma exacerbations with the onset of lockdown. Specifically, Davies and colleagues found a 36% pooled reduction in emergency admissions for asthma in Scotland and Wales following lockdown,1 whereas Shah and colleagues found a significant reduction in England in severe exacerbations managed in primary care with oral corticosteroids following lockdown though no significant reduction in exacerbations requiring hospital care.2 Importantly, there was no evidence of …

中文翻译:

在 COVID-19 大流行期间改善哮喘控制:有什么教训可以吸取吗?

虽然在过去 12 个月中,急性 COVID-19 肺炎和长期 COVID 对健康的影响一直是主要医学研究的重点,但对于许多患者和医疗保健提供者而言,同样关注的是大流行对长期状况的影响。呼吸系统疾病是不同年龄患者最常见的慢性病之一。本期的三篇文章提供了一个信息丰富的视角,通过它研究大流行对气道疾病的影响,报告了不同环境中严重恶化的显着减少。两个研究小组通过检查大流行对英国哮喘恶化的影响来解决这个问题。由于哮喘发作的发生率随时间发生变化,两组都使用间断时间序列方法来确定锁定对全年和年份之间的变化进行调整的任何影响,两项研究都发现,随着锁定的开始,严重哮喘发作的发生率有所降低。具体而言,Davies 及其同事发现,封锁后苏格兰和威尔士的哮喘急诊入院人数汇总减少了 36%,1 而 Shah 及其同事发现,英格兰在封锁后使用口服皮质类固醇在初级保健中管理的严重恶化显着减少,但没有显着减少在需要住院治疗的恶化中。2 重要的是,没有证据表明…… 两项研究都发现,随着封锁的开始,严重哮喘发作的发生率会降低。具体而言,Davies 及其同事发现,封锁后苏格兰和威尔士的哮喘急诊入院人数汇总减少了 36%,1 而 Shah 及其同事发现,英格兰在封锁后使用口服皮质类固醇在初级保健中管理的严重恶化显着减少,但没有显着减少在需要住院治疗的恶化中。2 重要的是,没有证据表明…… 两项研究都发现,随着封锁的开始,严重哮喘发作的发生率会降低。具体而言,Davies 及其同事发现,封锁后苏格兰和威尔士的哮喘急诊入院人数汇总减少了 36%,1 而 Shah 及其同事发现,英格兰在封锁后使用口服皮质类固醇在初级保健中管理的严重恶化显着减少,但没有显着减少在需要住院治疗的恶化中。2 重要的是,没有证据表明……
更新日期:2021-08-13
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