Asthma Exacerbation during the COVID-19 Pandemic
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Introduction: Asthmatics, especially uncontrolled asthmatics, must be vigilant during the COVID-19 pandemic to avoid major respiratory complications. This study aimed to describe these characteristics in emergency unit patients with asthma and COVID-19 at Haji General Hospital, Surabaya, an East Java referral hospital.
Methods: The study gathered medical information on 160 asthma patients from March to December 2021. The collected data were related to socioeconomics, allergy history, family allergy history, and medications.
Results: 160 confirmed cases of asthma occurred during COVID-19 at Haji General Hospital, Surabaya. Most adult asthma sufferers were women (59.2%), high school graduates (31.25%), housewives (21.2%), had payment method with Social Health Insurance Administration Body (BPJS) insurance (73.8 %), had a history of drug allergies (11.5%), had no family history of allergies (50.8%), and used albuterol control drugs (10.7%). Meanwhile, the majority of children with asthma were boys (53.3%), did not attend school or did not finish elementary school (33.3%), did not work (33.3%), had payment method with BPJS (73.3%), had a history of allergies to seafood and cow's milk respectively (10%), had no family history of allergies (40%), and used albuterol control drugs (16.7%).
Conclusion: The proportion of asthma in the emergency unit was dominated by women over 18 years old with a high school education. Most patients were housewives and used BPJS. Many of them had a history of allergies to medications (not asthma medication), and there was no family history of allergies. Commonly used medications were albuterol to control asthma.
(GINA) GI for A. Global Strategy for Asthma Management and Prevention 2022. Wisconsin, https://ginasthma.org/gina-reports/ (2022).
Licari A, Brambilla I, Marseglia A, et al. Difficult vs. Severe Asthma: Definition and Limits of Asthma Control in the Pediatric Population. Front Pediatr 2018; 6: 170.
Sukirman R, Muryanto I, Malfasari E, et al. Karakteristik Epidemiologi COVID-19 Tahun 2020 – 2021: Studi Potong Lintang di Provinsi Riau. J Epidemiol Kesehat Indones 2022; 6: 37–44.
Primarani SP, Megatsari H. Environmental-Related Trigger for Asthma in East Java: An Advance Analysis of the Risk Factor. J Promkes Indones J Heal Promot Heal Educ 2022; 10: 130–137.
(CDC) C for DC and P. Most Recent National Asthma Data. Centers for Disease Control and Prevention, https://www.cdc.gov/asthma/most_recent_national_asthma_data.htm (2022).
Lizzo JM, Cortes S. Pediatric Asthma. Treasure Island (FL), 2023.
Hamdan H, Musniati N. Faktor Risiko yang Berhubungan dengan Kejadian Asma Bronkiale pada Anak Usia 5-12 Tahun. J Public Heal Innov 2020; 1: 26–36.
Afgani AQ, Hendriani R. Review Artikel: Diagnosis dan Manajemen Terapi Asma. Farmaka 2020; 18: 26–36.
Sunjaya AP, Allida SM, Di Tanna GL, et al. Asthma and COVID-19 Risk: A Systematic Review and Meta-Analysis. Eur Respir J; 59. Epub ahead of print March 2022.
(PDPI) PDPI. Pedoman Diagnosis dan Penatalaksanaan di Indonesia. Jakarta, 2019.
Litanto A, Kartini K. Kekambuhan Asma pada Perempuan dan Berbagai Faktor yang Memengaruhinya: Sebuah Tinjauan. J Biomedika dan Kesehat 2020; 4: 79–86.
Wardhani M, Juwita R, Purwoko M. Hubungan antara Jenis Kelamin dan Riwayat Asma dengan Rinitis Alergi pada Pelajar SMP Muhammadiyah 3 Palembang. Medica Arter 2020; 2: 17.
Chowdhury NU, Guntur VP, Newcomb DC, et al. Sex and Gender in Asthma. Eur Respir Rev 2021; 30: 210067.
Naeem A, Silveyra P. Sex Differences in Paediatric and Adult Asthma. Eur Med J (Chelmsford, England) 2019; 4: 27–35.
Khaidir A, Usman, Hengky H. Hubungan Antara Karakteristik Penderita dengan Derajat Asma Bronkial di Rumah Sakit Umum Daerah Andi Makkasau Kota Parepare. J Ilm Mns dan Kesehat 2019; 2: 205–219.
Zeng Y-Q, Au DH, Cai S, et al. Effect of a Patient Education Intervention on Asthma Control and Patient-Doctor Relationship. Chinese Medical Journal 2018; 131: 1110–1112.
Tiotiu AI, Novakova S, Labor M, et al. Progress in Occupational Asthma. Int J Environ Res Public Health; 17. Epub ahead of print June 2020.
Mungan D, Özmen Ä°, Evyapan F, et al. Work-Related Symptoms of Patients with Asthma: A Multicenter Study. Turkish Thorac J 2019; 20: 241–247.
Stolbrink M, Thomson H, Hadfield RM, et al. The Availability, Cost, and Affordability of Essential Medicines for Asthma and COPD in Low-Income and Middle-Income Countries: A Systematic Review. Lancet Glob Heal 2022; 10: e1423–e1442.
Chen R, Gao Y, Wang H, et al. Association between Adherence to Maintenance Medication in Patients with COPD and Acute Exacerbation Occurrence and Cost in China: A Retrospective Cohort Database Study. Int J Chron Obstruct Pulmon Dis 2020; 15: 963–971.
Hyrkäs-Palmu H, Jaakkola MS, Mäkikyrö EMS, et al. Subtypes of Asthma and Cold Weather-Related Respiratory Symptoms. Int J Environ Res Public Health; 19. Epub ahead of print July 2022.
Safri M. Cow's Milk Consumption and the Incidence of Wheezing in Children. Int J Curr Res Acad Rev 2018; 6: 11–14.
van Neerven RJJ, Savelkoul HFJ. The Two Faces of Cow's Milk and Allergy: Induction of Cow's Milk Allergy vs. Prevention of Asthma. Nutrients; 11. Epub ahead of print August 2019.
Arasi S, Porcaro F, Cutrera R, et al. Severe Asthma and Allergy: A Pediatric Perspective. Front Pediatr 2019; 7: 28.
Saito-Abe M, Yamamoto-Hanada K, Pak K, et al. How a Family History of Allergic Diseases Influences Food Allergy in Children: The Japan Environment and Children's Study. Nutrients; 14. Epub ahead of print October 2022.
Yu H, Su F, Wang L-B, et al. The Asthma Family Tree: Evaluating Associations between Childhood, Parental, and Grandparental Asthma in Seven Chinese Cities. Frontiers in Pediatrics; 9, https://www.frontiersin.org/articles/10.3389/fped.2021.720273 (2021).
Mahrunnisa F, Sumadiono S, Mulatsih S. Correlation between Allergy History in Family and Allergy Manifestation in School Age Children. Avicenna Med J 2021; 2: 11–18.
Marques L, Vale N. Salbutamol in the Management of Asthma: A Review. Int J Mol Sci; 23. Epub ahead of print November 2022.
Kaplan A, Mitchell PD, Cave AJ, et al. Effective Asthma Management: Is It Time to Let the AIR out of SABA? J Clin Med; 9. Epub ahead of print March 2020.
Park HJ, Jeon S, Lee HS, et al. A Comparison of the Effectiveness of Asthma Medications on Asthma Exacerbations in Real World National Cohort. J Asthma Allergy 2022; 15: 1155–1165.
Xu H, Tong L, Gao P, et al. Combination of Ipratropium Bromide and Salbutamol in Children and Adolescents with Asthma: A Meta-Analysis. PLoS One 2021; 16: e0237620.
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