Impact of COVID-19 on people with asthma: a mixed methods analysis from a UK wide survey

Autor: Keir Elmslie James Philip, Sara Buttery, Parris Williams, Bavithra Vijayakumar, James Tonkin, Andrew Cumella, Lottie Renwick, Lizzie Ogden, Jennifer K Quint, Sebastian L Johnston, Michael I Polkey, Nicholas S Hopkinson
Přispěvatelé: Imperial College London
Rok vydání: 2022
Předmět:
Zdroj: BMJ Open Respiratory Research
BMJ Open Respiratory Research, Vol 9, Iss 1 (2022)
ISSN: 2052-4439
DOI: 10.1136/bmjresp-2021-001056
Popis: IntroductionThe impact of acute COVID-19 on people with asthma appears complex, being moderated by multiple interacting disease-specific, demographic and environmental factors. Research regarding longer-term effects in this group is limited. We aimed to assess impacts of COVID-19 and predictors of persistent symptoms, in people with asthma.MethodsUsing data from an online UK-wide survey of 4500 people with asthma (median age 50–59 years, 81% female), conducted in October 2020, we undertook a mixed methods analysis of the characteristics and experience of those reporting having had COVID-19.ResultsThe COVID-19 group (n=471, 10.5%) reported increased inhaler use and worse asthma management, compared with those not reporting COVID-19, but did not differ by gender, ethnicity or household income. Among the COVID-19 group, 56.1% reported having long COVID, 20.2% were ‘unsure’. Those with long COVID were more likely than those without long COVID to describe: their breathing as worse or much worse after their initial illness (73.7% vs 34.8%, pAnalysis of free text survey responses identified three key themes: (1) variable COVID-19 severity, duration and recovery; (2) symptom overlap and interaction between COVID-19 and asthma; (3) barriers to accessing healthcare.ConclusionsPersisting symptoms are common in people with asthma following COVID-19. Measures are needed to ensure appropriate healthcare access including clinical evaluation and investigation, to distinguish between COVID-19 symptoms and asthma.
Databáze: OpenAIRE