Impact of COVID-19 pandemic on asthma symptoms and management: A prospective analysis of asthmatic children in Ecuador

Autor: Angélica M. Ochoa-Avilés, Cristina Ochoa-Avilés, Diana A. Morillo-Argudo, María José Molina-Cando, Claudia R. Rodas-Espinoza, Irina Chis Ster, Manolo P. Maestre Calderón, Augusto Maldonado G, Karen Arteaga Vaca, Alejandro Rodriguez, Alvaro A. Cruz, Natalia Romero-Sandoval, Philip J. Cooper
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: World Allergy Organization Journal, Vol 14, Iss 6, Pp 100551- (2021)
Druh dokumentu: article
ISSN: 1939-4551
DOI: 10.1016/j.waojou.2021.100551
Popis: Background: Asthma affects up to 33% of children in Latin American settings. The ongoing COVID-19 pandemic has had a significant impact on access to and use of health services. We aimed to evaluate the impact of the COVID-19 lockdown on asthma exacerbations, medical facility visits, and use of asthma medications in children. Methods: We used data from a prospective cohort of 213 children aged 5–17 years in 3 Ecuadorian cities and analysed the impact of the COVID-19 lockdown on asthma. Outcomes (asthma exacerbations, emergency room [ER] visits, planned and unplanned outpatient visits, and use of inhaled corticosteroids and Beta-2 agonists) were analysed using repeated Poisson counts (ie, number of events per participant before and during the COVID-19 lockdown). Results: During compared to before lockdown: a) the number of asthma exacerbations remained constant (IRR, 0.87; 95% CI: 0.72–1.05; p = 0.152); b) outpatient visits (IRR 0.26, 95% CI 0.14–0.47, p
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