Trends and determinants of Emergency Room admissions for asthma: A retrospective evaluation in Northeast Italy

Autor: Marco Caminati, Andrea Vianello, Giorgio Ricci, Giuliana Festi, Roberto Bellamoli, Sofia Longhi, Mariangiola Crivellaro, Guido Marcer, Marco Monai, Margherita Andretta, Chiara Bovo, Gianenrico Senna
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: World Allergy Organization Journal, Vol 12, Iss 7, Pp - (2019)
Druh dokumentu: article
ISSN: 1939-4551
DOI: 10.1016/j.waojou.2019.100046
Popis: Background: Asthma still represents a cause of death and hospital admissions worldwide. Our study aimed at analyzing the trend of Emergency Room (ER) asthma admissions in Northeast Italy in order to investigate the relevance of specific patient-related determinants and environmental triggers (pollens, mold spores, and pollutants). Methods: Retrospective data from admissions for asthma exacerbations registered between the years 2013 and 2015 in two main ERs in Northeast Italy were collected. Data about patients' age, sex and nationality were recorded. Classification of disease severity followed the current Italian ER triage scoring system (white: no need for emergency treatment; green: need for fast treatment; yellow: severe condition; red: life-threatening condition). Data on pollen/mold spore counts and pollutants were analyzed. Results: Overall, 1745 ​ER admissions for asthma were registered, with a persistent and significant increase year by year. A slight prevalence of females and patients over 50 years old was observed. Immigrants accounted for 32%, 36% and 26% of admissions respectively in 2013, 2014 and 2015. The prevalence of immigrants' admissions was significantly higher when comparing the relative ratio of immigrant populations/Italian nationals (p ​
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