دانلود مقاله با موضوع تاثیر همه گیر COVID-19 بر آسم علائم و مدیریت
در قالب pdf و در 7 اسلاید،قابل ویرایش، شامل:
موضوع به انگلیسی:Impact of COVID-19 pandemic on asthma
symptoms and management
بخشی از متن:
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 ¼ 0.152); b) outpatient visits (IRR 0.26, 95% CI 0.14–0.47,
p < 0.001) declined 74% while ER visits declined 89% (IRR 0.11, 95% CI 0.04–0.32, p < 0.001); and
c) there was no change in inhaled corticosteroids use (IRR 1.03, 95% CI 0.90–1.16, P ¼ 0.699) while
Beta-2 agonist use increased (IRR 1.32, 95% CI 1.10–1.58, P ¼ 0.003).
Conclusions: In a cohort of Ecuadorian children with asthma, health services attendance
decreased dramatically after COVID-19 lockdown, but asthma exacerbations and use of inhaled
corticosteroids were unchanged. Future analyses will address the question of the effect of SARSCoV-
2 infection on asthma exacerbations and control in this paediatric population.
Keywords: Children, Asthma, COVID-19, Lockdown, Ecuador
