Статья

Childhood asthma outcomes during the COVID-19 pandemic: Findings from the PeARL multinational cohort

N. Papadopoulos, A. Mathioudakis, A. Custovic, A. Deschildre, W. Phipatanakul, G. Wong, P. Xepapadaki, R. Abou-Taam, I. Agache, J. Castro-Rodriguez, Z. Chen, P. Cros, J. Dubus, Z. El-Sayed, R. El-Owaidy, W. Feleszko, V. Fierro, A. Fiocchi, L. Garcia-Marcos, A. Goh, E. Hossny, Y. Huerta Villalobos, T. Jartti, P. Le Roux, J. Levina, A. López García, Á. Ramos, M. Morais-Almeida, C. Murray, K. Nagaraju, M. Nagaraju, E. Navarrete Rodriguez, L. Namazova-Baranova, A. Nieto Garcia, C. Pozo Beltrán, T. Ratchataswan, D. Rivero Yeverino, E. Rodríguez Zagal, C. Schweitzer, M. Tulkki, K. Wasilczuk, D. Xu, A. Alekseeva, B. Almeida, M. Andre, P. Arimova, A. Blonde, A. Cunningham, S. Da Mota, K. Efendieva, V. Kalugina, S. Kiefer, A. Klein, C. López, J. López, C. Moratellti, M. Fuentes Pérez, M. Simermann, J. Tapia, A. Tatopoulos, E. Vishneva, Κ. Volkov, L. Bacharier, M. Bonini, T. Craig, Z. Diamant, F. Ducharme, J. Gern, J. Grigg, E. Hamelmann, G. Hedlin, T. Jartti, O. Kalayci, A. Kaplan, J. Konradsen, P. Kuna, S. Lau, P. Le Souef, R. Lemanske, M. Makela, P. Matricardi, R. Gómez, M. Miligkos, P. Pitrez, D. Price, P. Pohunek, G. Roberts, A. Sheikh, I. Tsiligianni, S. Turner, A. Valiulis, T. Winders, O. Yusuf, H. Zar,
2021

Background: The interplay between COVID-19 pandemic and asthma in children is still unclear. We evaluated the impact of COVID-19 pandemic on childhood asthma outcomes. Methods: The PeARL multinational cohort included 1,054 children with asthma and 505 non-asthmatic children aged between 4 and 18 years from 25 pediatric departments, from 15 countries globally. We compared the frequency of acute respiratory and febrile presentations during the first wave of the COVID-19 pandemic between groups and with data available from the previous year. In children with asthma, we also compared current and historical disease control. Results: During the pandemic, children with asthma experienced fewer upper respiratory tract infections, episodes of pyrexia, emergency visits, hospital admissions, asthma attacks, and hospitalizations due to asthma, in comparison with the preceding year. Sixty-six percent of asthmatic children had improved asthma control while in 33% the improvement exceeded the minimal clinically important difference. Pre-bronchodilatation FEV and peak expiratory flow rate were improved during the pandemic. When compared to non-asthmatic controls, children with asthma were not at increased risk of LRTIs, episodes of pyrexia, emergency visits, or hospitalizations during the pandemic. However, an increased risk of URTIs emerged. Conclusion: Childhood asthma outcomes, including control, were improved during the first wave of the COVID-19 pandemic, probably because of reduced exposure to asthma triggers and increased treatment adherence. The decreased frequency of acute episodes does not support the notion that childhood asthma may be a risk factor for COVID-19. Furthermore, the potential for improving childhood asthma outcomes through environmental control becomes apparent. 1

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  • 1. Version of Record от 2021-01-01

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Об авторах
  • N. Papadopoulos
    Faculty of Biology, Medicine and Health, National and Kapodistrian University of Athens
  • A. Mathioudakis
    Faculty of Biology, Medicine and Health, Wythenshawe Hospital
  • A. Custovic
    Imperial College London
  • A. Deschildre
    Université de Lille
  • W. Phipatanakul
    Children's Hospital Boston
  • G. Wong
    Chinese University of Hong Kong
  • P. Xepapadaki
    National and Kapodistrian University of Athens
  • R. Abou-Taam
    Hôpital Necker Enfants Malades
  • I. Agache
    Universitatea Transilvania din Brasov
  • J. Castro-Rodriguez
    Pontificia Universidad Católica de Chile
  • Z. Chen
    Zhejiang University School of Medicine
  • P. Cros
    Hopital Morvan
  • J. Dubus
    Hopital La Timone
  • Z. El-Sayed
    Ain Shams University
  • R. El-Owaidy
    Ain Shams University
  • W. Feleszko
    Medical University of Warsaw
  • V. Fierro
    IRCCS Ospedale Pediatrico Bambino Gesù
  • A. Fiocchi
    IRCCS Ospedale Pediatrico Bambino Gesù
  • L. Garcia-Marcos
    Universidad de Murcia, IMIB-Arrixaca & Network of Asthma and Adverse and Allergic Reactions (ARADyAL)
  • A. Goh
    Rush Medical College
  • E. Hossny
    Ain Shams University
  • Y. Huerta Villalobos
    Hospital General de Mexico
  • T. Jartti
    Oulu University Hospital
  • P. Le Roux
    Groupe Hospitalier du Havre
  • J. Levina
    Russian Academy of Sciences
  • A. López García
    Allergy and Clinical Immunology Service of the University Hospital of Puebla
  • Á. Ramos
    Hospital Universitari i Politècnic La Fe
  • M. Morais-Almeida
    Hospital CUF Descobertas
  • C. Murray
    Faculty of Biology, Medicine and Health
  • K. Nagaraju
    VN Allergy & Asthma Research Centre
  • M. Nagaraju
    Saveetha Medical College and Hospital
  • E. Navarrete Rodriguez
    Hospital Infantil de Mexico Federico Gomez
  • L. Namazova-Baranova
    Russian Academy of Sciences, Ministry of Health of Russian Federation
  • A. Nieto Garcia
    Hospital Universitari i Politècnic La Fe
  • C. Pozo Beltrán
    Hospital with Specialties Juan María de Salvatierra, Hospital Infantil de Mexico Federico Gomez
  • T. Ratchataswan
    Children's Hospital Boston
  • D. Rivero Yeverino
    Hospital Universitario de Puebla
  • E. Rodríguez Zagal
    Hospital General de Mexico
  • C. Schweitzer
    CHU de Nancy
  • M. Tulkki
    Turun Yliopistollinen Keskussairaala
  • K. Wasilczuk
    Medical University of Warsaw
  • D. Xu
    Zhejiang University School of Medicine
  • A. Alekseeva
  • B. Almeida
  • M. Andre
  • P. Arimova
  • A. Blonde
  • A. Cunningham
  • S. Da Mota
  • K. Efendieva
  • V. Kalugina
  • S. Kiefer
  • A. Klein
  • C. López
  • J. López
  • C. Moratellti
  • M. Fuentes Pérez
  • M. Simermann
  • J. Tapia
  • A. Tatopoulos
  • E. Vishneva
  • Κ. Volkov
  • L. Bacharier
  • M. Bonini
  • T. Craig
  • Z. Diamant
  • F. Ducharme
  • J. Gern
  • J. Grigg
  • E. Hamelmann
  • G. Hedlin
  • T. Jartti
  • O. Kalayci
  • A. Kaplan
  • J. Konradsen
  • P. Kuna
  • S. Lau
  • P. Le Souef
  • R. Lemanske
  • M. Makela
  • P. Matricardi
  • R. Gómez
  • M. Miligkos
  • P. Pitrez
  • D. Price
  • P. Pohunek
  • G. Roberts
  • A. Sheikh
  • I. Tsiligianni
  • S. Turner
  • A. Valiulis
  • T. Winders
  • O. Yusuf
  • H. Zar
Название журнала
  • Allergy: European Journal of Allergy and Clinical Immunology
Финансирующая организация
  • Manchester Biomedical Research Centre
Номер гранта
  • undefined
Тип документа
  • journal article
Тип лицензии Creative Commons
  • CC BY
Правовой статус документа
  • Свободная лицензия
Источник
  • scopus