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High prevalence of mild asthma among asthmatics visiting emergency department (ED)

Zafeiria Barmparessou, Aliki Korkontzelou, Marios Ioannou, Nikolaos Vichos, Margarita Gkotsina, Katerina Mprinia, Vasiliki Saltagianni, Timoleon Giannakas, Vassilis Giannakoulis, Nikolaos Athanasiou, Archontoula Antonoglou, Sophia Gida, Sotiris Kakavas, Georgios Boulbasakos, Sofia Pappa, Efthimios Zervas, Paraskevi Katsaounou
European Respiratory Journal 2021 58: PA3713; DOI: 10.1183/13993003.congress-2021.PA3713
Zafeiria Barmparessou
1First ICU, National and Kapodistrian University of Athens, Evaggelismos Hospital, Athens, Greece
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  • For correspondence: zafeiria.barmparessou@gmail.com
Aliki Korkontzelou
1First ICU, National and Kapodistrian University of Athens, Evaggelismos Hospital, Athens, Greece
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Marios Ioannou
1First ICU, National and Kapodistrian University of Athens, Evaggelismos Hospital, Athens, Greece
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Nikolaos Vichos
1First ICU, National and Kapodistrian University of Athens, Evaggelismos Hospital, Athens, Greece
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Margarita Gkotsina
1First ICU, National and Kapodistrian University of Athens, Evaggelismos Hospital, Athens, Greece
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Katerina Mprinia
1First ICU, National and Kapodistrian University of Athens, Evaggelismos Hospital, Athens, Greece
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Vasiliki Saltagianni
1First ICU, National and Kapodistrian University of Athens, Evaggelismos Hospital, Athens, Greece
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Timoleon Giannakas
2Medical School, National and Kapodistrian University of Athens, Evaggelismos Hospital, Athens, Greece
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Vassilis Giannakoulis
2Medical School, National and Kapodistrian University of Athens, Evaggelismos Hospital, Athens, Greece
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Nikolaos Athanasiou
31st Pulmonary Department, Evangelismos General Hospital of Athens, Athens, Greece
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Archontoula Antonoglou
31st Pulmonary Department, Evangelismos General Hospital of Athens, Athens, Greece
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Sophia Gida
4Pulmunology Department, Trikala, Greece
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Sotiris Kakavas
31st Pulmonary Department, Evangelismos General Hospital of Athens, Athens, Greece
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Georgios Boulbasakos
31st Pulmonary Department, Evangelismos General Hospital of Athens, Athens, Greece
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Sofia Pappa
5West London NHS Trust; Imperial College National Institute for Health Research, London, United Kingdom
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Efthimios Zervas
6School of Science and Technology Hellenic Open University, Patra, Greece
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Paraskevi Katsaounou
1First ICU, National and Kapodistrian University of Athens, Evaggelismos Hospital, Athens, Greece
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Abstract

Asthma exacerbations are a common cause of ED visits and can be life-threatening for patients with asthma. Identification of these patients characteristics could help improve their management and reduce exacerbations rate.

We called for a 3-month follow-up visit patients that visited ED and were initially diagnosed with asthma exacerbation. Patients with a definite diagnosis of asthma were finally assessed in terms of the following parameters (Table 1a).

100 patients were enrolled, with 34% being newly diagnosed with asthma. The majority of them had mild asthma, outreaching 72.6% in GINA stages I and II. 13.7% were classified in stage III and 13.7% in stages IV/V. Prior to ED visit treatment included ICS/LABA(32.3%), SABA as needed(24.2%), ICS/LABA plus LAMA(19.4%), ICS/LABA as needed(9.7%) and 8.1% did not receive any treatment. 62.3% were adherent at prescribed treatment. Active smoking was self-reported by 40.4% and passive smoking outreached 31% in non-smokers. Following HAD’s score evaluation 31.2% showed anxiety and 12.5% showed depression (cutoffs>11). See all characteristics on Table 1b.

Conclusively, 1/3 of patients visiting ED with asthma exacerbation, were newly diagnosed with asthma. Most of patients were classified in stages I and II and a significant proportion used SABA monotherapy prior to visit. Smoking, poor adherence, psychopathology and commorbidities were highly prevalent characteristics among participants.

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  • Asthma
  • Asthma - management
  • Exacerbation

Footnotes

Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3713.

This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2021
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High prevalence of mild asthma among asthmatics visiting emergency department (ED)
Zafeiria Barmparessou, Aliki Korkontzelou, Marios Ioannou, Nikolaos Vichos, Margarita Gkotsina, Katerina Mprinia, Vasiliki Saltagianni, Timoleon Giannakas, Vassilis Giannakoulis, Nikolaos Athanasiou, Archontoula Antonoglou, Sophia Gida, Sotiris Kakavas, Georgios Boulbasakos, Sofia Pappa, Efthimios Zervas, Paraskevi Katsaounou
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3713; DOI: 10.1183/13993003.congress-2021.PA3713

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High prevalence of mild asthma among asthmatics visiting emergency department (ED)
Zafeiria Barmparessou, Aliki Korkontzelou, Marios Ioannou, Nikolaos Vichos, Margarita Gkotsina, Katerina Mprinia, Vasiliki Saltagianni, Timoleon Giannakas, Vassilis Giannakoulis, Nikolaos Athanasiou, Archontoula Antonoglou, Sophia Gida, Sotiris Kakavas, Georgios Boulbasakos, Sofia Pappa, Efthimios Zervas, Paraskevi Katsaounou
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3713; DOI: 10.1183/13993003.congress-2021.PA3713
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