Division of Pulmonary, Critical Care, and Sleep Medicine, University of California San Diego, San Diego, California.
Pulmonary Critical Care Section, Veterans Affairs San Diego Healthcare System, San Diego, California.
Am J Respir Crit Care Med. 2020 Sep 15;202(6):795-802. doi: 10.1164/rccm.201912-2332WS.
The NHLBI convened a working group on October 23, 2019, to identify the most relevant and urgent research priorities and prevailing challenges in e-cigarette or vaping product use-associated lung injury (EVALI). Experts across multiple disciplines discussed the complexities of the EVALI outbreak, identified research priorities, and recommended strategies to address most effectively its causal factors and improve diagnosis, treatment, and prevention of this disease. Many research priorities were identified, including the need to create national and international registries of patients with EVALI, to track accurately those affected and assess outcomes. The group concluded that biospecimens from subjects with EVALI are urgently needed to help define EVALI pathogenesis and that vaping has disease risks that are disparate from smoking, with the occurrence of EVALI highlighting the importance of broadening e-cigarette research beyond comparators to smoking-related diseases.
NHLBI 于 2019 年 10 月 23 日召集了一个工作组,以确定电子烟或蒸气产品使用相关肺损伤 (EVALI) 方面最相关和最紧迫的研究重点和普遍存在的挑战。来自多个学科的专家讨论了 EVALI 爆发的复杂性,确定了研究重点,并提出了应对其因果因素的策略,以有效改善这种疾病的诊断、治疗和预防。确定了许多研究重点,包括需要建立 EVALI 患者的国家和国际登记处,以准确跟踪受影响者并评估结果。该小组得出结论,迫切需要 EVALI 患者的生物标本,以帮助确定 EVALI 的发病机制,并且吸食电子烟具有与吸烟不同的疾病风险,EVALI 的发生凸显了将电子烟研究从与吸烟相关的疾病扩展到比较器之外的重要性。