Allergy Unit, Hospital Regional Universitario de Malaga, Malaga, Spain.
Allergy Group, Instituto de InvestigacionBiomedica de Malaga (IBIMA) and ARADyAL, Malaga, Spain.
Allergy. 2021 Sep;76(9):2776-2784. doi: 10.1111/all.14831. Epub 2021 Apr 7.
The restrictions imposed by the COVID-19 pandemic impact heavily the management of chronic diseases like asthma. This study aimed to evaluate the management of adults and children with asthma during COVID-19-related lockdown.
A survey was launched by the European Academy of Allergy and Clinical Immunology (EAACI) via e-mail, website, and social media to EAACI members and members of peer societies.
The survey was completed by 339 healthcare professionals from 52 countries. 79% of follow-up consultations were replaced by phone calls, whereas 49% of newly referred patients attended the clinic. 62%, 76%, 66%, 76%, and 87% of responders did not conduct spirometry, impulse oscillometry, bronchodilator test, FeNO, or methacholine provocation, respectively, for asthma diagnosis in adults. The numbers were similar for children. 73% of responders based the initial asthma diagnosis and the prescription of inhaled therapy on clinical parameters only. Lung function tests were used in 29% of cases to monitor asthma worsening, and only 56% of participants were recommended to their patients ambulatory peak expiratory flow (PEF) measurements. Using a 1 (not at all) to 5 (very much) scale, the responders considered that the quality of healthcare provided and the patients' asthma status had deteriorated during the lockdown with 3.2 points and 2.8 points, respectively.
Collectively, these results suggest that all necessary resources should be allocated to ensure the performance of lung function tests for initial diagnosis, whereas digital remote monitoring should be reinforced for the follow-up of children and adults with asthma.
COVID-19 大流行带来的限制严重影响了哮喘等慢性病的管理。本研究旨在评估 COVID-19 相关封锁期间成人和儿童哮喘的管理情况。
欧洲过敏与临床免疫学会（EAACI）通过电子邮件、网站和社交媒体向 EAACI 成员和同行协会成员发起了一项调查。
共有来自 52 个国家的 339 名医疗保健专业人员完成了这项调查。79%的随访咨询由电话取代，而 49%的新转诊患者到诊所就诊。62%、76%、66%、76%和 87%的受访者分别未对成人哮喘诊断进行肺功能检查、脉冲震荡检查、支气管扩张剂测试、FeNO 或乙酰甲胆碱激发检查。儿童的数字相似。73%的受访者仅根据临床参数做出初始哮喘诊断和吸入治疗处方。肺功能检查仅用于 29%的病例来监测哮喘恶化，只有 56%的参与者建议其患者进行便携式呼气峰流速（PEF）测量。受访者使用 1（一点也不）到 5（非常）的评分标准，分别对封锁期间提供的医疗保健质量和患者哮喘状况恶化的程度进行了评估，得分为 3.2 分和 2.8 分。
总的来说，这些结果表明，应分配所有必要资源以确保进行初始诊断的肺功能检查，同时应加强数字远程监测，以跟进儿童和成人哮喘患者。
