Letter to the Editor regarding recent American Journal of Emergency Medicine article in press: “ Point of care lung ultrasound of children with acute asthma exacerbations in the pediatric emergency department ” by Dankoff et al.

2017 ◽  
Vol 35 (10) ◽  
pp. 1575-1576
Author(s):  
Mckenna Longacre ◽  
Sigmund Kharasch ◽  
Andrew Liteplo
Author(s):  
N. San Sebastian Ruiz ◽  
I. Rodríguez Albarrán ◽  
I. Gorostiza ◽  
I. Galletebeitia Laka ◽  
C. Delgado Lejonagoitia ◽  
...  

Author(s):  
Arianna Dondi ◽  
Ludovica Betti ◽  
Claudio Carbone ◽  
Ada Dormi ◽  
Marco Paglione ◽  
...  

Background: Asthma exacerbations, a common reason for Pediatric Emergency Department (PED) referral, can be triggered by multiple factors, including infections, air pollution and allergens. Lockdown measures and other public health interventions during the SARS-CoV-2 pandemic determined radical changes to behavioral and social habits, that were reflected by a reduction in the transmission of all respiratory pathogens and in the emissions of relevant air pollution anthropogenic sources. Objective: This study aims to describe how restrictions during SARS-CoV-2 pandemic impacted the PED referral for asthma exacerbations and their potentially associated environmental triggers in densely populated urban areas. Methods: PED referrals for acute asthma from 2015 to 2020 were compared to air pollution and pollen data. To this purpose, historical daily concentration records of PM2.5, PM10 (including specific chemical tracers), as well as NO2, C6H6, tree, grass and weed pollen were analyzed. Results: In 2020, asthma-related PED referrals decreased up to 85%, compared to the average referral rate of the previous 5 years (P<0.01). The drastic drop in PED referrals was associated with a reduction of high-priority cases by 50-60%, unlike PED referrals for overall diagnoses, showing a larger contribution for severe outcomes. A concomitant diminished contribution of traffic-related air pollution was shown. Conclusions: The lower rate of asthma exacerbations in childhood can be related to synergic interactions of the multiple effects of lockdown measures which induced lower viral infection rates and decreased exposure to outdoor allergens. The reduction of traffic-related air pollution determined a weakening of inflammatory properties of urban PM.


2020 ◽  
Vol 17 (12) ◽  
pp. 1555-1562
Author(s):  
Summer L. Kaplan ◽  
Aaron E. Chen ◽  
Rachel G. Rempell ◽  
Nafis Brown ◽  
Maria C. Velez-Florez ◽  
...  

2017 ◽  
Vol 35 (4) ◽  
pp. 615-622 ◽  
Author(s):  
Samantha Dankoff ◽  
Patricia Li ◽  
Adam J. Shapiro ◽  
Terry Varshney ◽  
Alexander S. Dubrovsky

2019 ◽  
Vol 178 (5) ◽  
pp. 623-632 ◽  
Author(s):  
Maria Chiara Supino ◽  
Danilo Buonsenso ◽  
Simona Scateni ◽  
Barbara Scialanga ◽  
Maria Alessia Mesturino ◽  
...  

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