哮喘联盟

   摘要
   背景：急诊室出勤率数据是英国国家综合监视系统常规评估的一部分内容。本研究旨在阐述使用急诊室就诊率数据监测雷暴雨相关性哮喘对其影响的可行性。
   方法：急诊室综合监测系统 (EDSSS) 通过35个急诊室的哨点网络，常规用于监测每日的匿名就诊率数据。本研究对其中每日的哮喘、喘息和呼吸困难就诊率数据进行了分析。
   结果：监测发现2013年7月23日伦敦两大EDSSS急诊室的哮喘就诊率飙升（具有统计学意义），并与英格兰南部地区一系列的剧烈雷暴雨天气相一致。所报道的这些就诊率的严重级别也有所增加。
   结论：本研究初步阐述了采用EDSSS系统监测雷暴雨对急诊室哮喘就诊率影响的可行性。进一步的研究将聚焦于如何使用该项系统定量对急诊室的影响，进而潜在改善资源规划以及增加雷暴雨相关性哮喘的证据。

 

（林江涛 审校）
Emerg Med J. 2013 Oct 7. doi: 10.1136/emermed-2013-203122. [Epub ahead of print]


 

The impact of thunderstorm-related asthma on emergency department attendances across London during July 2013.
 

Elliot AJ, Hughes HE, Hughes TC, Locker TE, Brown R, Sarran C, Clewlow Y, Murray V, Bone A, Catchpole M, McCloskey B, Smith GE.
 

ABSTRACT
BACKGROUND: This study illustrates the potential of using emergency department attendance data, routinely accessed as part of a national syndromic surveillance system, to monitor the impact of thunderstorm-related asthma.
METHODS: The Emergency Department Syndromic Surveillance System (EDSSS) routinely monitors anonymised attendance data on a daily basis across a sentinel network of 35 emergency departments. Attendance data for asthma, wheeze and difficulty breathing are analysed on a daily basis.
RESULTS: A statistically significant spike in asthma attendances in two EDSSS emergency departments in London was detected on 23 July 2013, coinciding with a series of large violent thunderstorms across southern England. There was also an increase in the reported severity of these attendances.
CONCLUSIONS: This preliminary report illustrates the potential of the EDSSS to monitor the impact of thunderstorms on emergency department asthma attendances. Further work will focus on how this system can be used to quantify the impact on emergency departments, thus potentially improving resource planning and also adding to the thunderstorm asthma evidence-base.
 

Emerg Med J. 2013 Oct 7. doi: 10.1136/emermed-2013-203122. [Epub ahead of print]