asthma

Predicting paediatric asthma exacerbations with machine learning: a systematic review with meta-analysis

Background

Asthma exacerbations in children pose a significant burden on healthcare systems and families. While traditional risk assessment tools exist, artificial intelligence (AI) offers the potential for enhanced prediction models.

Objective

This study aims to systematically evaluate and quantify the performance of machine learning (ML) algorithms in predicting the risk of hospitalisation and emergency department (ED) admission for acute asthma exacerbations in children.

Methods

We performed a systematic review with meta-analysis, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The risk of bias and applicability for eligible studies was assessed according to the prediction model study risk of bias assessment tool (PROBAST). The protocol of our systematic review was registered in the International Prospective Register of Systematic Reviews.

Results

Our meta-analysis included seven articles encompassing a total of 17 ML-based prediction models. We found a pooled area under the curve (AUC) of 0.67 (95% CI 0.61–0.73; I2=99%; p<0.0001 for heterogeneity) for models predicting ED admission, indicating moderate accuracy. Notably, models predicting child hospitalisation demonstrated a higher pooled AUC of 0.79 (95% CI 0.76–0.82; I2=95%; p<0.0001 for heterogeneity), suggesting good discriminatory power.

Conclusion

This study provides the most comprehensive assessment of AI-based algorithms in predicting paediatric asthma exacerbations to date. While these models show promise and ML-based hospitalisation prediction models, in particular, demonstrate good accuracy, further external validation is needed before these models can be reliably implemented in real-life clinical practice.




asthma

Ease Your Way into Sports when You Have Asthma

Tips for taking part in sports and exercising when you have asthma.




asthma

‘The mould makes my asthma worse,’ says tenant

Tenants say they have experienced mould, mushrooms growing through carpets and water leaks.




asthma

Feature analytics of asthma severity levels for bioinformatics improvement using Gini importance

In the context of asthma severity prediction, this study delves into the feature importance of various symptoms and demographic attributes. Leveraging a comprehensive dataset encompassing symptom occurrences across varying severity levels, this investigation employs visualisation techniques, such as stacked bar plots, to illustrate the distribution of symptomatology within different severity categories. Additionally, correlation coefficient analysis is applied to quantify the relationships between individual attributes and severity levels. Moreover, the study harnesses the power of random forest and the Gini importance methodology, essential tools in feature importance analytics, to discern the most influential predictors in asthma severity prediction. The experimental results bring to light compelling associations between certain symptoms, notably 'runny-nose' and 'nasal-congestion', and specific severity levels, elucidating their potential significance as pivotal predictive indicators. Conversely, demographic factors, encompassing age groups and gender, exhibit comparatively weaker correlations with symptomatology. These findings underscore the pivotal role of individual symptoms in characterising asthma severity, reinforcing the potential for feature importance analysis to enhance predictive models in the realm of asthma management and bioinformatics.




asthma

Applications of Geographical Information Systems in Understanding Spatial Distribution of Asthma




asthma

Report examines work-related asthma in California

Sacramento, CA – Almost 1 million people in California have work-related asthma, according to a new surveillance report from the California Department of Public Health.




asthma

CDC: Millions of U.S. workers may have occupational asthma

Atlanta – As many as 2.7 million U.S. workers may have asthma caused or aggravated by workplace conditions, according to a report from the Centers for Disease Control and Prevention.




asthma

Exploring occupational asthma

A recent report from the Centers for Disease Control and Prevention concluded that as many as 2.7 million U.S. workers may have asthma caused or aggravated by workplace conditions. And federal statistics show that about 11 million workers are exposed to at least one of several agents associated with occupational asthma.




asthma

Nearly half of workers with work-related asthma don’t receive pneumonia shot, study shows

Washington – Adults with occupational asthma face a higher risk of developing pneumococcal disease, but only 54 percent of them are vaccinated to help ward off an infection, according to a new study from NIOSH.




asthma

Up to 21 percent of asthma-related deaths may be from on-the-job exposures: CDC report

Atlanta — Occupational exposures may have contributed to 11 percent to 21 percent of all asthma-related deaths among 15- to 64-year-olds between 1999 and 2016, according to a recently released report from the Centers for Disease Control and Prevention.




asthma

Nearly 2 million health care workers have asthma, NIOSH study shows

Washington — The health care and social assistance industry has the highest percentage of workers with asthma among major industry groups, according to a recent study from NIOSH’s Respiratory Health Division.




asthma

Campaign aims to raise awareness of work-related asthma in Michigan

East Lansing, MI — Estimating that up to half of the 600,000 or so adult cases of asthma in Michigan may be caused or aggravated by on-the-job exposure, the Michigan State University College of Human Medicine has launched a campaign intended to raise awareness of work-related asthma.




asthma

‘Guilt, shame and embarrassment’: Asthma affects workers’ emotional well-being

Macclesfield, England — Employees with asthma miss an average of almost 10% of their work hours, and most are restricted from performing their duties because of their symptoms, both of which negatively affect their emotional well-being, according to the findings of a recent study.




asthma

Study links night shift work to increased risk of asthma

Manchester, England — Shift workers, particularly those working permanent night shifts, may be at elevated risk for moderate to severe asthma, according to a study led by British researchers.




asthma

Cleaning workers face heightened risk of asthma, COPD: study

London — Workers who use cleaning and disinfecting products may be more likely to develop asthma and chronic obstructive pulmonary disease – 50% and 43%, respectively – than those who don’t, results of a recent study led by British and Italian researchers show.




asthma

Deepwater Horizon cleanup workers at increased risk of asthma: study

Washington — Workers involved in cleanup after the 2010 Deepwater Horizon oil rig disaster were significantly more likely to have been diagnosed with asthma or experienced asthma symptoms within three years of the incident, according to a new study from the National Institute of Environmental Health Sciences.




asthma

Marijuana and work-related asthma: New hazard alert

Tumwater, WA — Exposure to cannabis dust, fume or smoke can lead to the development of work-related asthma, warns a new hazard alert from the Washington State Department of Labor & Industries.




asthma

Cannabis industry needs multifaceted approach to asthma prevention: CDC

Atlanta — Exposure control, safety training and medical monitoring are all needed to prevent occupational asthma among cannabis workers, a new study concludes.




asthma

Researchers identify on-the-job asthma triggers in office workers

Barcelona, Spain — Exposure to printer toner, cleaning products and mold circulated in air conditioning systems – along with poor ventilation – can trigger asthma in office workers, results of a recent study out of England suggest.




asthma

Is the surface of your smartphone hosting allergens and asthma triggers?

If you have allergies or asthma, clean your smartphone more often to minimize reaction triggers that may be lurking on the surface, researchers recommend in a recent study.




asthma

Understanding occupational asthma

Occupational asthma is a respiratory disease in which on-the-job exposure to certain substances causes the airways of a person’s lungs to swell and narrow.




asthma

Know the facts: Occupational asthma

Occupational asthma can develop when a worker breathes in gases, chemical fumes, dust or other work-related substances. According to Mayo Clinic, it also can result from exposure to a substance a worker is sensitive to, triggering an allergic or immunological response.




asthma

Work-related asthma: What you need to know

More than 300. That’s how many known triggers can be found in the workplace that cause or worsen asthma, according to NIOSH. 




asthma

Weiss Medical Rebrands to Impact Medical - Allergy, Asthma & Immunology

New Brand Reflects Growth and Dedication to Making a Lasting Impact




asthma

Is your asthma inhaler bad for the environment?

A team of physician-scientists calculated how much greenhouse gas is being emitted by inhalers prescribed for asthma and chronic obstructive pulmonary disease.

The post Is your asthma inhaler bad for the environment? appeared first on Scope.




asthma

Addressing Climate Catastrophe Concerns in Asthma Medication Delivery: Rethinking Inhaler Use for Environmental and Clinical Efficacy




asthma

Asthma Drug Still Being Prescribed to Kids Despite Potential Mental Health Risks

The allergy and asthma drug montelukast, also known as Singulair, can cause psychiatric side effects—and researchers aren’t sure why




asthma

What Is the Treatment for Asthmatic Bronchitis?

Title: What Is the Treatment for Asthmatic Bronchitis?
Category: Diseases and Conditions
Created: 12/21/2020 12:00:00 AM
Last Editorial Review: 5/18/2022 12:00:00 AM




asthma

Asthma, Allergies Raise Heart Risks, Too

Title: Asthma, Allergies Raise Heart Risks, Too
Category: Health News
Created: 5/18/2022 12:00:00 AM
Last Editorial Review: 5/18/2022 12:00:00 AM




asthma

C-Section Antibiotics Show No Link to Asthma in Childhood

Title: C-Section Antibiotics Show No Link to Asthma in Childhood
Category: Health News
Created: 5/20/2022 12:00:00 AM
Last Editorial Review: 5/20/2022 12:00:00 AM




asthma

Two-Drug Inhaler Could Reduce Asthma Attacks

Title: Two-Drug Inhaler Could Reduce Asthma Attacks
Category: Health News
Created: 5/19/2022 12:00:00 AM
Last Editorial Review: 5/20/2022 12:00:00 AM




asthma

Why Treatment Helps Some Asthma Patients More Than Others

Title: Why Treatment Helps Some Asthma Patients More Than Others
Category: Health News
Created: 6/1/2022 12:00:00 AM
Last Editorial Review: 6/1/2022 12:00:00 AM




asthma

Breastfeeding May Lower a Child's Odds for Asthma

Title: Breastfeeding May Lower a Child's Odds for Asthma
Category: Health News
Created: 6/1/2022 12:00:00 AM
Last Editorial Review: 6/2/2022 12:00:00 AM




asthma

How Does Asthma Start?

Title: How Does Asthma Start?
Category: Diseases and Conditions
Created: 6/3/2022 12:00:00 AM
Last Editorial Review: 6/3/2022 12:00:00 AM




asthma

Neighborhood Factors Could Raise Your Child's Odds for Asthma

Title: Neighborhood Factors Could Raise Your Child's Odds for Asthma
Category: Health News
Created: 7/25/2022 12:00:00 AM
Last Editorial Review: 7/25/2022 12:00:00 AM




asthma

Lung Association Urges Back-to-School Asthma Checklist

Title: Lung Association Urges Back-to-School Asthma Checklist
Category: Health News
Created: 8/24/2008 2:00:00 AM
Last Editorial Review: 8/25/2008 12:00:00 AM




asthma

Stopping Controversial Asthma Drugs Could Have Downside: Study

Title: Stopping Controversial Asthma Drugs Could Have Downside: Study
Category: Health News
Created: 8/27/2012 6:05:00 PM
Last Editorial Review: 8/28/2012 12:00:00 AM




asthma

Hurricane Isaac Could Stir Up Allergies, Asthma

Title: Hurricane Isaac Could Stir Up Allergies, Asthma
Category: Health News
Created: 8/29/2012 2:05:00 PM
Last Editorial Review: 8/30/2012 12:00:00 AM




asthma

Adult-Onset Asthma Might Raise Heart Risks

Title: Adult-Onset Asthma Might Raise Heart Risks
Category: Health News
Created: 8/24/2016 12:00:00 AM
Last Editorial Review: 8/25/2016 12:00:00 AM




asthma

Early Virus Raises Asthma Risk in Certain Kids: Study

Title: Early Virus Raises Asthma Risk in Certain Kids: Study
Category: Health News
Created: 8/26/2016 12:00:00 AM
Last Editorial Review: 8/26/2016 12:00:00 AM




asthma

Health Tip: Back to School for Kids with Asthma

Title: Health Tip: Back to School for Kids with Asthma
Category: Health News
Created: 8/29/2017 12:00:00 AM
Last Editorial Review: 8/29/2017 12:00:00 AM




asthma

Play It Safe With Allergies, Asthma During Pandemic School Year

Title: Play It Safe With Allergies, Asthma During Pandemic School Year
Category: Health News
Created: 8/21/2020 12:00:00 AM
Last Editorial Review: 8/24/2020 12:00:00 AM




asthma

Don't Count on Vitamin D to Ease Childhood Asthma

Title: Don't Count on Vitamin D to Ease Childhood Asthma
Category: Health News
Created: 8/25/2020 12:00:00 AM
Last Editorial Review: 8/26/2020 12:00:00 AM




asthma

One Pandemic Silver Lining: Fewer Severe Asthma Attacks in Kids

Title: One Pandemic Silver Lining: Fewer Severe Asthma Attacks in Kids
Category: Health News
Created: 8/27/2020 12:00:00 AM
Last Editorial Review: 8/28/2020 12:00:00 AM




asthma

Deepwater Horizon Oil Spill Cleanup Put Workers at Risk for Asthma

Title: Deepwater Horizon Oil Spill Cleanup Put Workers at Risk for Asthma
Category: Health News
Created: 8/22/2022 12:00:00 AM
Last Editorial Review: 8/22/2022 12:00:00 AM




asthma

Stay Independent of Asthma, Allergies This July 4th

Title: Stay Independent of Asthma, Allergies This July 4th
Category: Health News
Created: 7/1/2022 12:00:00 AM
Last Editorial Review: 7/1/2022 12:00:00 AM




asthma

Epidemiology of severe asthma in children: a systematic review and meta-analysis

Background

Severe asthma significantly impacts a minority of children with asthma, leading to frequent symptoms, hospitalisations and potential long-term health consequences. However, accurate global data on severe asthma epidemiology is lacking. This study aims to address this gap, providing data on severe asthma epidemiology, regional differences and associated comorbidities.

Methods

We conducted a rigorous systematic review and meta-analysis following a registered protocol (PROSPERO CRD42023472845). We searched PubMed, Scopus and Web of Science for cohort or cross-sectional studies published since 2003, evaluating severe asthma incidence and prevalence in children. Study quality and risk of bias were assessed using STROBE guidelines.

Results

Nine studies investigating European children with asthma (aged 5–18 years) were included in the meta-analysis. No significant publication bias was found. The overall severe asthma prevalence in children with asthma was 3% (95% CI 1–6; I2=99.9%; p<0.001), with no significant difference between males and females. Prevalence estimates varied significantly depending on the diagnostic criteria used (Global Initiative for Asthma: 6%; European Respiratory Society/American Thoracic Society: 1%; other: 3%). Because none of the examined studies were prospectively designed, incidence rates could not be determined.

Conclusions

This systematic review and meta-analysis provide the first robust assessment of severe asthma prevalence among European children. Our findings underscore the need for comprehensive research to address knowledge gaps in severe asthma, including determining incidence rates, standardising definitions, investigating regional differences and evaluating comorbidities and treatment strategies.




asthma

Be SMART About Asthma Management: Single Maintenance and Reliever Therapy

Single maintenance and reliever therapy (SMART) is an asthma treatment approach that utilizes combined inhaled corticosteroids and long-acting β-agonists for maintenance and quick relief therapy. Despite the evidence for its benefits in asthma treatment and its adoption into American and international asthma guidelines and recommendations, SMART remains a practice of some debate. This article reviews the available evidence for SMART and offers guidance for its integration into comprehensive asthma management. Overall, short-acting β-agonist-only asthma therapy regimens should be avoided, regardless of condition severity (SOR A Recommendation). Family medicine clinicians should start SMART for patients requiring either GINA Step 3 or 4 therapy, especially if they have signs of poor adherence (SOR B Recommendation). Finally, use budesonide-formoterol over other inhaled corticosteroid/long-acting β-agonist combinations when implementing SMART (SOR B Recommendation).




asthma

Type 2 inflammation in COPD: is it just asthma?

COPD is a heterogeneous condition, with tobacco smoking being the main environmental risk factor. The presence of type 2 (T2) inflammation is a well-recognised feature of asthma; however, it is now apparent that a subset of COPD patients also displays evidence of T2 inflammation with respect to elevated eosinophil counts and altered gene and protein expression of several T2 inflammatory mediators. T2 inflammatory mediators represent an attractive therapeutic target in both COPD and asthma; however, the efficacy of pharmaceutical interventions varies between diseases. Furthermore, the nature of some shared clinical features also differs. We provide a narrative review of differences in the nature of T2 inflammation between COPD and asthma, which may partly explain phenotypic differences between diseases. We focus on evidence from studies of pulmonary histopathology, sputum and epithelial gene and protein expression, and response to pharmacological interventions targeted at T2 inflammation.




asthma

Chiesi launches postal asthma inhaler recycling scheme

The UK’s first postal inhaler recycling scheme has been launched by pharmaceutical company Chiesi to support a more sustainable way of living for people with respiratory illnesses.