Trends in asthma hospitalizations among adults in Spain: Analysis of hospital discharge data from 2011 to 2020

Aims: To analyze trends in asthma hospitalizations in patients over 15 years of age in Spain. To identify possible changes in incidence, demographic characteristics, clinical conditions, and outcomes. Methods: We conducted an observational retrospective epidemiological study using the Spanish Nation...

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Autores: Caballlero Segura, Francisco, López De Andrés, Ana Isabel, Jiménez García, Rodrigo, Miguel Yanes, José María De, Hernández Barrera, Valentín, Carabantes Alarcón, David, Zamorano León, José Javier, Miguel Díez, Javier De
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/72535
Acceso en línea:https://hdl.handle.net/20.500.14352/72535
Access Level:acceso abierto
Palabra clave:Asthma
Incidence
Exacerbations
Hospital admissions
In-hospital mortality
Medicina
Neumología
Salud pública (Medicina)
32 Ciencias Médicas
3205.08 Enfermedades Pulmonares
3212 Salud Pública
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oai_identifier_str oai:docta.ucm.es:20.500.14352/72535
network_acronym_str ES
network_name_str España
repository_id_str
spelling Trends in asthma hospitalizations among adults in Spain: Analysis of hospital discharge data from 2011 to 2020Caballlero Segura, FranciscoLópez De Andrés, Ana IsabelJiménez García, RodrigoMiguel Yanes, José María DeHernández Barrera, ValentínCarabantes Alarcón, DavidZamorano León, José JavierMiguel Díez, Javier DeAsthmaIncidenceExacerbationsHospital admissionsIn-hospital mortalityMedicinaNeumologíaSalud pública (Medicina)32 Ciencias Médicas3205.08 Enfermedades Pulmonares3212 Salud PúblicaAims: To analyze trends in asthma hospitalizations in patients over 15 years of age in Spain. To identify possible changes in incidence, demographic characteristics, clinical conditions, and outcomes. Methods: We conducted an observational retrospective epidemiological study using the Spanish National Hospital Discharge Database and included all patients hospitalized with a diagnosis of asthma from 2011 to 2020. Results: A total of 1,102,923 patients were hospitalized with a code for asthma in any diagnostic position; of these, 153,749 (13.94%) had asthma coded as the primary diagnosis (asthma exacerbation). The number of patients with an asthma exacerbation decreased over time, from 15,356 in 2011 to 8804 in 2020. In-hospital mortality (IHM) remained low (around 1.5%) and stable in this subgroup of patients. When the diagnosis of asthma appeared in any diagnostic position, hospitalizations increased for all ages and sexes. In this case, a significant change was observed for IHM, which increased from 3.27% in 2011–12 to 4.36% in 2019–20 (p < 0.001). The main risk factors for IHM in both cases were age over 65 years, need for mechanical ventilation, and associated diagnoses of pneumonia, heart disease, or atrial fibrillation. In contrast, obesity was a predictor of lower mortality. Conclusion: Our results suggest a decline in the incidence of hospitalizations for asthma exacerbations from 2011 to 2020. In contrast, the number of patients with asthma in any diagnostic position increased progressively, as did mortality, probably owing to an increase in comorbidities in a gradually ageing population.ElsevierUniversidad Complutense de Madrid20222022-10-1220222022-10-12journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/72535reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial-SinDerivadas 3.0 Españahttps://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/725352026-06-02T12:44:21Z
dc.title.none.fl_str_mv Trends in asthma hospitalizations among adults in Spain: Analysis of hospital discharge data from 2011 to 2020
title Trends in asthma hospitalizations among adults in Spain: Analysis of hospital discharge data from 2011 to 2020
spellingShingle Trends in asthma hospitalizations among adults in Spain: Analysis of hospital discharge data from 2011 to 2020
Caballlero Segura, Francisco
Asthma
Incidence
Exacerbations
Hospital admissions
In-hospital mortality
Medicina
Neumología
Salud pública (Medicina)
32 Ciencias Médicas
3205.08 Enfermedades Pulmonares
3212 Salud Pública
title_short Trends in asthma hospitalizations among adults in Spain: Analysis of hospital discharge data from 2011 to 2020
title_full Trends in asthma hospitalizations among adults in Spain: Analysis of hospital discharge data from 2011 to 2020
title_fullStr Trends in asthma hospitalizations among adults in Spain: Analysis of hospital discharge data from 2011 to 2020
title_full_unstemmed Trends in asthma hospitalizations among adults in Spain: Analysis of hospital discharge data from 2011 to 2020
title_sort Trends in asthma hospitalizations among adults in Spain: Analysis of hospital discharge data from 2011 to 2020
dc.creator.none.fl_str_mv Caballlero Segura, Francisco
López De Andrés, Ana Isabel
Jiménez García, Rodrigo
Miguel Yanes, José María De
Hernández Barrera, Valentín
Carabantes Alarcón, David
Zamorano León, José Javier
Miguel Díez, Javier De
author Caballlero Segura, Francisco
author_facet Caballlero Segura, Francisco
López De Andrés, Ana Isabel
Jiménez García, Rodrigo
Miguel Yanes, José María De
Hernández Barrera, Valentín
Carabantes Alarcón, David
Zamorano León, José Javier
Miguel Díez, Javier De
author_role author
author2 López De Andrés, Ana Isabel
Jiménez García, Rodrigo
Miguel Yanes, José María De
Hernández Barrera, Valentín
Carabantes Alarcón, David
Zamorano León, José Javier
Miguel Díez, Javier De
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv Asthma
Incidence
Exacerbations
Hospital admissions
In-hospital mortality
Medicina
Neumología
Salud pública (Medicina)
32 Ciencias Médicas
3205.08 Enfermedades Pulmonares
3212 Salud Pública
topic Asthma
Incidence
Exacerbations
Hospital admissions
In-hospital mortality
Medicina
Neumología
Salud pública (Medicina)
32 Ciencias Médicas
3205.08 Enfermedades Pulmonares
3212 Salud Pública
description Aims: To analyze trends in asthma hospitalizations in patients over 15 years of age in Spain. To identify possible changes in incidence, demographic characteristics, clinical conditions, and outcomes. Methods: We conducted an observational retrospective epidemiological study using the Spanish National Hospital Discharge Database and included all patients hospitalized with a diagnosis of asthma from 2011 to 2020. Results: A total of 1,102,923 patients were hospitalized with a code for asthma in any diagnostic position; of these, 153,749 (13.94%) had asthma coded as the primary diagnosis (asthma exacerbation). The number of patients with an asthma exacerbation decreased over time, from 15,356 in 2011 to 8804 in 2020. In-hospital mortality (IHM) remained low (around 1.5%) and stable in this subgroup of patients. When the diagnosis of asthma appeared in any diagnostic position, hospitalizations increased for all ages and sexes. In this case, a significant change was observed for IHM, which increased from 3.27% in 2011–12 to 4.36% in 2019–20 (p < 0.001). The main risk factors for IHM in both cases were age over 65 years, need for mechanical ventilation, and associated diagnoses of pneumonia, heart disease, or atrial fibrillation. In contrast, obesity was a predictor of lower mortality. Conclusion: Our results suggest a decline in the incidence of hospitalizations for asthma exacerbations from 2011 to 2020. In contrast, the number of patients with asthma in any diagnostic position increased progressively, as did mortality, probably owing to an increase in comorbidities in a gradually ageing population.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-10-12
2022
2022-10-12
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/72535
url https://hdl.handle.net/20.500.14352/72535
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial-SinDerivadas 3.0 España
https://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial-SinDerivadas 3.0 España
https://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.301629

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