Thunderstorm Asthma

It was only after it settled down that we realised what we had achieved. In a 24 hour period our emergency department would typically see around 200 patients. During “Thunderstorm Asthma,” over a 12-hour period between 7pm and 7 am we treated 296 patients; 208 of them had respiratory symptoms. Of these patients 170 went home, 36 were admitted including four that went to the intensive care unit. The peak occurred at 9pm, when 43 patients arrived in an hour.  It wasn’t until 2am before our numbers dropped below 20 an hour.

Source: Thunderstorm asthma: ‘It was like a war zone,’ emergency doctor says

Here`s why.

Source: Thunderstorm asthma – Australasian Society of Clinical Immunology and Allergy (ASCIA)

Treating Asthma in Older Women | Physician’s Weekly

Among older individuals, women are significantly more likely than men to report having asthma and also have a  30% higher asthma-related mortality rate. In addition, women are nearly twice as likely to visit the emergency department for asthma when compared with men. Older women have been shown to have the highest hospitalization rates among all people with asthma (Figure). “However, little is known regarding why older women are more likely to suffer from the adverse events of asthma,” says Alan P. Baptist, MD, MPH. To better understand the specific issues that are unique to older women with asthma, Dr. Baptist and colleagues conducted a literature review and published their findings in Annals of Allergy, Asthma, & Immunology.

via Treating Asthma in Older Women | Physician’s Weekly.

Asthma Cases Reach New High

Asthma prevalence reached its highest level ever in 2010 — 8.4% of the population, up from 7.3% in 2001, according to the CDC.

That translates into 18.7 million adults and 7 million children who had been diagnosed with asthma and still had the condition in 2010, the agency said in a report called Asthma’s Impact on the Nation.

On the other hand, the agency reported, deaths from the disease have been declining from 2001 through 2009, as have visits for asthma to physician offices and hospital outpatient departments.

via Medical News: Asthma Cases Reach New High – in Allergy & Immunology, Asthma from MedPage Today.

You Want Some Asthma With That Burger?

Medical News: What Kids Eat Is Tied to Asthma Risk – in Allergy & Immunology, Asthma from MedPage Today

Eating a Mediterranean diet — one high in fruits, fish, and vegetables and low in saturated fat — is associated with a reduced likelihood of asthma in children, a large observational study reaffirmed.

Overall, choosing foods increasingly similar to a Mediterranean diet was associated with a lower prevalence of both wheeze and asthma (P=0.03 for both trends), Gabriele Nagel, MD, MPH, of Ulm University in Germany, and colleagues reported in the June issue of Thorax.

In contrast, children who ate burgers at least three times a week had increased odds of having asthma (OR 1.42, 95% CI 1.08 to 1.87).

The medpage Today article goes on to include the following action point for physicians:

Note that these findings, which are consistent with previous studies, do not establish a causal relationship between food choices and the odds of having asthma.

Most of the MSM is focusing on the burger angle.  Be careful what you read.