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Derivation of a prototype asthma attack risk scale centred on blood eosinophils and exhaled nitric oxide

Reduction of the risk of asthma attacks is a major goal of current asthma management. We propose to derive a risk scale predicting asthma attacks based on the blood eosinophil count and exhaled nitric oxide (FeNO). Biomarker-stratified trial-level attack rates were extracted and pooled from the cont...

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Detalles Bibliográficos
Autores principales: Couillard, Simon, Laugerud, Annette, Jabeen, Maisha, Ramakrishnan, Sanjay, Melhorn, James, Hinks, Timothy, Pavord, Ian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8762000/
https://www.ncbi.nlm.nih.gov/pubmed/34362839
http://dx.doi.org/10.1136/thoraxjnl-2021-217325
Descripción
Sumario:Reduction of the risk of asthma attacks is a major goal of current asthma management. We propose to derive a risk scale predicting asthma attacks based on the blood eosinophil count and exhaled nitric oxide (FeNO). Biomarker-stratified trial-level attack rates were extracted and pooled from the control arms of the Novel START, CAPTAIN, QUEST, Benralizumab Phase 2b, PATHWAY, STRATOS 1–2 and DREAM trials (n=3051). These were used to derive rate ratios and the predicted asthma attack rate for different patient groups. The resultant prototype risk scale shows potential to predict asthma attacks, which may be prevented by anti-inflammatory treatment.