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Impact of COVID-19 on people with asthma: a mixed methods analysis from a UK wide survey

INTRODUCTION: The impact of acute COVID-19 on people with asthma appears complex, being moderated by multiple interacting disease-specific, demographic and environmental factors. Research regarding longer-term effects in this group is limited. We aimed to assess impacts of COVID-19 and predictors of...

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Autores principales: Philip, Keir Elmslie James, Buttery, Sara, Williams, Parris, Vijayakumar, Bavithra, Tonkin, James, Cumella, Andrew, Renwick, Lottie, Ogden, Lizzie, Quint, Jennifer K, Johnston, Sebastian L, Polkey, Michael I, Hopkinson, Nicholas S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8762134/
https://www.ncbi.nlm.nih.gov/pubmed/35027428
http://dx.doi.org/10.1136/bmjresp-2021-001056
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author Philip, Keir Elmslie James
Buttery, Sara
Williams, Parris
Vijayakumar, Bavithra
Tonkin, James
Cumella, Andrew
Renwick, Lottie
Ogden, Lizzie
Quint, Jennifer K
Johnston, Sebastian L
Polkey, Michael I
Hopkinson, Nicholas S
author_facet Philip, Keir Elmslie James
Buttery, Sara
Williams, Parris
Vijayakumar, Bavithra
Tonkin, James
Cumella, Andrew
Renwick, Lottie
Ogden, Lizzie
Quint, Jennifer K
Johnston, Sebastian L
Polkey, Michael I
Hopkinson, Nicholas S
author_sort Philip, Keir Elmslie James
collection PubMed
description INTRODUCTION: The impact of acute COVID-19 on people with asthma appears complex, being moderated by multiple interacting disease-specific, demographic and environmental factors. Research regarding longer-term effects in this group is limited. We aimed to assess impacts of COVID-19 and predictors of persistent symptoms, in people with asthma. METHODS: Using data from an online UK-wide survey of 4500 people with asthma (median age 50–59 years, 81% female), conducted in October 2020, we undertook a mixed methods analysis of the characteristics and experience of those reporting having had COVID-19. RESULTS: The COVID-19 group (n=471, 10.5%) reported increased inhaler use and worse asthma management, compared with those not reporting COVID-19, but did not differ by gender, ethnicity or household income. Among the COVID-19 group, 56.1% reported having long COVID, 20.2% were ‘unsure’. Those with long COVID were more likely than those without long COVID to describe: their breathing as worse or much worse after their initial illness (73.7% vs 34.8%, p<0.001), increased inhaler use (67.8% vs 34.8%, p<0.001) and worse or much worse asthma management (59.6% vs 25.6%, p<0.001). Having long COVID was not associated with age, gender, ethnicity, UK nation or household income. Analysis of free text survey responses identified three key themes: (1) variable COVID-19 severity, duration and recovery; (2) symptom overlap and interaction between COVID-19 and asthma; (3) barriers to accessing healthcare. CONCLUSIONS: Persisting symptoms are common in people with asthma following COVID-19. Measures are needed to ensure appropriate healthcare access including clinical evaluation and investigation, to distinguish between COVID-19 symptoms and asthma.
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spelling pubmed-87621342022-01-26 Impact of COVID-19 on people with asthma: a mixed methods analysis from a UK wide survey Philip, Keir Elmslie James Buttery, Sara Williams, Parris Vijayakumar, Bavithra Tonkin, James Cumella, Andrew Renwick, Lottie Ogden, Lizzie Quint, Jennifer K Johnston, Sebastian L Polkey, Michael I Hopkinson, Nicholas S BMJ Open Respir Res Asthma INTRODUCTION: The impact of acute COVID-19 on people with asthma appears complex, being moderated by multiple interacting disease-specific, demographic and environmental factors. Research regarding longer-term effects in this group is limited. We aimed to assess impacts of COVID-19 and predictors of persistent symptoms, in people with asthma. METHODS: Using data from an online UK-wide survey of 4500 people with asthma (median age 50–59 years, 81% female), conducted in October 2020, we undertook a mixed methods analysis of the characteristics and experience of those reporting having had COVID-19. RESULTS: The COVID-19 group (n=471, 10.5%) reported increased inhaler use and worse asthma management, compared with those not reporting COVID-19, but did not differ by gender, ethnicity or household income. Among the COVID-19 group, 56.1% reported having long COVID, 20.2% were ‘unsure’. Those with long COVID were more likely than those without long COVID to describe: their breathing as worse or much worse after their initial illness (73.7% vs 34.8%, p<0.001), increased inhaler use (67.8% vs 34.8%, p<0.001) and worse or much worse asthma management (59.6% vs 25.6%, p<0.001). Having long COVID was not associated with age, gender, ethnicity, UK nation or household income. Analysis of free text survey responses identified three key themes: (1) variable COVID-19 severity, duration and recovery; (2) symptom overlap and interaction between COVID-19 and asthma; (3) barriers to accessing healthcare. CONCLUSIONS: Persisting symptoms are common in people with asthma following COVID-19. Measures are needed to ensure appropriate healthcare access including clinical evaluation and investigation, to distinguish between COVID-19 symptoms and asthma. BMJ Publishing Group 2022-01-13 /pmc/articles/PMC8762134/ /pubmed/35027428 http://dx.doi.org/10.1136/bmjresp-2021-001056 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Asthma
Philip, Keir Elmslie James
Buttery, Sara
Williams, Parris
Vijayakumar, Bavithra
Tonkin, James
Cumella, Andrew
Renwick, Lottie
Ogden, Lizzie
Quint, Jennifer K
Johnston, Sebastian L
Polkey, Michael I
Hopkinson, Nicholas S
Impact of COVID-19 on people with asthma: a mixed methods analysis from a UK wide survey
title Impact of COVID-19 on people with asthma: a mixed methods analysis from a UK wide survey
title_full Impact of COVID-19 on people with asthma: a mixed methods analysis from a UK wide survey
title_fullStr Impact of COVID-19 on people with asthma: a mixed methods analysis from a UK wide survey
title_full_unstemmed Impact of COVID-19 on people with asthma: a mixed methods analysis from a UK wide survey
title_short Impact of COVID-19 on people with asthma: a mixed methods analysis from a UK wide survey
title_sort impact of covid-19 on people with asthma: a mixed methods analysis from a uk wide survey
topic Asthma
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8762134/
https://www.ncbi.nlm.nih.gov/pubmed/35027428
http://dx.doi.org/10.1136/bmjresp-2021-001056
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