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Very severe acute asthma (termed "near-fatal" as there is an immediate risk to life) is characterised by a peak flow of less than 33% predicted, oxygen saturations below 92% or cyanosis (blue discoloration, usually of the lips), absence of audible breath sounds over the chest ("silent chest" : wheezing is not heard because there is not enough ...
Asthma phenotyping and endotyping has emerged as a novel approach to asthma classification inspired by precision medicine which separates the clinical presentations of asthma, or asthma phenotypes, from their underlying causes, or asthma endotypes. The best-supported endotypic distinction is the type 2-high/type 2-low distinction.
In 2000-2001 asthma prevalence was monitored at 6.5%; by 2010-2011 a 4.3% increase was shown, with asthma prevalence totaling 10.8% of Canada's population. [29] Furthermore, asthma prevalence varies among the provinces of Canada; the highest prevalence is Ontario at 12.1%, and the lowest is Nunavut at 3.8%. [29]
One strategy for prevention of aspiration in hospitalized patients with neurological disorders that impact swallowing is to place patients on a thickened fluids diet after swallowing assessment by a speech-language pathologist. However, the impact of diet-alteration is debated and may have an impact on patient quality of life. [19]
AERD affects an estimated 0.3–0.9% of the general population in the US, including around 7% of all asthmatics, about 14% of adults with severe asthma, and ~5-10% of patients with adult onset asthma. [2] [3] [8] AERD is uncommon among children, with around 6% of patients, predominantly female, reporting disease onset during childhood. [9]
GERD may be common in difficult-to-control asthma, but according to one study, treating it does not seem to affect the asthma. [33] When there is a clinical suspicion for GERD as the cause of the asthma, an Esophageal pH Monitoring is required to confirm the diagnosis and establish the relationship between GERD and asthma.
Pulmonology (/ ˌ p ʌ l m ə ˈ n ɒ l ə dʒ i /, / ˌ p ʊ l m ə ˈ n ɒ l ə dʒ i /, from Latin pulmō, -ōnis "lung" and the Greek suffix -λογία-logía "study of"), pneumology (/ n ʊ ˈ m ɒ l ə dʒ i, n j ʊ-/, built on Greek πνεύμων pneúmōn "lung") or pneumonology [1] (/ n ʊ m ə n ˈ ɒ l ə dʒ i, n j ʊ-/) is a medical specialty that deals with diseases involving ...
When a person is diagnosed with occupational asthma, it can result in serious socio-economic consequences not only for the workers but also for the employer and the healthcare system because the worker must change positions. [22] The probability of being re-employed is lower for those with occupational asthma compared to those with normal asthma.