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Characteristics and outcomes of asthmatic outpatients with COVID-19 who receive home telesurveillance

Antoine Beurnier, Youri Yordanov, Agnès Dechartres, Aurélien Dinh, Erwan Debuc, François-Xavier Lescure, Patrick Jourdain, Luc Jaulmes, Marc Humbert
ERJ Open Research 2022 8: 00012-2022; DOI: 10.1183/23120541.00012-2022
Antoine Beurnier
1Université Paris-Saclay, Faculty of Medicine, INSERM UMR_S 999, Service de physiologie et d'explorations fonctionnelles respiratoires, CRISALIS/F-CRIN Network, Hôpital Bicêtre, Le Kremlin-Bicêtre, France
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Youri Yordanov
2Sorbonne Université, Assistance Publique-Hopitaux de Paris (AP-HP), Hôpital Saint Antoine, Service d'Accueil des Urgences, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, UMR-S 1136, Paris, France
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Agnès Dechartres
3Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, UMR-S 1136, AP-HP.Sorbonne Université, Hopital Pitié Salpêtrière, Département de Santé Publique, Centre de Pharmaco-épidémiologie de l'AP-HP (Cephepi), Paris, France
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Aurélien Dinh
4Infectious Disease Department, R. Poincaré University Hospital, Garches, AP-HP, Paris Saclay University, Paris, France
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Erwan Debuc
5AP-HP, Paris, France
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François-Xavier Lescure
6Department of Infectious and Tropical Diseases, AP-HP, Bichat-Claude Bernard University Hospital, Paris, France
7Infections Antimicrobials Modelling Evolution (IAME), UMR 1137, University of Paris, Paris, France
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Patrick Jourdain
8DMU COREVE, GHU Paris Saclay, AP-HP, Paris, France
9INSERM UMR S 999, IHU TORINO (Thorax Innovation), Turin, Italy
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Luc Jaulmes
10AP-HP.Sorbonne Université, Hopital Pitié Salpêtrière, Département de Santé Publique, Centre de Pharmaco-épidémiologie de l'AP-HP (Cephepi), Paris, France
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Marc Humbert
11Université Paris-Saclay, Faculty of Medicine, INSERM UMR_S 999, AP-HP, Service de pneumologie et soins intensifs respiratoires, CRISALIS/F-CRIN network, Hôpital Bicêtre, Le Kremlin-Bicêtre, France
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  • For correspondence: marc.humbert@aphp.fr
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    FIGURE 1

    Selection of patients from the Covidom database.

Tables

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  • TABLE 1

    Clinical characteristics of patients with or without asthma (n=33 815)

    Patient characteristicsAsthmatic patientsNon-asthmatic patientsp-value
    Subjects n427629 539
    Age years, mean±sd42.2±13.743.8±14.2<0.001
    Age 46 to ≤65 years1394 (32.6)10 729 (36.3)
    BMI kg m−2, median (IQR), n=33 34725.3 (22.3–29.4)24.8 (22.0–28.3)<0.001
    Female sex, n=33 7742989 (70.0)18 312 (62.1)<0.001
    Comorbid conditions
     Overweight (BMI 25–30 kg m−2), n=33 3471210 (28.6)8704 (29.9)<0.001
     Obesity (BMI >30 kg m−2), n=33 347979 (23.1)5124 (17.6)
     Hypertension541 (12.7)3591 (12.2)0.369
     Diabetes193 (4.5)1494 (5.1)0.136
     Heart failure102 (2.4)551 (1.9)0.024
     COPD217 (5.1)378 (1.3)<0.001
     Coronary artery disease72 (1.7)393 (1.3)0.074
     Cancer under treatment34 (0.8)355 (1.2)0.024
     Chronic renal disease61 (1.4)325 (1.1)0.072
    Respiratory symptoms
     Cough2916 (68.2)18 120 (61.3)<0.001
     Shortness of breath2898 (67.8)13 205 (44.7)<0.001
     Chest pain1371 (32.1)7043 (23.8)<0.001
     Chest tightness1491 (34.9)7215 (24.4)<0.001
    General symptoms
     Fatigue3758 (87.9)25 368 (85.9)<0.001
     Fever2062 (48.2)14 405 (48.8)0.517
     Shivers2439 (57.0)15 808 (53.5)<0.001
     Myalgia2505 (58.6)15 932 (53.9)<0.001
    Gastrointestinal symptoms
     Anorexia1695 (39.6)11 387 (38.5)0.176
     Nausea/vomiting1210 (28.3)6838 (23.1)<0.001
     Diarrhoea1655 (38.7)10 175 (34.4)<0.001
    Neurological symptoms
     Anosmia1300 (30.4)9924 (33.6)<0.001
     Ageusia1326 (31.0)9700 (32.8)0.018
    Cutaneous symptoms
     Rash507 (11.9)2614 (8.8)<0.001
     Chilblains88 (2.1)530 (1.8)0.253
     Conjunctivitis392 (9.2)2021 (6.8)<0.001

    Qualitative data are expressed as frequency (% of total). In case of variable with missing data, the number of patients with available information is specified. BMI: body mass index; IQR: interquartile range presented as first quartile (Q1)–third quartile (Q3); sd: standard deviation.

    • TABLE 2

      Outcomes of patients with or without asthma (n=33 815)

      OutcomesAsthmatic patientsNon-asthmatic patientsp-value
      Worsening (hospitalisation or death)200 (4.7)1261 (4.3)0.235
      Hospitalisation200 (4.7)1253 (4.2)0.203
      Death0 (0.0)25 (0.1)0.109
      At least one Covidom alert3849 (90.0)25 095 (85.0)<0.001
      Alert leading to emergency service call65 (1.5)249 (0.8)<0.001
      Number of alerts per patient, median (IQR), n=28 9445.0 (2.0–11.0)4.0 (2.0–9.0)<0.001
      Rate of alerts per follow-up, median (IQR), n=28 9440.4 (0.1–0.8)0.3 (0.1–0.7)<0.001

      Qualitative data are expressed as frequency (% of total). In case of variable with missing data, the number of patients with available information is specified. IQR: interquartile range presented as first quartile (Q1)–third quartile (Q3).

      • TABLE 3

        Association between asthma and clinical worsening

        Multivariate analysisOR (95% CI)p-value
        Unadjusted1.10 (0.94−1.28)0.235
        Adjusted on age, sex, current tobacco use and comorbidities1.23 (1.04−1.44)0.013

        Comorbidities are body mass index (BMI), hypertension, diabetes, heart failure, COPD, coronary artery disease, cancer under treatment and chronic renal disease. Age and BMI as three categories (18–45 years, 46–65 years, >65 years and <25 kg m−2, 25–30 kg m−2, >30 kg m−2).

        Supplementary Materials

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          Supplementary material 00012-2022.SUPPLEMENT

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        Characteristics and outcomes of asthmatic outpatients with COVID-19 who receive home telesurveillance
        Antoine Beurnier, Youri Yordanov, Agnès Dechartres, Aurélien Dinh, Erwan Debuc, François-Xavier Lescure, Patrick Jourdain, Luc Jaulmes, Marc Humbert
        ERJ Open Research Oct 2022, 8 (4) 00012-2022; DOI: 10.1183/23120541.00012-2022

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        Characteristics and outcomes of asthmatic outpatients with COVID-19 who receive home telesurveillance
        Antoine Beurnier, Youri Yordanov, Agnès Dechartres, Aurélien Dinh, Erwan Debuc, François-Xavier Lescure, Patrick Jourdain, Luc Jaulmes, Marc Humbert
        ERJ Open Research Oct 2022, 8 (4) 00012-2022; DOI: 10.1183/23120541.00012-2022
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