Extreme weather and asthma: a systematic review and meta-analysis
Background: Climate change's influence on extreme weather events poses a significant threat to the morbidity and mortality of asthma patients. The aim of this study was to examine associations between extreme weather events and asthma-related outcomes. Methods: A systematic literature search fo...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Respiratory Society
2023-06-01
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| Series: | European Respiratory Review |
| Online Access: | http://err.ersjournals.com/content/32/168/230019.full |
| _version_ | 1797793373699964928 |
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| author | Firdian Makrufardi Amja Manullang Desy Rusmawatiningtyas Kian Fan Chung Sheng-Chieh Lin Hsiao-Chi Chuang |
| author_facet | Firdian Makrufardi Amja Manullang Desy Rusmawatiningtyas Kian Fan Chung Sheng-Chieh Lin Hsiao-Chi Chuang |
| author_sort | Firdian Makrufardi |
| collection | DOAJ |
| description | Background:
Climate change's influence on extreme weather events poses a significant threat to the morbidity and mortality of asthma patients. The aim of this study was to examine associations between extreme weather events and asthma-related outcomes.
Methods:
A systematic literature search for relevant studies was performed using the PubMed, EMBASE, Web of Science and ProQuest databases. Fixed-effects and random-effects models were applied to estimate the effects of extreme weather events on asthma-related outcomes.
Results:
We observed that extreme weather events were associated with increasing risks of general asthma outcomes with relative risks of 1.18-fold for asthma events (95% CI 1.13–1.24), 1.10-fold for asthma symptoms (95% CI 1.03–1.18) and 1.09-fold for asthma diagnoses (95% CI 1.00–1.19). Extreme weather events were associated with increased risks of acute asthma exacerbation with risk ratios of asthma emergency department visits of 1.25-fold (95% CI 1.14–1.37), of asthma hospital admissions of 1.10-fold (95% CI 1.04–1.17), of asthma outpatient visits of 1.19-fold (95% CI 1.06–1.34) and of asthma mortality of 2.10-fold (95% CI 1.35–3.27). Additionally, an increase in extreme weather events increased risk ratios of asthma events by 1.19-fold in children and 1.29-fold in females (95% CI 1.08–1.32 and 95% CI 0.98–1.69, respectively). Thunderstorms increased the risk ratio of asthma events by 1.24-fold (95% CI 1.13–1.36).
Conclusions:
Our study showed that extreme weather events more prominently increased the risk of asthma morbidity and mortality in children and females. Climate change is a critical concern for asthma control. |
| first_indexed | 2024-03-13T02:46:23Z |
| format | Article |
| id | doaj.art-5ff544b05bb94fc788c041d90c8b08cd |
| institution | Directory Open Access Journal |
| issn | 0905-9180 1600-0617 |
| language | English |
| last_indexed | 2024-03-13T02:46:23Z |
| publishDate | 2023-06-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | European Respiratory Review |
| spelling | doaj.art-5ff544b05bb94fc788c041d90c8b08cd2023-06-28T15:28:52ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172023-06-013216810.1183/16000617.0019-20230019-2023Extreme weather and asthma: a systematic review and meta-analysisFirdian Makrufardi0Amja Manullang1Desy Rusmawatiningtyas2Kian Fan Chung3Sheng-Chieh Lin4Hsiao-Chi Chuang5 International PhD Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan International PhD Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan Department of Child Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada – Dr. Sardjito Hospital, Yogyakarta, Indonesia National Heart and Lung Institute, Imperial College London, London, UK Department of Pediatrics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan Division of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan Background: Climate change's influence on extreme weather events poses a significant threat to the morbidity and mortality of asthma patients. The aim of this study was to examine associations between extreme weather events and asthma-related outcomes. Methods: A systematic literature search for relevant studies was performed using the PubMed, EMBASE, Web of Science and ProQuest databases. Fixed-effects and random-effects models were applied to estimate the effects of extreme weather events on asthma-related outcomes. Results: We observed that extreme weather events were associated with increasing risks of general asthma outcomes with relative risks of 1.18-fold for asthma events (95% CI 1.13–1.24), 1.10-fold for asthma symptoms (95% CI 1.03–1.18) and 1.09-fold for asthma diagnoses (95% CI 1.00–1.19). Extreme weather events were associated with increased risks of acute asthma exacerbation with risk ratios of asthma emergency department visits of 1.25-fold (95% CI 1.14–1.37), of asthma hospital admissions of 1.10-fold (95% CI 1.04–1.17), of asthma outpatient visits of 1.19-fold (95% CI 1.06–1.34) and of asthma mortality of 2.10-fold (95% CI 1.35–3.27). Additionally, an increase in extreme weather events increased risk ratios of asthma events by 1.19-fold in children and 1.29-fold in females (95% CI 1.08–1.32 and 95% CI 0.98–1.69, respectively). Thunderstorms increased the risk ratio of asthma events by 1.24-fold (95% CI 1.13–1.36). Conclusions: Our study showed that extreme weather events more prominently increased the risk of asthma morbidity and mortality in children and females. Climate change is a critical concern for asthma control.http://err.ersjournals.com/content/32/168/230019.full |
| spellingShingle | Firdian Makrufardi Amja Manullang Desy Rusmawatiningtyas Kian Fan Chung Sheng-Chieh Lin Hsiao-Chi Chuang Extreme weather and asthma: a systematic review and meta-analysis European Respiratory Review |
| title | Extreme weather and asthma: a systematic review and meta-analysis |
| title_full | Extreme weather and asthma: a systematic review and meta-analysis |
| title_fullStr | Extreme weather and asthma: a systematic review and meta-analysis |
| title_full_unstemmed | Extreme weather and asthma: a systematic review and meta-analysis |
| title_short | Extreme weather and asthma: a systematic review and meta-analysis |
| title_sort | extreme weather and asthma a systematic review and meta analysis |
| url | http://err.ersjournals.com/content/32/168/230019.full |
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