PDF(Pubmed)
Abstract：
UNASSIGNED: Epidemic Thunderstorm asthma (TA) is a serious public health threat with a potential to overwhelm health systems. Being the first documented incidence in Ghana, we sought to determine whether the chronic respiratory risk factors for the development of TA as identified in other countries were similar or different from that in Ghana.
UNASSIGNED: A matched case-control study involving 41 cases and 82 controls was conducted in two conveniently selected health facilities in the Ashanti Region of Ghana.
UNASSIGNED: Data were collected from pre-existing patient records and included general demography, a history of allergies and a history of asthma. A chi-square and multiple logistic regression analysis were conducted to identify risk factors for the development of TA.
UNASSIGNED: Overall, 53.7 % of the TA cases and 7.3 % of controls had a previous history of asthma (AOR = 4.53 p = 0.064, 95 % CI = 0.918-22.365). Also, 29.3 % of the cases and 1.2 % of the controls had a previous history of allergies (AOR = 12.48 p = 0.05, 95 % CI = 0.919-169.305).
UNASSIGNED: A previous history of allergy was a significant risk factor for TA. A previous history of asthma though associated with TA, was not a significant risk factor for its development. The recognition and awareness of risk factors for TA, by clinicians and health managers, is essential for health education, case management and preparation for the surge capacity occasioned by the event.
UNASSIGNED: A matched case-control study involving 41 cases and 82 controls was conducted in two conveniently selected health facilities in the Ashanti Region of Ghana.
UNASSIGNED: Data were collected from pre-existing patient records and included general demography, a history of allergies and a history of asthma. A chi-square and multiple logistic regression analysis were conducted to identify risk factors for the development of TA.
UNASSIGNED: Overall, 53.7 % of the TA cases and 7.3 % of controls had a previous history of asthma (AOR = 4.53 p = 0.064, 95 % CI = 0.918-22.365). Also, 29.3 % of the cases and 1.2 % of the controls had a previous history of allergies (AOR = 12.48 p = 0.05, 95 % CI = 0.919-169.305).
UNASSIGNED: A previous history of allergy was a significant risk factor for TA. A previous history of asthma though associated with TA, was not a significant risk factor for its development. The recognition and awareness of risk factors for TA, by clinicians and health managers, is essential for health education, case management and preparation for the surge capacity occasioned by the event.
摘要：
流行性雷暴哮喘（TA）是一种严重的公共卫生威胁，有可能压倒卫生系统。作为加纳第一个记录在案的发病率，我们试图确定其他国家与加纳确定的TA发展的慢性呼吸道危险因素是否相似或不同.
■在加纳Ashanti地区的两个方便选择的医疗机构中进行了一项涉及41例病例和82例对照的匹配病例对照研究。
■数据是从先前存在的患者记录中收集的，包括一般人口统计学，过敏史和哮喘病史。进行卡方和多元logistic回归分析以确定TA发展的危险因素。
■总的来说，53.7%的TA病例和7.3%的对照组有哮喘病史(AOR=4.53p=0.064,95%CI=0.918-22.365)。此外，29.3％的病例和1.2％的对照组有过敏史（AOR=12.48p=0.05，95％CI=0.919-169.305）。
■既往过敏史是TA的重要危险因素。既往哮喘病史虽然与TA有关，不是其发展的重要风险因素。对TA危险因素的认识和认识，由临床医生和健康经理，对健康教育至关重要，案件管理和事件引起的激增能力的准备。
■在加纳Ashanti地区的两个方便选择的医疗机构中进行了一项涉及41例病例和82例对照的匹配病例对照研究。
■数据是从先前存在的患者记录中收集的，包括一般人口统计学，过敏史和哮喘病史。进行卡方和多元logistic回归分析以确定TA发展的危险因素。
■总的来说，53.7%的TA病例和7.3%的对照组有哮喘病史(AOR=4.53p=0.064,95%CI=0.918-22.365)。此外，29.3％的病例和1.2％的对照组有过敏史（AOR=12.48p=0.05，95％CI=0.919-169.305）。
■既往过敏史是TA的重要危险因素。既往哮喘病史虽然与TA有关，不是其发展的重要风险因素。对TA危险因素的认识和认识，由临床医生和健康经理，对健康教育至关重要，案件管理和事件引起的激增能力的准备。
