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Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
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Characterizing thunderstorm asthma emergency department presentations using natural language processing for improved

Sedigh Khademi1,2, Gerardo Luis Dimaguila1,2, Christopher Palmer1

  • 1Health Informatics Group, Centre for Health Analytics, Melbourne Children's Campus, Melbourne, Australia.

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Rapid detection of thunderstorm asthma is crucial. This study found distinct patterns in emergency department visits during these events, aiding public health preparedness.

Keywords:
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Area of Science:

  • Environmental Health
  • Epidemiology
  • Public Health Surveillance

Background:

  • Thunderstorm asthma events pose significant public health risks, rapidly overwhelming emergency departments.
  • Effective preparedness necessitates rapid detection and understanding of thunderstorm asthma presentation patterns.

Purpose of the Study:

  • To identify distinctive demographic, temporal, and clinical patterns of thunderstorm asthma presentations in emergency departments.
  • To enhance the real-time detection and surveillance of thunderstorm asthma incidence.

Main Methods:

  • Analysis of triage notes from three thunderstorm asthma events (2022-2024) in Victoria, Australia, using the SynSurv surveillance system.
  • Comparison of 687 thunderstorm-related presentations with 687 control presentations using natural language processing and manual review.
  • Statistical comparison of demographic, symptom-onset, and comorbidity data via chi-square tests and temporal analysis.

Main Results:

  • Thunderstorm asthma cases exhibited significantly higher acute symptom onset within 24 hours (63.0% vs. 47.2%).
  • Presentations peaked 3-8 hours post-storm, returning to baseline within 24 hours.
  • Affected individuals skewed towards young adults (21-40 years), with threefold higher rates of allergic comorbidities.

Conclusions:

  • Distinct demographic, temporal, and allergic profiles characterize thunderstorm asthma presentations.
  • These findings can inform the development of refined detection models for enhanced real-time surveillance and emergency preparedness.
  • Improved surveillance can bolster public health responses to severe weather-related asthma events.