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Prevalence and characterization of asthma in hospitalized and nonhospitalized patients with COVID-19

Open access
Chhiba, Krishan D., Patel, Gayatri B., Vu, Thanh Huyen T., Chen, Michael M., Guo, Amina, Kudlaty, Elizabeth, Mai, Quan, Yeh, Chen, Muhammad, Lutfiyya N., Harris, Kathleen E., Bochner, Bruce S., Grammer, Leslie C., Greenberger, Paul A., Kalhan, Ravi, Kuang, Fei Li, Saltoun, Carol A., Schleimer, Robert P., Stevens, Whitney W., Peters, Anju T.·2020·Journal of Allergy and Clinical Immunology

Abstract

Background The Centers for Disease Control and Prevention advises that patients with moderate to severe asthma belong to a high-risk group that is susceptible to severe coronavirus disease 2019 (COVID-19). However, the association between asthma and COVID-19 has not been well-established. Objective The primary objective was to determine the prevalence of asthma among patients with COVID-19 in a major US health system. We assessed the clinical characteristics and comorbidities in asthmatic and nonasthmatic patients with COVID-19. We also determined the risk of hospitalization associated with asthma and/or inhaled corticosteroid use. Methods Medical records of patients with COVID-19 were searched by a computer algorithm (March 1 to April 15, 2020), and chart review was used to validate the diagnosis of asthma and medications prescribed for asthma. All patients had PCR-confirmed COVID-19. Demographic and clinical features were characterized. Regression models were used to assess the associations between asthma and corticosteroid use and the risk of COVID-19–related hospitalization. Results Of 1526 patients identified with COVID-19, 220 (14%) were classified as having asthma. Asthma was not associated with an increased risk of hospitalization (relative risk, 0.96; 95% CI, 0.77-1.19) after adjusting for age, sex, and comorbidities. The ongoing use of inhaled corticosteroids did not increase the risk of hospitalization in a similar adjusted model (relative risk, 1.39; 95% CI, 0.90-2.15). Conclusions Despite a substantial prevalence of asthma in our COVID-19 cohort, asthma was not associated with an increased risk of hospitalization. Similarly, the use of inhaled corticosteroids with or without systemic corticosteroids was not associated with COVID-19–related hospitalization.

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Metadata

Authors
Chhiba, K. D., Patel, G. B., Vu, T. H. T., Chen, M. M., Guo, A., Kudlaty, E., Mai, Q., Yeh, C., Muhammad, L. N., Harris, K. E., Bochner, B. S., Grammer, L. C., Greenberger, P. A., Kalhan, R., Kuang, F. L., Saltoun, C. A., Schleimer, R. P., Stevens, W. W., & Peters, A. T.
Venue
Journal of Allergy and Clinical Immunology
Publisher
Elsevier BV
Published
2020-08
Volume
146
Issue
2
Pages
307-314.e4
ISSN
0091-6749 (ISSN-L)
OpenAlex
W3035033705
Cited by
308
References
25
FWCI
8.30
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Prevalence and characterization of asthma in hospitalized and nonhospitalized patients with COVID-19. https://app.cochat.ai/papers/10.1016/j.jaci.2020.06.010
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Chhiba, K. D., Patel, G. B., Vu, T. H. T., Chen, M. M., Guo, A., Kudlaty, E., Mai, Q., Yeh, C., Muhammad, L. N., Harris, K. E., Bochner, B. S., Grammer, L. C., Greenberger, P. A., Kalhan, R., Kuang, F. L., Saltoun, C. A., Schleimer, R. P., Stevens, W. W., & Peters, A. T. (2020). Prevalence and characterization of asthma in hospitalized and nonhospitalized patients with COVID-19. Journal of Allergy and Clinical Immunology. https://doi.org/10.1016/j.jaci.2020.06.010

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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