GrippeEspagneV1, Main, Exploration, bibRecord, 000183

Epidemiology of asthma exacerbations and their relation with environmental factors in the Basque Country.

Identifieur interne : 000183 ( Main/Exploration ); précédent : 000182; suivant : 000184

Epidemiology of asthma exacerbations and their relation with environmental factors in the Basque Country.

Auteurs : J M Altzibar [Espagne] ; I. Tamayo-Uria [Espagne] ; V. De Castro [Espagne] ; X. Aginagalde [Espagne] ; M V Albizu [Espagne] ; A. Lertxundi [Espagne] ; J. Benito [Espagne] ; P. Busca [Espagne] ; I. Antepara [Espagne] ; J. Landa [Espagne] ; O. Mokoroa [Espagne] ; M. Dorronsoro [Espagne]

Source :

Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology [ 1365-2222 ] ; 2015.

RBID : pubmed:25258133

Descripteurs français

KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Allergènes (MeSH), Asthme (épidémiologie), Asthme (étiologie), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Environnement (MeSH), Espagne (épidémiologie), Femelle (MeSH), Humains (MeSH), Incidence (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Nourrisson (MeSH), Pollen (MeSH), Polluants atmosphériques (MeSH), Pollution de l'air (MeSH), Saisons (MeSH), Sujet âgé (MeSH), Évolution de la maladie (MeSH).
MESH :
- épidémiologie : Asthme, Espagne.
- étiologie : Asthme.
- Adolescent, Adulte, Adulte d'âge moyen, Allergènes, Enfant, Enfant d'âge préscolaire, Environnement, Femelle, Humains, Incidence, Jeune adulte, Mâle, Nourrisson, Pollen, Polluants atmosphériques, Pollution de l'air, Saisons, Sujet âgé, Évolution de la maladie.
Wicri :
- geographic : Espagne.

English descriptors

KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Air Pollutants (MeSH), Air Pollution (MeSH), Allergens (MeSH), Asthma (epidemiology), Asthma (etiology), Child (MeSH), Child, Preschool (MeSH), Disease Progression (MeSH), Environment (MeSH), Female (MeSH), Humans (MeSH), Incidence (MeSH), Infant (MeSH), Male (MeSH), Middle Aged (MeSH), Pollen (MeSH), Seasons (MeSH), Spain (epidemiology), Young Adult (MeSH).
MESH :
- chemical : Air Pollutants, Allergens.
- geographic , epidemiology : Spain.
- epidemiology : Asthma.
- etiology : Asthma.
- Adolescent, Adult, Aged, Air Pollution, Child, Child, Preschool, Disease Progression, Environment, Female, Humans, Incidence, Infant, Male, Middle Aged, Pollen, Seasons, Young Adult.

Abstract

BACKGROUND

Asthma is a highly prevalent chronic inflammatory disease characterised by reversible airflow obstruction and hyperreactivity and inflammation of the airways. Factors that cause and/or trigger asthma attacks include host-related factors (genetic predisposition, obesity and sex) and environmental factors (allergens, infections, occupational sensitisation, smoking status, pollution and diet).

OBJECTIVE

To describe the epidemiology of asthma exacerbations (AEs) in the Basque Country and to explore its relationship with potentially associated environmental variables. We studied a total of 31,579 emergency department (ED) visits and 28,189 hospitalisations due to asthma. We describe the trends, incidence, seasonality and the influence of age and sex, as well as of exposure to NO2 , CO, PM, O3 , and pollen, temperature, relative humidity and flu status. We calculated the Pearson's R correlation coefficient for the study variables.

RESULTS

The incidence was 486 and 88.9 cases per 100,000 people for ED visits and hospitalisations, respectively. Slightly over half (53.5%) of the ED cases were male, while females represented 62.6% of the hospital admissions. Hospitalisations are tending to decrease in children and increase in over 64-year-olds. Peaks in cases occur at the beginning of autumn in children and in winter in adults. AEs were correlated positively with exposure to NO2 , CO and to the influenza virus and negatively with temperature and exposure to O3 . These relationships vary, however, with age and season.

CONCLUSIONS AND CLINICAL RELEVANCE

Rates of hospitalisation for AEs and trends in these rates over time are different in adults and children with the patterns varying by sex, season and environmental conditions.

DOI: 10.1111/cea.12419
PubMed: 25258133

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 00195
to stream Main, to step Curation: 000195

Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en">Epidemiology of asthma exacerbations and their relation with environmental factors in the Basque Country.</title>
<author><name sortKey="Altzibar, J M" sort="Altzibar, J M" uniqKey="Altzibar J" first="J M" last="Altzibar">J M Altzibar</name>
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<author><name sortKey="Tamayo Uria, I" sort="Tamayo Uria, I" uniqKey="Tamayo Uria I" first="I" last="Tamayo-Uria">I. Tamayo-Uria</name>
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<author><name sortKey="De Castro, V" sort="De Castro, V" uniqKey="De Castro V" first="V" last="De Castro">V. De Castro</name>
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<wicri:regionArea>Public Health Division of Bizkaia, Department of Health of the Regional Government of the Basque Country, Bilbo</wicri:regionArea>
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<author><name sortKey="Aginagalde, X" sort="Aginagalde, X" uniqKey="Aginagalde X" first="X" last="Aginagalde">X. Aginagalde</name>
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<country xml:lang="fr">Espagne</country>
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<author><name sortKey="Albizu, M V" sort="Albizu, M V" uniqKey="Albizu M" first="M V" last="Albizu">M V Albizu</name>
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<country xml:lang="fr">Espagne</country>
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<wicri:noRegion>Bilbo</wicri:noRegion>
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<author><name sortKey="Lertxundi, A" sort="Lertxundi, A" uniqKey="Lertxundi A" first="A" last="Lertxundi">A. Lertxundi</name>
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<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Biodonostia Research Institute, Donostia</wicri:regionArea>
<wicri:noRegion>Donostia</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Department of Preventive Medicine and Public Health, University of the Basque Country UPV/EHU, Leioa, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Preventive Medicine and Public Health, University of the Basque Country UPV/EHU, Leioa</wicri:regionArea>
<wicri:noRegion>Leioa</wicri:noRegion>
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<author><name sortKey="Benito, J" sort="Benito, J" uniqKey="Benito J" first="J" last="Benito">J. Benito</name>
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<author><name sortKey="Busca, P" sort="Busca, P" uniqKey="Busca P" first="P" last="Busca">P. Busca</name>
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<country xml:lang="fr">Espagne</country>
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<wicri:noRegion>Donostia</wicri:noRegion>
</affiliation>
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<author><name sortKey="Antepara, I" sort="Antepara, I" uniqKey="Antepara I" first="I" last="Antepara">I. Antepara</name>
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<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Allergology Department, Basurto University Hospital, Basque Health Service, Bilbo</wicri:regionArea>
<wicri:noRegion>Bilbo</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Landa, J" sort="Landa, J" uniqKey="Landa J" first="J" last="Landa">J. Landa</name>
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<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Paediatrics, Donostia University Hospital, Basque Health Service, Donostia</wicri:regionArea>
<wicri:noRegion>Donostia</wicri:noRegion>
</affiliation>
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<author><name sortKey="Mokoroa, O" sort="Mokoroa, O" uniqKey="Mokoroa O" first="O" last="Mokoroa">O. Mokoroa</name>
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<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Public Health Division of Alava, Department of Health of the Regional Government of the Basque Country, Vitoria-Gasteiz</wicri:regionArea>
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<author><name sortKey="Dorronsoro, M" sort="Dorronsoro, M" uniqKey="Dorronsoro M" first="M" last="Dorronsoro">M. Dorronsoro</name>
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<series><title level="j">Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology</title>
<idno type="eISSN">1365-2222</idno>
<imprint><date when="2015" type="published">2015</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Air Pollutants (MeSH)</term>
<term>Air Pollution (MeSH)</term>
<term>Allergens (MeSH)</term>
<term>Asthma (epidemiology)</term>
<term>Asthma (etiology)</term>
<term>Child (MeSH)</term>
<term>Child, Preschool (MeSH)</term>
<term>Disease Progression (MeSH)</term>
<term>Environment (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Incidence (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pollen (MeSH)</term>
<term>Seasons (MeSH)</term>
<term>Spain (epidemiology)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Allergènes (MeSH)</term>
<term>Asthme (épidémiologie)</term>
<term>Asthme (étiologie)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Environnement (MeSH)</term>
<term>Espagne (épidémiologie)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Incidence (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Nourrisson (MeSH)</term>
<term>Pollen (MeSH)</term>
<term>Polluants atmosphériques (MeSH)</term>
<term>Pollution de l'air (MeSH)</term>
<term>Saisons (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Évolution de la maladie (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Air Pollutants</term>
<term>Allergens</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Spain</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Asthma</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Asthma</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Asthme</term>
<term>Espagne</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Asthme</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Air Pollution</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Disease Progression</term>
<term>Environment</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Infant</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pollen</term>
<term>Seasons</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Allergènes</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Environnement</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Pollen</term>
<term>Polluants atmosphériques</term>
<term>Pollution de l'air</term>
<term>Saisons</term>
<term>Sujet âgé</term>
<term>Évolution de la maladie</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Asthma is a highly prevalent chronic inflammatory disease characterised by reversible airflow obstruction and hyperreactivity and inflammation of the airways. Factors that cause and/or trigger asthma attacks include host-related factors (genetic predisposition, obesity and sex) and environmental factors (allergens, infections, occupational sensitisation, smoking status, pollution and diet).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To describe the epidemiology of asthma exacerbations (AEs) in the Basque Country and to explore its relationship with potentially associated environmental variables. We studied a total of 31,579 emergency department (ED) visits and 28,189 hospitalisations due to asthma. We describe the trends, incidence, seasonality and the influence of age and sex, as well as of exposure to NO2 , CO, PM, O3 , and pollen, temperature, relative humidity and flu status. We calculated the Pearson's R correlation coefficient for the study variables.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The incidence was 486 and 88.9 cases per 100,000 people for ED visits and hospitalisations, respectively. Slightly over half (53.5%) of the ED cases were male, while females represented 62.6% of the hospital admissions. Hospitalisations are tending to decrease in children and increase in over 64-year-olds. Peaks in cases occur at the beginning of autumn in children and in winter in adults. AEs were correlated positively with exposure to NO2 , CO and to the influenza virus and negatively with temperature and exposure to O3 . These relationships vary, however, with age and season.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS AND CLINICAL RELEVANCE</b>
</p>
<p>Rates of hospitalisation for AEs and trends in these rates over time are different in adults and children with the patterns varying by sex, season and environmental conditions.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25258133</PMID>
<DateCompleted><Year>2016</Year>
<Month>02</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>05</Month>
<Day>18</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1365-2222</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>45</Volume>
<Issue>6</Issue>
<PubDate><Year>2015</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology</Title>
<ISOAbbreviation>Clin. Exp. Allergy</ISOAbbreviation>
</Journal>
<ArticleTitle>Epidemiology of asthma exacerbations and their relation with environmental factors in the Basque Country.</ArticleTitle>
<Pagination><MedlinePgn>1099-108</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/cea.12419</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Asthma is a highly prevalent chronic inflammatory disease characterised by reversible airflow obstruction and hyperreactivity and inflammation of the airways. Factors that cause and/or trigger asthma attacks include host-related factors (genetic predisposition, obesity and sex) and environmental factors (allergens, infections, occupational sensitisation, smoking status, pollution and diet).</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To describe the epidemiology of asthma exacerbations (AEs) in the Basque Country and to explore its relationship with potentially associated environmental variables. We studied a total of 31,579 emergency department (ED) visits and 28,189 hospitalisations due to asthma. We describe the trends, incidence, seasonality and the influence of age and sex, as well as of exposure to NO2 , CO, PM, O3 , and pollen, temperature, relative humidity and flu status. We calculated the Pearson's R correlation coefficient for the study variables.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The incidence was 486 and 88.9 cases per 100,000 people for ED visits and hospitalisations, respectively. Slightly over half (53.5%) of the ED cases were male, while females represented 62.6% of the hospital admissions. Hospitalisations are tending to decrease in children and increase in over 64-year-olds. Peaks in cases occur at the beginning of autumn in children and in winter in adults. AEs were correlated positively with exposure to NO2 , CO and to the influenza virus and negatively with temperature and exposure to O3 . These relationships vary, however, with age and season.</AbstractText>
<AbstractText Label="CONCLUSIONS AND CLINICAL RELEVANCE" NlmCategory="CONCLUSIONS">Rates of hospitalisation for AEs and trends in these rates over time are different in adults and children with the patterns varying by sex, season and environmental conditions.</AbstractText>
<CopyrightInformation>© 2014 John Wiley & Sons Ltd.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Altzibar</LastName>
<ForeName>J M</ForeName>
<Initials>JM</Initials>
<AffiliationInfo><Affiliation>Public Health Division of Gipuzkoa, Department of Health of the Regional Government of the Basque Country, Donostia, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>CIBER of Epidemiology and Public Health, Madrid, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Biodonostia Research Institute, Donostia, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tamayo-Uria</LastName>
<ForeName>I</ForeName>
<Initials>I</Initials>
<AffiliationInfo><Affiliation>Public Health Division of Gipuzkoa, Department of Health of the Regional Government of the Basque Country, Donostia, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>CIBER of Epidemiology and Public Health, Madrid, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Biodonostia Research Institute, Donostia, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>De Castro</LastName>
<ForeName>V</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Public Health Division of Bizkaia, Department of Health of the Regional Government of the Basque Country, Bilbo, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Aginagalde</LastName>
<ForeName>X</ForeName>
<Initials>X</Initials>
<AffiliationInfo><Affiliation>Laboratory of Public Health, Regional Government of the Basque Country, Bilbo, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Albizu</LastName>
<ForeName>M V</ForeName>
<Initials>MV</Initials>
<AffiliationInfo><Affiliation>Environmental Management, Regional Government of the Basque Country, Bilbo, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lertxundi</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Biodonostia Research Institute, Donostia, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Preventive Medicine and Public Health, University of the Basque Country UPV/EHU, Leioa, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Benito</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Paediatric Emergency Department, Cruces University Hospital, Basque Health Service, Bilbo, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Busca</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Emergency Department, Donostia University Hospital, Basque Health Service, Donostia, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Antepara</LastName>
<ForeName>I</ForeName>
<Initials>I</Initials>
<AffiliationInfo><Affiliation>Allergology Department, Basurto University Hospital, Basque Health Service, Bilbo, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Landa</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Paediatrics, Donostia University Hospital, Basque Health Service, Donostia, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mokoroa</LastName>
<ForeName>O</ForeName>
<Initials>O</Initials>
<AffiliationInfo><Affiliation>Public Health Division of Alava, Department of Health of the Regional Government of the Basque Country, Vitoria-Gasteiz, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dorronsoro</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Public Health Division of Gipuzkoa, Department of Health of the Regional Government of the Basque Country, Donostia, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>CIBER of Epidemiology and Public Health, Madrid, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Biodonostia Research Institute, Donostia, Spain.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Clin Exp Allergy</MedlineTA>
<NlmUniqueID>8906443</NlmUniqueID>
<ISSNLinking>0954-7894</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D000393">Air Pollutants</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D000485">Allergens</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Clin Exp Allergy. 2015 Sep;45(9):1475</RefSource>
<PMID Version="1">26112827</PMID>
</CommentsCorrections>
</CommentsCorrectionsList>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000393" MajorTopicYN="N">Air Pollutants</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000397" MajorTopicYN="N">Air Pollution</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000485" MajorTopicYN="N">Allergens</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001249" MajorTopicYN="N">Asthma</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018450" MajorTopicYN="N">Disease Progression</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004777" MajorTopicYN="Y">Environment</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011058" MajorTopicYN="N">Pollen</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012621" MajorTopicYN="N">Seasons</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">air pollutants</Keyword>
<Keyword MajorTopicYN="N">asthma exacerbation</Keyword>
<Keyword MajorTopicYN="N">emergency department</Keyword>
<Keyword MajorTopicYN="N">hospitalisation</Keyword>
<Keyword MajorTopicYN="N">influenza</Keyword>
<Keyword MajorTopicYN="N">pollen</Keyword>
<Keyword MajorTopicYN="N">weather</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year>
<Month>02</Month>
<Day>15</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2014</Year>
<Month>07</Month>
<Day>22</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2014</Year>
<Month>08</Month>
<Day>19</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2014</Year>
<Month>9</Month>
<Day>27</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2014</Year>
<Month>9</Month>
<Day>27</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2016</Year>
<Month>2</Month>
<Day>10</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">25258133</ArticleId>
<ArticleId IdType="doi">10.1111/cea.12419</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Espagne</li>
</country>
<region><li>Communauté de Madrid</li>
</region>
<settlement><li>Madrid</li>
</settlement>
</list>
<tree><country name="Espagne"><noRegion><name sortKey="Altzibar, J M" sort="Altzibar, J M" uniqKey="Altzibar J" first="J M" last="Altzibar">J M Altzibar</name>
</noRegion>
<name sortKey="Aginagalde, X" sort="Aginagalde, X" uniqKey="Aginagalde X" first="X" last="Aginagalde">X. Aginagalde</name>
<name sortKey="Albizu, M V" sort="Albizu, M V" uniqKey="Albizu M" first="M V" last="Albizu">M V Albizu</name>
<name sortKey="Altzibar, J M" sort="Altzibar, J M" uniqKey="Altzibar J" first="J M" last="Altzibar">J M Altzibar</name>
<name sortKey="Altzibar, J M" sort="Altzibar, J M" uniqKey="Altzibar J" first="J M" last="Altzibar">J M Altzibar</name>
<name sortKey="Antepara, I" sort="Antepara, I" uniqKey="Antepara I" first="I" last="Antepara">I. Antepara</name>
<name sortKey="Benito, J" sort="Benito, J" uniqKey="Benito J" first="J" last="Benito">J. Benito</name>
<name sortKey="Busca, P" sort="Busca, P" uniqKey="Busca P" first="P" last="Busca">P. Busca</name>
<name sortKey="De Castro, V" sort="De Castro, V" uniqKey="De Castro V" first="V" last="De Castro">V. De Castro</name>
<name sortKey="Dorronsoro, M" sort="Dorronsoro, M" uniqKey="Dorronsoro M" first="M" last="Dorronsoro">M. Dorronsoro</name>
<name sortKey="Dorronsoro, M" sort="Dorronsoro, M" uniqKey="Dorronsoro M" first="M" last="Dorronsoro">M. Dorronsoro</name>
<name sortKey="Dorronsoro, M" sort="Dorronsoro, M" uniqKey="Dorronsoro M" first="M" last="Dorronsoro">M. Dorronsoro</name>
<name sortKey="Landa, J" sort="Landa, J" uniqKey="Landa J" first="J" last="Landa">J. Landa</name>
<name sortKey="Lertxundi, A" sort="Lertxundi, A" uniqKey="Lertxundi A" first="A" last="Lertxundi">A. Lertxundi</name>
<name sortKey="Lertxundi, A" sort="Lertxundi, A" uniqKey="Lertxundi A" first="A" last="Lertxundi">A. Lertxundi</name>
<name sortKey="Mokoroa, O" sort="Mokoroa, O" uniqKey="Mokoroa O" first="O" last="Mokoroa">O. Mokoroa</name>
<name sortKey="Tamayo Uria, I" sort="Tamayo Uria, I" uniqKey="Tamayo Uria I" first="I" last="Tamayo-Uria">I. Tamayo-Uria</name>
<name sortKey="Tamayo Uria, I" sort="Tamayo Uria, I" uniqKey="Tamayo Uria I" first="I" last="Tamayo-Uria">I. Tamayo-Uria</name>
<name sortKey="Tamayo Uria, I" sort="Tamayo Uria, I" uniqKey="Tamayo Uria I" first="I" last="Tamayo-Uria">I. Tamayo-Uria</name>
</country>
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Epidemiology of asthma exacerbations and their relation with environmental factors in the Basque Country.

Epidemiology of asthma exacerbations and their relation with environmental factors in the Basque Country.

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