Turkiye Klinikleri Archives of Lung

.: REVIEW
COVID-19 Pandemisinde Astım, Kronik Obstrüktif Akciğer Hastalığı ve Eşlik Eden Komorbiditelerin Yönetimi: Sistematik Derleme
The Management of Asthma, Chronic Obstructive Pulmonary Diseases and Other Comorbidities in the COVID-19 Pandemic: Systematic Review
Muzaffer Onur TURANa, Ege Güleç BALBAYb, Kurtuluş AKSUc, Esra UZASLANd
aİzmir Kâtip Çelebi Üniversitesi Atatürk Eğitim ve Araştırma Hastanesi, Göğüs Hastalıkları ABD, İzmir, Türkiye
bDüzce Üniversitesi Sağlık Uygulama ve Araştırma Merkezi, Göğüs Hastalıkları ABD, Düzce, Türkiye
cAnkara Keçiören Sanatoryum Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi, Göğüs Hastalıkları ABD, İmmünoloji ve Alerji Hastalıkları BD, Ankara, Türkiye
dBursa Uludağ Üniversitesi Sağlık Uygulama ve Araştırma Merkezi, Göğüs Hastalıkları ABD, Bursa, Türkiye
Turkiye Klinikleri Arch Lung. 2022;21(1):29-38
doi: 10.5336/archlung.2021-86355
Article Language: TR
Full Text
ÖZET
Koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID19)] pandemisinde, astım ve kronik obstrüktif akciğer hastalığı (KOAH) hastaları için COVID-19 gelişme riskinde belirgin bir artış tanımlanmadığı gibi COVID-19 hastalarında da havayolu hastalıklarının sıklığı artmamıştır. Yine ilginç bir şekilde, astım ve KOAH'lı hastalar SARSCoV-2 enfeksiyonuna bağlı alevlenmeler nedeniyle hastaneye daha az sıklıkta başvurmaktadırlar. Bu hasta gruplarının çoğunlukla evlerinde izole olması ve tedavilerinde yer alan inhale kortikosteroid kullanımının COVID-19 hastalığındaki potansiyel koruyucu etkisi gibi sebepler, beklendiğinden az oranda CoV ile enfekte olunmasına yol açmış olabilir. Biyolojik ajan kullanan ağır astımı olan hastalarda COVID-19'un ağırlığına ilişkin bilgiler sınırlıdır. Şimdiye kadar yayımlanan çalışmaların ışığında, havayolu hastalığı mevcut hastaların COVID-19'u şiddetli geçirmelerinin; ileri yaş ve eşlik eden komorbiditelerle ilişkili olduğu görünmektedir; bu nedenle obezite, diyabet, uyku apnesi ve kardiyovasküler hastalıkların ön planda yer aldığı bu komorbiditelerin yönetimi de önemlidir. Genel olarak astımlı hastalarda COVID-19 ile ilişkili ölüm riski artmazken, şiddetli akut solunum sendromu-koronavirüs-2 ile enfekte KOAH hasta grubunda hastaneye yatış ihtimali, ağır pnömoni ve mortalite riskinde artış olduğu belirtilmektedir. Uluslararası kılavuzlar, astım ve KOAH hastalarının mevcut tedavilerine aynı şekilde devam etmelerini ve tüm bireyler için geçerli olan korunma önlemlerine uymalarını önermektedir. Hastalıklar ve komorbiditelerin optimal kontrolünün sağlanması ve günlük fiziksel aktivitenin artırılması olası bir enfeksiyon durumunda riskin kontrolüne destek olacaktır.

Anahtar Kelimeler: COVID-19; pandemi; astım; kronik obstrüktif akciğer hastalığı; morbidite
ABSTRACT
An increase in the risk of developing coronavirus disease-2019 (COVID-19) for patients with asthma and chronic obstructive pulmonary disease (COPD) has not been identified so far, and the frequency of airway diseases has not increased in patients with COVID-19. Interestingly, patients with asthma and COPD are not admitted to hospital because of exacerbations due to SARS-CoV2 infection. Reasons such as the fact that these patient groups are mostly isolated at home and the potential protective effect of inhaled corticosteroid use in the treatment of COVID-19 disease may have led to a lower rate of being infected with CoV than expected. Information on the severity of COVID-19 in patients with severe asthma using biologic agents is limited. In light of the studies published so far, it seems that severe illness for COVID-19 in patients with airway diseases is associated with advanced age and co-existing comorbidities such as obesity, diabetes, sleep apnea and cardiovascular diseases. That's why, management of comorbidities is also an important issue. In general, while the risk of death associated with COVID-19 does not increase in asthmatic patients, it is stated that the risk of hospitalization, severe pneumonia and mortality are increased in the severe acute respiratory syndrome-coronavirus-2 infected COPD patient group. International guidelines recommend that patients with asthma and COPD may continue their current therapy and follow prevention measures that apply to all individuals. Ensuring optimal control of diseases and comorbidities and increasing daily physical activity will support the control of the risk in case of a possible infection.

Keywords: COVID-19; pandemic; asthma; chronic obstructive lung disease; morbidity
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4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com