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Correspondence
Underestimated asthma prevalence in Guarda's district leads to overestimated hospitalizations
J.M. Silvaa,b,
Corresponding author
paulo.silva@ulsguarda.min-saude.pt

Corresponding author at: Bairro do Torrão n° 83, 6300-767, Guarda, Portugal.
, L. Ferreiraa,b
a Pulmonology Department, Unidade Local de Saúde da Guarda, Guarda, Portugal
b Faculdade de Ciências da Saúde da Universidade da Beira Interior, Covilhã, Portugal
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    "titulo" => "Underestimated asthma prevalence in Guarda&#39;s district leads to overestimated hospitalizations"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="para0002" class="elsevierStylePara elsevierViewall">As pulmonologists in Guarda&#39;s Local Health Unit&#44; we cannot avoid commenting on the editorial published in March 2023 in Pulmonology Journal<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a> as it greatly concerns us&#46;</p><p id="para0003" class="elsevierStylePara elsevierViewall">The article states that&#44; in mainland Portugal&#44; the Guarda district has the most prevalence-adjusted asthma hospital admissions&#46; These results are based on an asthma prevalence in the Guarda district of 1&#46;7&#37;&#46; That estimated prevalence is&#44; by far&#44; the lowest in mainland Portugal&#46; The lowest after Guarda is the Braga district&#44; with 4&#46;2&#37; &#40;2&#46;5 times higher than in our district&#41;&#46;</p><p id="para0004" class="elsevierStylePara elsevierViewall">The reference for this data is the Portuguese National Asthma Survey&#44;<a class="elsevierStyleCrossRef" href="#bib0002"><span class="elsevierStyleSup">2</span></a> published in 2010&#46; However&#44; there is no detailed data on asthma prevalence by district in that study&#46; The results are presented by region&#44; with a prevalence of asthma of 6&#46;2&#37; in the centre of Portugal &#40;location of Guarda&#41;&#46; This prevalence includes our neighbouring districts&#44; where patients have similar characteristics&#58;<ul class="elsevierStyleList" id="celist0001"><li class="elsevierStyleListItem" id="celistitem0001"><span class="elsevierStyleLabel">&#8226;</span><p id="para0005" class="elsevierStylePara elsevierViewall">5&#46;2&#37; in Viseu &#40;more than three times higher than the estimated prevalence in Guarda&#41;</p></li><li class="elsevierStyleListItem" id="celistitem0002"><span class="elsevierStyleLabel">&#8226;</span><p id="para0006" class="elsevierStylePara elsevierViewall">4&#46;95&#37; in Castelo Branco &#40;2&#46;9 times higher than the estimated prevalence in Guarda&#41;&#46;</p></li></ul></p><p id="para0007" class="elsevierStylePara elsevierViewall">It is therefore impossible to know where the data for the Guarda district was found&#46;</p><p id="para0008" class="elsevierStylePara elsevierViewall">According to the Portuguese census of 2021&#44; the population in Guarda&#39;s Local Health Unit area is 137&#44;788 inhabitants&#46;</p><p id="para0009" class="elsevierStylePara elsevierViewall">In our hospital&#44; we conduct severe asthma consultations&#46; In 2022&#44; we observed a total of 238 patients&#46; GINA estimates that 3&#46;7&#37; of asthma patients worldwide have severe asthma&#46; This statistic allows us to infer that&#44; given our consultation data compared to the Guarda district population&#44; we obtained circa 6432 patients with asthma in the Guarda district&#46; This number gives us an estimated asthma prevalence in the Guarda district of 4&#46;67&#37; - a significantly higher percentage than the one mentioned in the editorial abovementioned&#46; Moreover&#44; that is a low estimate since not all patients with severe asthma in the Guarda district have medical records in our hospital&#46;</p><p id="para0010" class="elsevierStylePara elsevierViewall">Therefore&#44; the prevalence of asthma in the Guarda district is underestimated and distorts the prevalence-adjusted asthma hospital admissions&#44; skewing the study&#39;s conclusions&#46;</p></span>"
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ISSN: 25310437
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Pulmonology

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