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ABSTRACT: Introduction
The MEGA (MEchanism underlying the Genesis and evolution of Asthma) project is a multicenter cohort study carried out in eight Spanish hospitals, gathering clinical, physiological, and molecular data from patients with asthma and multimorbidities in order to gain insight into the different physiopathological mechanisms involved in this disorder.Material and methods
We report the baseline clinical and physiological characteristics and biomarker measures of adult participants in the project with the aim of better understanding the natural history and underlying mechanisms of asthma as well as the associated multimorbidities across different levels of severity. We carried out a detailed clinical examination, pulmonary function testing, measurement of fractional exhaled nitric oxide (FeNO), blood counts, induced sputum, skin prick tests, chest computed tomography scan, asthma questionnaires, and multimorbidity assessment in 512 asthmatic patients.Results
When compared to patients with milder disease, severe asthmatic patients showed greater presence of symptoms, more exacerbations, lower asthma control, increased airflow obstruction, and higher frequency of chronic rhinosinusitis with nasal polyps, severe rhinitis, anxiety and depression, gastroesophageal reflux, and bronchiectasis.Conclusion
The MEGA project succeeded in recruiting a high number of asthma patients, especially those with severe disease, who showed lower control and higher frequency of multimorbidities.
SUBMITTER: Rial MJ
PROVIDER: S-EPMC8173588 | biostudies-literature | 2021 Mar
REPOSITORIES: biostudies-literature
Rial Manuel J MJ Álvarez-Puebla Maria J MJ Arismendi Ebymar E Caballero María L ML Cañas José A JA Cruz María J MJ González-Barcala Francisco J FJ Luna Juan A JA Martínez-Rivera Carlos C Mullol Joaquim J Muñoz Xavier X Olaguibel José M JM Picado César C Plaza Vicente V Quirce Santiago S Romero-Mesones Christian C Salgado Francisco-Javier FJ Sastre Beatriz B Soto-Retes Lorena L Valero Antonio A Valverde Marcela M Sastre Joaquín J Pozo Victora Del VD
Clinical and translational allergy 20210301 1
<h4>Introduction</h4>The MEGA (MEchanism underlying the Genesis and evolution of Asthma) project is a multicenter cohort study carried out in eight Spanish hospitals, gathering clinical, physiological, and molecular data from patients with asthma and multimorbidities in order to gain insight into the different physiopathological mechanisms involved in this disorder.<h4>Material and methods</h4>We report the baseline clinical and physiological characteristics and biomarker measures of adult parti ...[more]