Asma, rinitis y seguridad vial

  1. J. Gregorio Soto Campos
  2. J. Rojas Villegas
  3. R. Carmona García
  4. D. del Castillo Otero
  5. A. del Cuvillo Bernal
  6. C. Millán González
Journal:
Revista española de patología torácica

ISSN: 1889-7347

Year of publication: 2017

Volume: 29

Issue: 4

Pages: 206-213

Type: Article

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Abstract

Introduction: injuries from traffic accidents constitute one of the main health problems for the global population in the early 21st century. This study aims to determine if there is a greater prevalence of accident-causing driving among individuals diagnosed with asthma and/or rhinitis. Method: patients visiting two health centers who were not afflicted with chronic disease were recruited consecutively over the course of three months. All participants ranged between 18 and 65 years old, and were habitual drivers. A group of ill patients with a diagnosis of asthma/rhinitis were also recruited from the pulmonology, allergy and ENT departments at the Hospital de Jerez. These patients were interviewed following a predetermined questionnaire, collecting demographic data, tobacco use, history of driving accidents, characteristics of the asthma and rhinitis and the Goldberg Anxiety-Depression Scale (GADS) was used to evaluate the existence of a psychiatric comorbidity. The prevalence of accidents was calculated in each group and among the patients with a diagnosis of rhinitis/asthma, as well as according to diagnosis and severity. Results: 424 healthy individuals (49.3% women) were interviewed with an average age of 38. We also interviewed 185 patients with asthma/rhinitis (52.4% women), with an average age of 45. Of those interviewed, 67.6% suffered from rhinitis with or without asthma. A total of 33.8% of the control group and 41.6% of asthmatic patients (p <0.001) reported having suffered traffic accidents. Patients suffering only from rhinitis (n = 125) had more accidents than the healthy population in the control group (0.48 ± 0.51 vs 0.34 ± 0.47; p < 0.001). Accidents showed a correlation with the level of asthma control and the severity of asthma and rhinitis. Conclusions: there is a higher rate of driving accidents among individuals suffering from asthma and rhinitis, which may be related to the severity of these illnesses.

Bibliographic References

  • Informe de la Dirección General de Tráfico. En: http://www.dgt.es/Galerias/seguridadvial/estadisticas-e-indicadores/publicaciones/anuario-estadistico-de-accidentes/anuarioaccidentes-2013.pdf
  • Dirección General de Tráfico. Ministerio del Interior. Manual de aspectos médicos relacionados con la capacidad de conducción de vehículos. Editado por Dirección General de Tráfico 2001.
  • Pereira C, Valero A, Loureiro C et al. Iberian study of aeroallergens sensitisation in allergic rinitis. Eur Ann Allergy Clin Immunol. 2006; 38 (6): 186-94.
  • Fokkens W, Lund V, Mullol J et al. European Position Paper on Rhinosinusitis and Nasal Polyps. Rhinology 2008; supplement 20: 1-111.
  • Urrutia I, Aguirre U, Sunyer J et al. Cambios en la prevalencia de asma en la población española del Estudio de Salud Respiratoria de la Comunidad Europea (ECRHS-II)Arch Bronconeumol. 2007, (43): 425-430.
  • Kanaan A, Huertas P, Santiago A et al. Incidence of different health factors and their influence on traffic accidents in the province of Madrid, Spain. Leg Med (Tokyo) 2009 Apr; 11 Suppl 1: S333-7
  • Hambrook DW, Fink JN. Airbag asthma: a case report and review of the literature. Ann Allergy Asthma Immunol. 2006 Feb; 96 (2): 369-72.
  • Hvidberg E, Schwartz M. Cough syncope. Fainting with attacks of coughing--a rarely recognized and serious traffic hazard. Ugeskr Laeger. 1962 Sep 7; 124: 1301-5.
  • Haffner HT, Graw M. Cough syncope as a cause of traffic accident. Blutalkohol 1990 Mar; 27 (2): 110-5.
  • Monique A.J., Volkerts ER, Dunnebier EA et al. Effects of Seasonal Allergic Rhinitis on Driving Ability, Memory Functioning, Sustained Attention, and Quality of Life. The Open Allergy Journal, 2008, 1, 19-25
  • Instituto Mapfre seguridad Vial. Alergias un peligro invisible. 2005. En: https://www.fundacionmapfre.org/fundacion/es_es/images/alergias_tcm164-179004.pdf
  • GEMA 2009. Guía española para el manejo del asma. J Investig Allergol Clin Immunol 2010; Vol. 20, Suppl. 1: 1.
  • J Mullol, A Valero, I Alobid et al. Allergic Rhinitis and its Impact on Asthma Update (ARIA 2008).The Perspective From Spain. J Invest Allergol Clin Immunol 2008; 18 (5): 327-334.
  • Goldberg D, Bridges K, Duncan-Jones P et al. Detecting anxiety and depression in general medical settings. Br Med J 1988; 297: 897-9.
  • GINA. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention NHLBI/WHO Workshop Report. 2014. http://www.ginasthma.com
  • Blanc PD, Trupin L, Eisner M et al. The work impact of asthma and rhinitis: findings from a population-based survey. J Clin Epidemiol 2001; 54: 610-8.
  • I Jáuregui, M Ferrer, J Montoro et al. Antihistamines in Drivers, Aircrew and Occupations of Risk. J Investig Allergol Clin Immunol 2013; Vol. 23, Suppl. 1: 27-34.
  • Marshall PS, Colon EA. Effects of allergy season on mood and cognitive function. Ann Allergy 1993; 71: 251-8.
  • Verster JC, Volkerts ER. CME review. Antihistamines and driving ability: Evidence from on-the-road driving studies during normal traffic. Ann Allergy Asthma Immunol 2004, 92 (3): 294-303.
  • Rudisill TM, Zhu M, Davidov D et al. Medication use and the risk of motor vehicle collision in West Virginia drivers 65 years of age and older: a case-crossover study. BMC Res Notes 2016; 9 (166): 1-11.
  • Spector SL, Tan RA. Fatal consequence of allergic rinitis. J Allergy Clin Immunol 2010; 126 (5): 1077. doi: 10.1016/j.jaci.2010.07.017.
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