The Impact of Australian Bushfires on Asthma Medicine Prescription Dispensing
Abstract
:1. Introduction
2. Materials and Methods
2.1. Air Quality
2.2. Pharmaceutical Benefits Sscheme (PBS) Medicines
2.3. Statistical Analyses
3. Results
4. Discussion
4.1. PM2.5 and Prescriptions
4.2. Confounding Factors
4.3. Study Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Class | Medication Name | PBS Item Codes (Obtained from PBS Website) |
---|---|---|
Short-acting beta agonist (SABA) | Salbutamol | 8354Q, 11125M, 11130T, 2001H, 3497C, 2000G, 3496B, 1103C, 11088N, 11095Y, 3495Y, 8288F |
Terbutaline | 2817G, 1034K, | |
Long-acting beta agonist (LABA) | Salmeterol | 8141L |
Long-acting beta agonists combined with inhaled corticosteroids (LABA + ICS) | Salmeterol + fluticasone | 8519J, 8431R, 8517G, 8430Q, 8432T, 8518H, |
Budesonide + formoterol | 11273H, 12029D, 12041R, 12093L, 8625Y, 10024N, 12100W, 10015D, 12042T, 12089G, 12101X, 8796Y, 10018G,12082X,11301T,8750M | |
Fluticasone + formoterol | 10007Q, 10008R, 2827T | |
Vilanterol + fluticasone | 11129R, 11124L | |
Inhaled corticosteroids (ICS) | Beclometasone | 8407L, 8408M, 8409N, 8406K |
Budesonide | 2070Y, 2065Q, 2072C, 2071B, 2066R | |
Fluticasone | 8346G, 8345F, 8148W, 8516F, 8147T, 8149X | |
Oral corticosteroids (OCS) | Prednisolone | 1916W, 1917X, 3152X, 8285C |
Prednisone | 1934T, 1935W, 1936X |
Month/Year | N (Days in the Month) | Bushfire Affected | Mean | Median (IQR) | Range |
---|---|---|---|---|---|
November 2018 | 30 | No | 5.317 | 4.8 (3.625–6.325) | 1.5–13.9 |
December 2018 | 28 | No | 8.3 | 6.4 (5.025–9.2) | 1.6–35 |
January 2019 | 31 | No | 8.597 | 8.5 (5.6–11.3) | 2.1–14.8 |
November 2019 | 30 | Yes | 11.037 | 6.25 | 2.1–64.0 |
December 2019 | 31 | Yes | 68.471 | 56.5 (25.3–90.7) | 2.6–239.2 |
January/2020 | 31 | Yes | 108.745 | 34.1 (19.8–91.3) | 4.2–859 |
Drug Class | Drug | December 2018 | January 2019 | December 2019 | January 2020 | % Increase |
---|---|---|---|---|---|---|
SABA | Salbutamol | 2548 | 1964 | 2595 | 3525 | 136 |
Terbutaline | 100 | 79 | 89 | 117 | 115 | |
LABA | Formoterol | 2729 | 2085 | 2442 | 2420 | 101 |
Salmeterol | 39 | 26 | 21 | 29 | 77 | |
OCS | Prednisolone | 1475 | 1279 | 1467 | 1741 | 116 |
Prednisone | 361 | 302 | 360 | 401 | 115 | |
SABA + ICS | Salmeterol + Fluticasone | 3111 | 2692 | 2883 | 4314 | 124 |
Budesonide + formoterol | 2335 | 2111 | 2691 | 4061 | 152 | |
Fluticasone + formoterol | 150 | 143 | 131 | 237 | 126 | |
Vilanterol + fluticasone | 1118 | 1039 | 1331 | 1813 | 146 | |
ICS | Beclomethasone | 17 | 18 | 18 | 36 | 154 |
Budesonide | 160 | 119 | 111 | 162 | 98 | |
Fluticasone | 448 | 378 | 511 | 828 | 162 | |
Ciclesonide | 123 | 86 | 94 | 131 | 108 |
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Zhu, Z.; Naunton, M.; Mortazavi, R.; Bushell, M. The Impact of Australian Bushfires on Asthma Medicine Prescription Dispensing. Healthcare 2024, 12, 428. https://doi.org/10.3390/healthcare12040428
Zhu Z, Naunton M, Mortazavi R, Bushell M. The Impact of Australian Bushfires on Asthma Medicine Prescription Dispensing. Healthcare. 2024; 12(4):428. https://doi.org/10.3390/healthcare12040428
Chicago/Turabian StyleZhu, Zhihua, Mark Naunton, Reza Mortazavi, and Mary Bushell. 2024. "The Impact of Australian Bushfires on Asthma Medicine Prescription Dispensing" Healthcare 12, no. 4: 428. https://doi.org/10.3390/healthcare12040428
APA StyleZhu, Z., Naunton, M., Mortazavi, R., & Bushell, M. (2024). The Impact of Australian Bushfires on Asthma Medicine Prescription Dispensing. Healthcare, 12(4), 428. https://doi.org/10.3390/healthcare12040428