{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T09:32:53Z","timestamp":1787650373795,"version":"build-2736575974"},"reference-count":23,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Thunderstorm asthma events can overwhelm emergency departments within hours, making rapid detection critical for public health preparedness and patient safety. We examined whether thunderstorm asthma presentations show distinctive patterns compared to routine asthma cases in emergency department data, with an aim of enhancing the detection of thunderstorm asthma incidence. Using Victoria\u2019s SynSurv surveillance system, we analyzed triage notes from 3 thunderstorm asthma events occurring between 2022 and 2024 in Victoria, Australia, comparing 687 thunderstorm-related presentations with 687 presentations from 8 control days. The study population consisted of emergency department attendees with respiratory presentations. Triage notes were processed using natural language processing and manual review, with demographic, symptom-onset, and medical-history data compared using chi-square tests and temporal analysis. Thunderstorm cases showed significantly higher rates of acute symptom onset within 24\u00a0hours (63.0% vs 47.2%), with presentations peaking 3-8\u00a0hours after storms and returning to baseline within 24\u00a0hours. The affected population skewed markedly toward young adults aged 21-40\u00a0years (35.9% vs 15.6% in controls). Immunological and allergic comorbidities were 3 times more prevalent in thunderstorm cases (16.6% vs 5.6%). These distinct demographic, temporal, and allergic profiles could enhance real-time surveillance and emergency preparedness through refined detection models.<\/jats:p>","DOI":"10.1093\/aje\/kwag076","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T11:28:56Z","timestamp":1776770936000},"source":"Crossref","is-referenced-by-count":1,"title":["Characterizing thunderstorm asthma emergency department presentations using natural language processing for improved real-time surveillance"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6146-1415","authenticated-orcid":false,"given":"Sedigh","family":"Khademi","sequence":"first","affiliation":[{"name":"Health Informatics Group, Centre for Health Analytics, Melbourne Children's Campus , Melbourne ,","place":["Australia"]},{"name":"Department of Pediatrics, University of Melbourne , Melbourne ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3498-6256","authenticated-orcid":false,"given":"Gerardo Luis","family":"Dimaguila","sequence":"additional","affiliation":[{"name":"Health Informatics Group, Centre for Health Analytics, Melbourne Children's Campus , Melbourne ,","place":["Australia"]},{"name":"Department of Pediatrics, University of Melbourne , Melbourne ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6554-9027","authenticated-orcid":false,"given":"Christopher","family":"Palmer","sequence":"additional","affiliation":[{"name":"Health Informatics Group, Centre for Health Analytics, Melbourne Children's Campus , Melbourne 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,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9287-8712","authenticated-orcid":false,"given":"Jim","family":"Black","sequence":"additional","affiliation":[{"name":"Melbourne School of Population and Global Health, University of Melbourne , Melbourne ,","place":["Australia"]},{"name":"Department of Health, State Government of Victoria , Melbourne ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"issue":"1","key":"2026050419165886200_ref1","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1111\/j.1398-9995.2006.01271.x","article-title":"Thunderstorm-asthma and pollen 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