Hospital admissions and death rates from asthma in Kuwait during pre- and post-Gulf War periods

Abul, Adnan T.; Nair, M.G. Prabha Chandran; Behbehani, Nasser

doi:10.1016/s1081-1206(10)62497-0

Cited by 13 publications

(14 citation statements)

References 9 publications

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“…A previous report estimated asthma hospitalisation and mortality rates in Kuwait during two 3-year periods: from 1987 to 1989 and 1992 to 1994. 12 In 1994, asthma hospital admission and mortality rates were estimated to be 231.2 admissions and 1.36 deaths per 100 000 population, respectively. 12 In 2014, the latest year in the current analysis, there were 91.3 admissions and 0.9 deaths per 100 000 population due to asthma exacerbations.…”

Section: Discussionmentioning

confidence: 99%

“… 12 In 1994, asthma hospital admission and mortality rates were estimated to be 231.2 admissions and 1.36 deaths per 100 000 population, respectively. 12 In 2014, the latest year in the current analysis, there were 91.3 admissions and 0.9 deaths per 100 000 population due to asthma exacerbations. Hence, this comparison clearly shows substantial reductions, specifically in asthma hospitalisation, between 1994 and 2014 in Kuwait.…”

Section: Discussionmentioning

confidence: 99%

“… 11 During the period from 1992 to 1994, the annual rates of asthma hospitalisation and mortality in Kuwait were estimated to be 205 admissions and 1.59 deaths per 100 000 population, respectively. 12 Given the ongoing improvements in asthma therapeutic and management strategies, we hypothesised that asthma hospitalisations and mortality have decreased; however, there have been no recent efforts to assess temporal trends in Kuwait. Therefore, this study sought to describe the trends in asthma hospital admissions and mortality according to sex, age and nationality in Kuwait between 2000 and 2014 using national hospital discharge records and death certificates.…”

Section: Introductionmentioning

confidence: 99%

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Trends in asthma hospital admissions and mortality in Kuwait, 2000–2014: a national retrospective observational study

Ziyab

Abul

2018

BMJ Open

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ObjectivesTo examine trends in asthma hospitalisation and mortality rates from 2000 to 2014 in Kuwait according to sex, age and nationality.MethodsFor this nationwide, retrospective observational study, data from hospital discharge records and death certificates listing asthma as the primary reason for hospitalisation or mortality were obtained from the National Center for Health Information database using International Classification of Diseases, Tenth Revision codes J45 and J46. Trends in sex-adjusted, age-adjusted and nationality-adjusted hospitalisation and mortality rates were examined. Poisson regression models were applied to test for linear trends overtime and estimate adjusted rate ratios and 95% CI.ResultsDuring the 15-year study period, a total of 43 652 hospitalisations and 484 deaths due to asthma exacerbations were identified. The average annual adjusted rates of asthma hospitalisation and mortality were estimated to be 134.9 (95% CI 131.8 to 138.1) and 2.1 (95% CI 1.8 to 2.4) per 100 000 population, respectively. Hospitalisation rates decreased by 49.5% in the total population (from 180.8 to 91.3 admissions per 100 000 population between 2000 and 2014, ptrend <0.001) and by 57.9% in the age group of 5–44 years (from 77.3 to 32.5 admissions per 100 000 population, ptrend <0.001). Mortality rates decreased from 4.1 to 0.9 deaths per 100 000 population between 2000 and 2014 in the total population (77.6% decrease, ptrend <0.001) and from 0.6 to 0.2 deaths per 100 000 population among those aged 5–44 years (61.9% reduction, ptrend=0.005). Kuwaiti compared with non-Kuwaiti subjects had higher risk of asthma hospitalisation and mortality. Among children aged ≤19 years, the risk of hospitalisation was higher in boys compared with girls; however, among adults, women experienced more hospitalisations than men.ConclusionsAsthma hospitalisation and mortality rates have substantially decreased between 2000 and 2014 in Kuwait, with persisting differences between genders, age groups and citizens versus non-citizens. The observed decreasing trends in Kuwait are in agreement with global trends.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Trends in asthma hospital admissions and mortality in Kuwait, 2000–2014: a national retrospective observational study

Ziyab

Abul

2018

BMJ Open

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“…Most chemical and particle inhalation injuries occur after occupational or accidental exposure. [3][4][5][6][7]20,21 The studies on these injuries use dichotomized or categorical variables to assess exposure intensity: examples are exposure/non-exposure, arrival time and work assignment-based exposure (such as in firefighters and emergency medical technicians). This reflects the fact that the exposure usually occurs in an open space and is thus difficult to quantify.…”

Section: Discussionmentioning

confidence: 99%

Lung function in patients with lung injury due to household chemical inhalation: Post hoc analysis of a prospective nationwide cohort

et al. 2016

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“…An analysis of patients admitted to hospital with asthma, as per International Classification of Diseases, before and after the Gulf War (1987-1989 and 1992-1994) showed no statistically significant differences in either hospital admissions or death rates attributable to asthma. However, the number of hospital admissions in young adult Kuwaiti nationals increased in the post-Gulf War period [3] . This prompted us to investigate factors contributing to airway diseases in Kuwait.…”

Section: Introductionmentioning

confidence: 99%

Factors Responsible for Asthma and Rhinitis among Kuwaiti Schoolchildren

Abal¹,

Ayed

Nair

et al. 2010

Med Princ Pract

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Objective: The aim of this study was to assess the prevalence of asthma among schoolchildren and to determine the level house dust mites in Kuwaiti homes and its role in asthma and rhinitis. Subjects and Method: The International Study of Asthma and Allergy in Children questionnaire was distributed to schoolchildren in the age group of 5–7 years, after random sampling from all the five governorates of Kuwait. The questionnaires were completed and initiated by parents with the help of the investigator and parents. House dust was collected from the bedroom floor of 549 houses in the same geographical areas where the schoolchildren were sampled, extracted and assayed for mite Der p 1 by ELISA method. Results: The estimated prevalence of asthma was 22.4% and that of rhinitis was 23%. House dust collected from the bedroom floor was found to contain low levels of Der p 1. There was no significant difference (p = 0.969) in the level of Der p 1 between areas in Kuwait. The highest levels of Der p 1 ranged from 0.02 to 0.10 mg/g in 3.5% of the total samples examined. Conclusions: There is a high prevalence of asthma and rhinitis among the schoolchildren in Kuwait. However, the level of dust mitogens investigated in this study was below the level of concern, thus undermining their role in increasing asthma cases in Kuwait. Therefore, further studies are needed to understand the role of other mite allergens and other factors that contribute to the increased prevalence of allergic diseases in Kuwaiti children.

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Hospital admissions and death rates from asthma in Kuwait during pre- and post-Gulf War periods

Cited by 13 publications

References 9 publications

Trends in asthma hospital admissions and mortality in Kuwait, 2000–2014: a national retrospective observational study

Trends in asthma hospital admissions and mortality in Kuwait, 2000–2014: a national retrospective observational study

Lung function in patients with lung injury due to household chemical inhalation: Post hoc analysis of a prospective nationwide cohort

Factors Responsible for Asthma and Rhinitis among Kuwaiti Schoolchildren

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