Mortality from asthma, 1979–1984

Sly, R. Michael

doi:10.1016/0091-6749(88)90069-3

Cited by 151 publications

(33 citation statements)

References 25 publications

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“…Our study indicates that 1,499 deaths (33% of all 4,487 deaths from asthma in the United States in 2000 reported by the Centers (25) and highlights the continued need for public health efforts to reduce out-of-hospital deaths from asthma exacerbations. Furthermore, our analyses of data from 2000 failed to detect a significantly higher risk of in-hospital deaths among blacks despite a 2.5-to 5-fold higher risk of death from asthma exacerbations in the overall U.S. population.…”

Section: Discussionmentioning

confidence: 99%

Mortality in Patients Hospitalized for Asthma Exacerbations in the United States

Krishnan

Diette

Rańd

et al. 2006

Am J Respir Crit Care Med

188

125

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Rationale: Hospitalizations for asthma exacerbations are common in the United States, but there are no national estimates of outcomes in this population. It is also not known if race disparities in asthma deaths exist among hospitalized patients. Objectives: To estimate outcomes of patients hospitalized for asthma in the United States and to determine if the risk of death in this population is higher among black patients compared with white patients. Methods: We used the Nationwide Inpatient Sample for 2000. Admissions for asthma exacerbations among patients Ͼ 5 yr of age were included. Mortality was the primary outcome; secondary outcomes were length of stay and total hospital charges. Measurements and Main Results:In-hospital asthma mortality was 0.5% (99% confidence interval [CI], 0.4-0.6), with mean hospital stay of 2.7 d (99% CI, 2.6-2.8 d) and $9,078 (99% CI, $8,300-9,855) in hospital charges. Deaths in this population accounted for about one-third of all asthma deaths reported in the United States. Black patients hospitalized for asthma exacerbations were less likely to die when compared with white patients (0.3 vs. 0.6%; p Ͻ 0.001). However, in multivariable analyses, there were no significant race differences in hospital deaths. Conclusions: Mortality among patients hospitalized for asthma exacerbations accounts for one-third of all deaths from asthma. The higher overall risk of death from asthma in black patients compared with white patients in the United States is not explained by race differences in hospital deaths and therefore is attributable to factors preceding hospitalization.

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Section: Discussionmentioning

confidence: 99%

Mortality in Patients Hospitalized for Asthma Exacerbations in the United States

Krishnan

Diette

Rańd

et al. 2006

Am J Respir Crit Care Med

188

125

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“…Quanto à mortalidade por asma, que é relativamente baixa, vem-se observando um aumento a partir da década de 50, demonstrado em vários estudos realizados em diferentes países (Sly, 1988;Jackson et al, 1988). Este fato é preocupante, já que são mortes preveníveis por meio de um tratamento rígido e efetivo.…”

Section: Introductionunclassified

Avaliação do programa de atenção a crianças asmáticas acompanhadas nas unidades de saúde do Município do Embu, São Paulo, no período de 1988 a 1993

et al. 1998

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Com o objetivo de avaliar o desempenho do Programa de Atenção a Crianças Portadoras de "Chiado no Peito", no Município de Embu, São Paulo, foram estudadas 434 crianças e adolescentes de zero a 14 anos, admitidas no programa de maio/88 a julho/93. Mais de 90% desses pacientes nunca haviam sido acompanhados por esse motivo em serviço médico. Apenas 6,2% foram encaminhados a outros serviços de referência durante o acompanhamento no programa. Segundo critérios clínicos, os pacientes foram classificados em: bebê chiador (21,8%), asmáticos leves (41,7%), asmáticos moderados (28,3%), asmáticos graves (7,6%) e outros (0,4%). Ao se analisar o comportamento dos asmáticos moderados e graves acompanhados por mais de um ano, observou-se melhora clínica nesses dois grupos, e o que influenciou positivamente esse fato foi a maior aderência ao uso da medicação. O número de exacerbações decresceu entre os asmáticos graves, após um ano de acompanhamento regular, embora durante os 12 meses analisados tenha havido um consumo praticamente constante de medicação broncodilatadora. O abandono ocorreu em 53,2% das crianças matriculadas, principalmente nos primeiros seis meses de acompanhamento, sendo significantemente mais freqüente entre os asmáticos moderados. Concluímos que as crianças com maior aderência ao programa se beneficiaram do mesmo, apesar das dificuldades e da falta de alguns recursos medicamentosos atualmente existentes.

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“…A sthma is the most common chronic respiratory illness in North America and in recent years its prevalence has increased internationally (1)(2)(3)(4)(5). In the majority of cases, asthma can be controlled by allergen avoidance and/or appropriate medication; thus, a visit to an emergency department often represents a failure in the treatment or control process.…”

mentioning

confidence: 99%

Factors that Influence Emergency Department Visits for Asthma

Tough

Green

et al. 1999

Canadian Respiratory Journal

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BACKGROUND: Asthma can usually be controlled through allergen avoidance and/or appropriate medication. An emergency department visit for an acute exacerbation of asthma often represents a breakdown in asthma management. Emergency department treatment results in significant health care expenditures and reflects a compromised quality of life. OBJECTIVES: To identify risk factors associated with an emergency department visit for asthma. METHODS: This case-control study compared 299 people (76% of 390 cases contacted) who attended one of two emergency departments in Alberta in 1992 and 1993 for an acute exacerbation of asthma (cases) with 212 unmatched community controls with asthma who were located by random digit dialing. Cases and controls were asked to complete a mailed questionnaire to obtain data regarding severity, visits to doc-

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Mortality from asthma, 1979–1984

Cited by 151 publications

References 25 publications

Mortality in Patients Hospitalized for Asthma Exacerbations in the United States

Mortality in Patients Hospitalized for Asthma Exacerbations in the United States

Avaliação do programa de atenção a crianças asmáticas acompanhadas nas unidades de saúde do Município do Embu, São Paulo, no período de 1988 a 1993

Factors that Influence Emergency Department Visits for Asthma

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