Document Detail


Asthma mortality: comparison between New Zealand and England.
MedLine Citation:
PMID:  3098342     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Causes for the high mortality from asthma in New Zealand were investigated by comparing deaths from asthma in caucasian subjects aged 15-64 in New Zealand with those from asthma in the same age group in two regions in England. There were no significant differences in the accuracy of death certification. The verified asthma mortality in New Zealand (4.2/100,000) was over twice that in England. Many characteristics of patients and management, including poor compliance with treatment and deficiencies in long term and emergency care, were qualitatively similar in the two countries. New Zealand had an apparently higher rate of non-preventable deaths from asthma, suggesting a greater severity of asthma in New Zealand. In both countries, however, most deaths were associated with poor assessment, underestimation of severity and inappropriate treatment (over-reliance on bronchodilators and underuse of systemic corticosteroids), and delays in obtaining help. A greater frequency of some of these deficiencies in management remains a possible additional explanation for part of the excess mortality in New Zealand.
Authors:
M R Sears; H H Rea; R P Rothwell; T V O'Donnell; P E Holst; A J Gillies; R Beaglehole
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British medical journal (Clinical research ed.)     Volume:  293     ISSN:  0267-0623     ISO Abbreviation:  Br Med J (Clin Res Ed)     Publication Date:  1986 Nov 
Date Detail:
Created Date:  1987-02-19     Completed Date:  1987-02-19     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8302911     Medline TA:  Br Med J (Clin Res Ed)     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1342-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Asthma / drug therapy,  mortality*
Bronchodilator Agents / therapeutic use
Emergency Medical Services
England
Female
Glucocorticoids / therapeutic use
Humans
Male
Middle Aged
New Zealand
Patient Acceptance of Health Care
Patient Compliance
Theophylline / therapeutic use
Chemical
Reg. No./Substance:
0/Bronchodilator Agents; 0/Glucocorticoids; 58-55-9/Theophylline
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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