Document Detail

Asthma mortality in Birmingham 1975-7: 53 deaths.
MedLine Citation:
PMID:  7363023     Owner:  NLM     Status:  MEDLINE    
Out of 83 patients studied 72 were certified as dying from asthma, and 11 aged under 45 as dying from chronic bronchitis and pneumonia. Fifty-three deaths were thought to be due to asthma. There were avoidable factors associated with several of these deaths from asthma. Recent discharge from hospital (16%), non-availability of aerosol bronchodilators (45%), underuse of corticosteroids (66%), and lack of objective measurements of airflow obstruction (100%) were found in deaths outside hospital. Inadequate initial assessment including baseline spirometry and blood gases (50%), significant underusage of corticosteroids (93%) and intravenous and nebulised bronchodilators (100%), and failure to monitor treatment objectively (100%) were found in deaths in hospital. "False-positive" and "false-negative" certifications of asthma were studied, and the findings suggest that these may lead to appreciable inaccuracy in the reporting of deaths from asthma.
L P Ormerod; D E Stableforth
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British medical journal     Volume:  280     ISSN:  0007-1447     ISO Abbreviation:  Br Med J     Publication Date:  1980 Mar 
Date Detail:
Created Date:  1980-06-27     Completed Date:  1980-06-27     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372673     Medline TA:  Br Med J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  687-90     Citation Subset:  AIM; IM    
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MeSH Terms
Asthma / diagnosis,  drug therapy,  mortality*
Child, Preschool
Diagnostic Errors
Middle Aged
Prednisolone / therapeutic use
Sex Factors
Reg. No./Substance:

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