Document Detail


Asthma mortality in New Zealand: a two year national study.
MedLine Citation:
PMID:  2859567     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The epidemic of deaths from bronchial asthma in New Zealand was investigated by a two-year national review of all deaths of persons under 70 years where "asthma" appeared in part I of a death certificate or in a coroner's report of cause of death. Information about the patients, the characteristics and management of their asthma and the circumstances of the fatal episode was obtained by interviewing relatives and general practitioners and perusal of hospital records. The reviewing panel of the asthma task force of the Medical Research Council considered 271 of the 342 deaths studied were due to asthma. A high national asthma mortality rate (5.1 per 100 000) was confirmed, with rates for Maoris (18.9) and Pacific Islanders (9.4) considerably higher than that for Europeans (3.4 per 100 000). After standardising for age and ethnic groups, there remained a threefold variation in mortality rates among health districts suggesting regional differences in prevalence, severity or management of asthma. No single cause for these high mortality rates was found. One-quarter of the deaths occurred in patients who had had previous life threatening attacks. Excessive use of bronchodilator drugs did not account for the high mortality rates, but inappropriate prolonged use of a home nebuliser may have delayed institution of other therapy in a few cases.
Authors:
M R Sears; H H Rea; R Beaglehole; A J Gillies; P E Holst; T V O'Donnell; R P Rothwell; D C Sutherland
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The New Zealand medical journal     Volume:  98     ISSN:  0028-8446     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  1985 Apr 
Date Detail:
Created Date:  1985-05-30     Completed Date:  1985-05-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  NEW ZEALAND    
Other Details:
Languages:  eng     Pagination:  271-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adrenal Cortex Hormones / therapeutic use
Adrenergic beta-Agonists / adverse effects,  therapeutic use
Adult
Aerosols
Aged
Asthma / drug therapy,  mortality*
Bronchodilator Agents / adverse effects,  therapeutic use
Child
Child, Preschool
Death Certificates
Ethnic Groups
Female
Humans
Infant
Male
Middle Aged
New Zealand
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Adrenergic beta-Agonists; 0/Aerosols; 0/Bronchodilator Agents

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


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