Asthma mortality in Birmingham 1975-7: 53 deaths.
- 8 March 1980
- Vol. 280 (6215) , 687-690
- https://doi.org/10.1136/bmj.280.6215.687
Abstract
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.Keywords
This publication has 13 references indexed in Scilit:
- "Acute" asthma in adults.Thorax, 1979
- Asthma deaths in Cardiff 1963-74: 53 deaths in hospital.BMJ, 1976
- Asthma deaths in Cardiff 1963-74: 90 deaths outside hospital.BMJ, 1976
- A survey of asthma mortality in patients between ages 35 and 64 in the Greater London hospitals in 1971.Thorax, 1975
- Asthma mortality. Why the United States was spared an epidemic of deaths due to asthma.Published by Elsevier ,1972
- The intensive therapy of asthma.1971
- The circumstances preceding death from asthma in young people in 1968 to 1969.1971
- RISE AND FALL OF ASTHMA MORTALITY IN ENGLAND AND WALES IN RELATION TO USE OF PRESSURISED AEROSOLSThe Lancet, 1969
- Deaths from Asthma in England and WalesThorax, 1953
- Death occurring in bronchial asthma a report of five casesJournal of Allergy, 1952