Abstract
The causes of asthma death were studied on 137 patients, 85 male and 52 female, age ranged from 0 to 28 years old, from 1990 to 1997. Eight cases were excluded because of non-asthma death such as car accident. Twenty six cases (19.1%) have mild asthma, 30 cases (22.1%) moderately severe, 41 cases (30.1%) severe, and 39 cases (28.7%) unknown or undescribed. Seventy eight cases (58%) died in hospitals but 5 and 6 cases with age of 13 years old or above died more frequently on the way to hospital and in the ambulance cars respectively. The contributory factors to asthma death were delay by patients and/or families in seeking help in 69.3% and unexpected sudden exacerbation in 67.9%. The delay in seeking help when condition begin to deteriorate was made by their families in 48.9% and by patients in 47.4%, and strong dependence on beta-stimulant by metered dose inhaler (MDI) was seen in 29.2%. The possible causes of deaths were overtreatment with drugs in 19 cases, and 12 of them were beta-stimulants by MDI. Eight of them were reported to be fenoterol by MDI.
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Schedule a callMore From: Nihon Shoni Arerugi Gakkaishi. The Japanese Journal of Pediatric Allergy and Clinical Immunology
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