Macdonald J B, Seaton A, Williams D A
Br Med J. 1976 Jun 19;1(6024):1493-5. doi: 10.1136/bmj.1.6024.1493.
In a detailed study of factors associated with death from bronchial asthma outside hospital 90 patients were investigated. The fatal attack was typically short and was most likely to occur in patients with a long history. Deaths often occurred before effective medical help was obtainable, but occasionally the patient or the doctor underestimated the severity of the attack. Patients especially at risk were those recently discharged from hospital after a previous attack. These deaths might be prevented by better patient education, a self-admission service for selected asthmatics, and by doctors using objective measurements of severity of asthma for the control of treatment. The underuse of corticosteroids is an important factor associated with death.
在一项关于院外支气管哮喘死亡相关因素的详细研究中，对90名患者进行了调查。致命发作通常很短暂，最有可能发生在有长期病史的患者身上。死亡往往发生在获得有效医疗救助之前，但偶尔患者或医生会低估发作的严重程度。特别危险的患者是那些先前发作后最近出院的患者。通过更好的患者教育、为特定哮喘患者提供自我入院服务以及医生使用哮喘严重程度的客观测量来控制治疗，这些死亡可能会得到预防。皮质类固醇使用不足是与死亡相关的一个重要因素。
