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调查儿童和青年成人中的哮喘死亡情况:密歇根州哮喘死亡率审查。

Investigating asthma deaths among children and young adults: Michigan Asthma Mortality Review.

作者信息

Rosenman Kenneth D, Hanna Elizabeth A, Lyon-Callo Sarah K, Wasilevich Elizabeth A

机构信息

Department of Medicine, Michigan State University, 117 West Fee Hall, East Lansing, MI 48824-1315, USA.

出版信息

Public Health Rep. 2007 May-Jun;122(3):373-81. doi: 10.1177/003335490712200311.

Abstract

OBJECTIVE

We developed a surveillance system to investigate asthma deaths in children and young adults.

METHODS

A rapid asthma death notification and investigation system for Michigan was developed to identify interventions to prevent future deaths among people aged 2-34 years. Multidisciplinary panels to determine causal factors and recommend preventative actions reviewed information from death certificates, autopsies, next-of-kin interviews, and medical records. An annual report was disseminated to public health workers, health-care providers, insurers, and others.

RESULTS

Eighty-six asthma deaths in Michigan residents, aged 2-34, occurred from 2002-2004. Sixty-one next of kin were interviewed and medical records were obtained for 84 of the deceased. Summaries were prepared on each of the deceased and were reviewed by expert panels, which reached consensus on causal factors and potential preventive action for each death. Each year an annual report, which summarized the causal factors and potential preventive activity, was prepared.

CONCLUSION

This review has informed and catalyzed interventions to improve asthma care and management in Michigan. Factors leading to the review's success and future activities are discussed.

摘要

目的

我们开发了一个监测系统来调查儿童和青年的哮喘死亡情况。

方法

为密歇根州建立了一个快速哮喘死亡通报和调查系统,以确定预防2至34岁人群未来死亡的干预措施。多学科小组通过审查死亡证明、尸检、近亲访谈和医疗记录中的信息来确定因果因素并推荐预防措施。一份年度报告分发给公共卫生工作者、医疗保健提供者、保险公司及其他方面。

结果

2002年至2004年期间,密歇根州2至34岁居民中有86例哮喘死亡。对61名近亲进行了访谈,并获取了84名死者的医疗记录。为每名死者编写了摘要,并由专家小组进行审查,专家小组就每例死亡的因果因素和潜在预防措施达成了共识。每年编写一份年度报告,总结因果因素和潜在预防活动。

结论

这项审查为密歇根州改善哮喘护理和管理的干预措施提供了信息并起到了推动作用。讨论了促成审查成功的因素及未来活动。

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