Boulet L P, Milot J, Beaupré A
Union Med Can. 1989 Jul-Aug;118(4):150-7.
In the last decade, mortality from asthma has increased in most industrialized countries. The analysis of death certificates from 1975 to 1985 for the province of Québec shows a 28.6% increase in deaths associated with asthma, from 1.43 to 1.84 per 100,000 population. Although the mortality rate from asthma is higher in older patients, a steady increase in mortality rates from asthma have been observed in younger asthmatics (less than 35 years old), with rates going from 0.24 to 0.37 per 100,000. The number of deaths has recently increased more rapidly in women and is not different in rural and urban areas. On the other hand, the number of asthma-related hospitalisations has been stable from 1980 to 1985. This increase in mortality from asthma has been considered multifactorial but stresses the importance of improving asthma control. Proposed solutions to improve this situation, such as patient education on asthma and its treatment, regular measurement of expiratory flows, identification of "at-risk" patients and optimization of the treatment are discussed.
在过去十年中，大多数工业化国家的哮喘死亡率都有所上升。对魁北克省1975年至1985年死亡证明的分析显示，与哮喘相关的死亡人数增加了28.6%，从每10万人1.43例增至1.84例。虽然老年患者的哮喘死亡率较高，但在较年轻的哮喘患者（35岁以下）中，哮喘死亡率也在稳步上升，从每10万人0.24例增至0.37例。最近，女性的死亡人数增长更快，且农村和城市地区并无差异。另一方面，1980年至1985年期间，与哮喘相关的住院人数一直保持稳定。哮喘死亡率的上升被认为是多因素造成的，但这凸显了改善哮喘控制的重要性。文中讨论了改善这种状况的建议解决方案，如对患者进行哮喘及其治疗的教育、定期测量呼气流量、识别“高危”患者以及优化治疗等。
