Carswell F
Arch Dis Child. 1985 Jan;60(1):25-8. doi: 10.1136/adc.60.1.25.
The features associated with 30 childhood deaths from asthma in the period 1962-83 are reviewed. There was an annual death rate of 0.47/100 000 population at risk in the later part of this period in Avon county. Asthma deaths occurred in chronic severe sufferers at night and, although there was usually time for effective treatment, inadequate management probably contributed to the deaths, with deficiencies in corticosteroid treatment being a major feature. Twelve of the 30 patients who died had never attended hospital. A greater proportion of girls died than would have been predicted from the proportion attending hospital. The survey indicates a need for more effective education of laymen and doctors on asthma.
回顾了1962年至1983年期间30例儿童哮喘死亡病例的相关特征。在此期间后期,埃文郡有风险人群的年死亡率为每10万人0.47例。哮喘死亡发生在慢性重症患者夜间,尽管通常有时间进行有效治疗,但管理不善可能导致了死亡,其中皮质类固醇治疗不足是一个主要特征。30例死亡患者中有12例从未住院治疗。死亡女孩的比例高于根据住院比例所预测的比例。该调查表明需要对非专业人员和医生进行更有效的哮喘教育。