Mullally D I, Howard W A, Hubbard T J, Grauman J S, Cohen S G
Ann Allergy. 1984 Jul;53(1):15-9.
Hospital admissions for childhood asthma to three university affiliated hospitals in the Washington D.C. area (Children's Hospital National Medical Center, CHNMC, Prince George's General Hospital, PGGH, and Holy Cross Hospital, HCH) for the period 1961-1981 increased at least three to 18 fold. The over-all population of children less than or equal to 14 years of age increased, at most, only 1.5 fold by 1970, and thereafter decreased gradually until the end of the study. This increase in pediatric asthma hospitalizations has occurred despite significant improvements in the ambulatory management of the asthmatic child. In particular, the amount of specific anti-asthmatic medication prescribed for these patients has grown markedly. The increased hospitalization is most likely due to an increase in the occurrence of severe asthma in children, particularly black children.
1961年至1981年期间，华盛顿特区地区的三家大学附属医院（儿童医院国家医疗中心、PGGH王子乔治综合医院和HCH圣十字医院）收治的儿童哮喘患者人数增加了至少三到十八倍。到1970年，14岁及以下儿童的总人口最多仅增长了1.5倍，此后逐渐下降直至研究结束。尽管哮喘儿童的门诊管理有了显著改善，但儿科哮喘住院人数仍在增加。特别是，为这些患者开的特定抗哮喘药物的数量显著增加。住院人数增加很可能是由于儿童尤其是黑人儿童中重度哮喘的发病率增加。
