Mitchell E A, Elliott R B
N Z Med J. 1981 Nov 11;94(695):331-4.
One hundred consecutive admissions to hospital for asthma in children aged three to 14 were studied prospectively. There was considerable morbidity in these patients; the mean number of admissions for asthma was 5.7 and 46 percent of patients of school age had issued four weeks or more in the previous 12 months due to asthma. 27 percent of the patients were Polynesian Pacific Islanders (PI) compared to 7 percent in the Auckland urban areas (p less than 0.01). PI were readmitted more frequently during the study period compared to Europeans (p less than 0.005). No difference in the general form of asthma was seen between ethnic groups. However, there were marked socioeconomic differences implied by lower home ownership, larger families and relative overcrowding in the home of PI. The higher admission rates of PI may be related to these and to lower drug usage, in particular fewer patients were using sodium cromoglycate and different admission criteria.
对100例3至14岁因哮喘连续入院的儿童进行了前瞻性研究。这些患者的发病率相当高；哮喘的平均入院次数为5.7次，46%的学龄儿童在过去12个月中因哮喘休学四周或更长时间。27%的患者是波利尼西亚太平洋岛民（PI），而奥克兰市区这一比例为7%（p<0.01）。与欧洲人相比，PI在研究期间再次入院的频率更高（p<0.005）。不同种族之间哮喘的一般形式没有差异。然而，PI家庭的房屋拥有率较低、家庭规模较大和相对拥挤，这意味着存在明显的社会经济差异。PI较高的入院率可能与这些因素以及较低的药物使用率有关，特别是使用色甘酸钠的患者较少，以及不同的入院标准。
