Is the Incidence of Near-Fatal Asthma Decreasing in Spain?
A number of studies have shown that both mortality and hospital admissions due to severe asthma have decreased in recent years in many parts of the world. However, the situation is Spain has not yet been analyzed. The aim of this study was to determine the incidence of very severe, near-fatal asthma...
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Published in | Archivos de bronconeumología (English ed.) Vol. 42; no. 10; pp. 522 - 525 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English Spanish |
Published |
Spain
01.10.2006
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Subjects | |
Online Access | Get full text |
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Summary: | A number of studies have shown that both mortality and hospital admissions due to severe asthma have decreased in recent years in many parts of the world. However, the situation is Spain has not yet been analyzed. The aim of this study was to determine the incidence of very severe, near-fatal asthma in recent years in various Spanish hospitals.
A retrospective review of hospital records from 6 hospitals in 5 Spanish autonomous communities was conducted for the period 1997 to 2004 to determine the annual number of patients who required orotracheal intubation and mechanical ventilation due to an asthma attack.
Of the 130 patients included in the study, 81 (62%) were women and 61 (47%) were aged between 51 and 75 years. The number of cases observed for the periods 2001–2002 and 2003–2004 (32 and 18, respectively) was significantly lower than that observed for the 1997–1998 and 1999–2000 periods (40 in both cases;
P=.019). A significant increase in the incidence was observed in autumn and winter (n=81 [62%];
P=.018). Seventeen patients (13%) died and 8 (6%) developed serious sequelae.
Although our sample of 6 hospitals is not widely representative of the entire population of hospitals in Spain, our findings strongly suggest a decrease in the incidence of near-fatal asthma in Spain in recent years
Estudios recientes muestran un descenso de la mortalidad y del número de los ingresos hospitalarios por asma grave en los últimos años en diferentes lugares del mundo. Se desconoce la situación en nuestro país. El objetivo del presente estudio ha sido determinar la frecuencia anual de las crisis de asma de riesgo vital muy grave en los últimos años en diversos centros hospitalarios españoles.
Se revisaron retrospectivamente los registros hospitalarios de los pacientes que precisaron intubación orotraqueal y ventilación mecánica por una crisis de asma en 6 hospitales pertenecientes a 5 comunidades autónomas. El estudio recogió el número anual de casos observado durante el período comprendido entre 1997 y 2004.
De los 130 pacientes incluidos, 81 (62%) eran mujeres y 61 (47%) tenían entre 51 y 75 años de edad. En los 2 últimos bienios (2001–2002 y 2003–2004) el número de pacientes recogidos (32 y 18, respectivamente) fue significativamente inferior al observado en los 2 primeros (1997–1998 y 1999–2000, con 40 cada bienio; p = 0,019). Se constató una incidencia significativamente mayor de casos (n = 81; 62%) durante las estaciones de otoño e invierno (p = 0,018). Fallecieron 17 pacientes (13%) y 8 (6%) presentaron secuelas graves.
Si bien 6 centros hospitalarios no son lo bastante representativos de la totalidad de los centros españoles, los resultados del presente estudio podrían orientar hacia un muy probable descenso en nuestro país de los casos de asma de riesgo vital en los últimos años. |
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Bibliography: | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 |
ISSN: | 1579-2129 0300-2896 1579-2129 |
DOI: | 10.1016/S1579-2129(06)60579-X |