Near-fatal asthma in South Australia: Descriptive features and medication use

D. A. Campbell, C. G. Luke, G. McLennan, J. R. Coates, P. A. Frith, P. A. Gluyas, K. M. Latimer, A. J. Martin, R. E. Ruffin, P. M. Yellowlees, D. M. Roder

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    22 Citations (Scopus)

    Abstract

    Background: Self-reported prior morbidity levels and medication use among survivors of a near-fatal asthma attack (NFA) were studied. Aims: To identify deficiencies in asthma management and opportunities for intervention. Methods: A hundred and twenty-seven consecutive patients aged 15 years or more presenting with a NFA to accident and emergency departments of teaching hospitals were interviewed. Results: High levels of morbidity due to asthma were reported. Most cases (79%) reported symptoms occurring at least weekly in the three months before their NFA. A mean of 20.8 days was reportedly lost from work, school or other usual daily activity in the 12 months before these events. Regular use of beta agonist as nebuliser solution was reported by 27% of cases, increasing to 34.5% in response to increased symptoms, while 41% reported use of nebulised beta agonist in response to the NFA event. Less than half of all cases (46%) reported using an inhaled corticosteroid on a regular basis. Oral corticosteroids were used by 33% of cases at times of increased symptoms in the preceding 12 months. However, only 7% of cases reported initiating or increasing oral corticosteroids at the time of the NFA. Conclusions: Despite high levels of prior asthma morbidity, regular preventive inhaled corticosteroid use was not widespread in this series of NFA asthmatics. By comparison, over-reliance on regular beta agonist medication was common. Oral corticosteroids were rarely commenced in response to the NFA.

    LanguageEnglish
    Pages356-362
    Number of pages7
    JournalAustralian and New Zealand journal of medicine
    Volume26
    Issue number3
    DOIs
    Publication statusPublished - 1 Jan 1996

    Keywords

    • Asthma
    • medications
    • morbidity
    • mortality
    • near-fatal

    ASJC Scopus subject areas

    • Internal Medicine

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