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Worldwide trends in asthma mortality.

M R Sears1

  • 1Otago University Medical School, Dunedin, New Zealand.

Bulletin of the International Union Against Tuberculosis and Lung Disease
|June 1, 1991
PubMed
Summary

Asthma mortality rates vary globally due to inaccurate death certifications and underreporting. Recent increases, especially in young people, are concerning and may relate to treatment practices, requiring further investigation into causes of asthma deaths.

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Area of Science:

  • Pulmonary Medicine
  • Epidemiology
  • Public Health

Background:

  • International asthma mortality statistics show significant variability.
  • Inaccuracies in death certification and underreporting contribute to these discrepancies.
  • Recent trends indicate a concerning increase in asthma mortality, particularly among younger populations.

Purpose of the Study:

  • To analyze international variations in asthma mortality rates.
  • To investigate potential causes for recent increases in asthma deaths.
  • To examine the relationship between asthma management practices and mortality.

Main Methods:

  • Review of international asthma mortality data.
  • Analysis of trends in asthma mortality over time.
  • Examination of factors associated with asthma deaths, including demographics and treatment.

Main Results:

  • Significant international variations in asthma mortality exist, partly explained by certification inaccuracies.
  • A notable increase in asthma mortality rates has occurred in recent decades, especially in young individuals.
  • Overreliance on beta-agonists and underuse of corticosteroids are identified as potential management deficiencies.

Conclusions:

  • Current asthma mortality statistics require validation due to reporting inconsistencies.
  • The rising trend in asthma deaths, particularly in youth, warrants further research into causative factors.
  • Concerns exist that current treatment strategies may negatively impact asthma severity and mortality, necessitating additional studies to establish causality.

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