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Bronchial asthma in Singapore children
1Department of Paediatrics, Tan Tock Seng Hospital, Singapore.
Acta Paediatrica Japonica : Overseas Edition
|April 1, 1990
Summary
Childhood asthma admissions are rising, with atypical cases needing bronchial lability tests. Delayed treatment and underestimation of severity contribute to childhood asthma deaths.
Area of Science:
- Pediatrics
- Respiratory Medicine
- Epidemiology
Background:
- Increasing incidence of bronchial asthma admissions in Singaporean pediatric units.
- Asthma diagnosis is typically straightforward, but atypical cases require bronchial lability testing.
- A consistent number of childhood asthma deaths are reported nationally.
Purpose of the Study:
- To analyze trends in childhood asthma admissions.
- To highlight diagnostic challenges in atypical asthma cases.
- To identify factors contributing to mortality in pediatric asthma.
Main Methods:
- Retrospective analysis of hospital admission data.
- Review of diagnostic criteria for bronchial asthma.
- Examination of national mortality statistics for childhood asthma.
Main Results:
- Significant increase in bronchial asthma admissions over time.
- Bronchial lability testing is crucial for diagnosing atypical presentations.
- Underestimation of asthma severity and delayed treatment are key factors in fatal outcomes.
Conclusions:
- There is a rising trend in childhood asthma admissions requiring careful diagnosis.
- Prompt and accurate assessment of asthma severity is vital to prevent mortality.
- Addressing treatment delays and severity underestimation can reduce childhood asthma deaths.