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Are asthma mortality rates changing?

C J Stewart, A J Nunn

    British Journal of Diseases of the Chest
    |July 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Published asthma death rates are rising, but data for adults aged 15-44 is accurate. Female asthma deaths have decreased significantly, while male rates remain unchanged, highlighting a persistent issue in severe acute asthma management.

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    Area of Science:

    • Pulmonology
    • Epidemiology
    • Public Health

    Background:

    • Recent years have seen an increase in published asthma death rates.
    • The accuracy of these published rates and the validity of comparisons across different classification systems require assessment.
    • Understanding trends in asthma mortality is crucial for public health interventions.

    Purpose of the Study:

    • To assess the genuineness of the reported increase in asthma death rates.
    • To validate the accuracy of published death rates in the 15-44 year age group.
    • To compare asthma mortality trends between males and females over time.

    Main Methods:

    • Utilized data from the British Thoracic Association (BTA) confidential enquiry into asthma deaths.
    • Employed bridge coding results from the Office of Population Censuses and Surveys (OPCS).

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  • Analyzed death rates in the 15-44 year age group, comparing pre- and post-International Classification of Diseases (ICD) changes.

    • Main Results:

    • Published asthma death rates in the 15-44 age group are considered reasonably accurate.
    • Comparisons of death rates before and after ICD revisions are valid.
    • The asthma death rate for females aged 15-44 has decreased by nearly 50% since the 1960s, while the rate for males in the same age group shows little change.

    Conclusions:

    • The observed increase in published asthma death rates may not be entirely genuine, particularly in the 15-44 age group.
    • Significant progress has been made in reducing asthma mortality among females.
    • The persistent high death rate among males necessitates urgent attention and improved management strategies for severe acute asthma.