Please use this identifier to cite or link to this item:
Scopus Web of ScienceĀ® Altmetric
Type: Journal article
Title: Characteristics of near-fatal asthma in childhood
Author: Martin, A.
Campbell, D.
Gluyas, P.
Coates, J.
Ruffin, R.
Roder, D.
Latimer, K.
Luke, C.
Frith, P.
Yellowlees, P.
McLennan, G.
Citation: Pediatric Pulmonology, 1995; 20(1):1-8
Publisher: WILEY-LISS
Issue Date: 1995
ISSN: 8755-6863
Statement of
Martin, A. J. ; Campbell, D. A. ; Gluyas, P. A. ; Coates, J. R. ; Ruffin, R. E. ; Roder, D. M. ; Latimer, K. M. ; Luke, C. G. ; Frith, P. A. ; Yellowlees, P. M. ; Mclennan, G.
Abstract: As part of the South Australian asthma mortality survey, we examined 30 cases of near-fatal asthma attacks in children under 15 years of age who were seen over a 3-year period from May 1988 to June 1991. Subjects presented with asthma and either respiratory arrest, PaCO2 above 50 mm Hg, and/or an altered state of consciousness or inability to speak on presentation at a metropolitan Adelaide teaching hospital. A standardized interview and questionnaire was completed with subjects/parents and medical practitioners. Data were reviewed by the assessment panel which made collective judgments based on predetermined criteria. Seventeen patients (57%) were male, 20% were less than 7 years of age, and the majority (53%) were aged between 12 and 15 years. The majority (83%) had severe asthma and only one case (3.3%) had mild asthma. Half of the subjects were waking every night due to asthma and 79% had significant exercise limitation. A quarter of the subjects had a previous ICU admission and 70% had a hospital admission in the last 12 months. Primary care was carried out by a general practitioner in 57% of cases, and 70% of subjects had a crisis plan. Only 46% of those older than 7 years of age had ever used a peak-flow meter. Eighty percent of subjects or their families had high denial scores, and in 73% of cases psychosocial factors were considered to be significant. Eighty percent of cases experienced acute progressive respiratory distress, and 63% of cases delayed seeking medical care.(ABSTRACT TRUNCATED AT 250 WORDS)
Keywords: Humans
Respiratory Insufficiency
Sick Role
Time Factors
Patient Acceptance of Health Care
South Australia
Denial, Psychological
DOI: 10.1002/ppul.1950200102
Published version:
Appears in Collections:Aurora harvest 4
Paediatrics publications

Files in This Item:
There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.