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dc.contributor.authorMartin, A.-
dc.contributor.authorCampbell, D.-
dc.contributor.authorGluyas, P.-
dc.contributor.authorCoates, J.-
dc.contributor.authorRuffin, R.-
dc.contributor.authorRoder, D.-
dc.contributor.authorLatimer, K.-
dc.contributor.authorLuke, C.-
dc.contributor.authorFrith, P.-
dc.contributor.authorYellowlees, P.-
dc.contributor.authorMcLennan, G.-
dc.identifier.citationPediatric Pulmonology, 1995; 20(1):1-8-
dc.description.abstractAs 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)-
dc.description.statementofresponsibilityMartin, 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.-
dc.subjectRespiratory Insufficiency-
dc.subjectSick Role-
dc.subjectTime Factors-
dc.subjectPatient Acceptance of Health Care-
dc.subjectSouth Australia-
dc.subjectDenial, Psychological-
dc.titleCharacteristics of near-fatal asthma in childhood-
dc.typeJournal article-
dc.identifier.orcidMartin, A. [0000-0002-1606-5461]-
dc.identifier.orcidRoder, D. [0000-0001-6442-4409]-
Appears in Collections:Aurora harvest 4
Paediatrics publications

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