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https://hdl.handle.net/2440/7790
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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 1099-0496 |
Statement of Responsibility: | 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 Asthma Respiratory Insufficiency Emergencies Parents Sick Role Time Factors Adolescent Child Patient Acceptance of Health Care South Australia Female Male Denial, Psychological |
DOI: | 10.1002/ppul.1950200102 |
Published version: | http://dx.doi.org/10.1002/ppul.1950200102 |
Appears in Collections: | Aurora harvest 4 Paediatrics publications |
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