EMERGENCY ROOM VISITS FOR ACUTE ATTACKS OF ASTHMA - CHARACTERIZATION OF PATIENTS AND VISITS

被引:14
作者
ROSSI, OVJ [1 ]
KINNULA, VL [1 ]
HUHTI, E [1 ]
机构
[1] UNIV OULU,DEPT MED,SF-90100 OULU 10,FINLAND
关键词
ASTHMA EMERGENCIES; EXACERBATION; ASTHMA; HOSPITAL ADMISSIONS;
D O I
10.1159/000195890
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
To characterize asthma emergencies, all patients attending the hospital because of an asthma attack in 1 year were studied. Of the 212 patients concerned, 148 attended the hospital once, 34 twice and 30 three times or more. The total number of visits was 351. The mean age of the patients was 50 (15-85) years, and 32% of those under 65 years were receiving a pension because of asthma. Eleven patients (5%) had drinking problems, and 62 (29%) had treatment for other diseases. Atopy was diagnosed in 83 patients (39%). Of the patients with one, two or more numerous visits 39, 74 and 90%, respectively, were taking oral steroids, whereas the corresponding figures for those using inhaled steroids were 34, 71 and 61%. Medical treatment seemed to be inadequate more often among the frequent visitors. Seasonal variation in visits was evident, the rates being lowest in July and highest in March. Time-of-day variation was also found, visits being most common from 10 to 11 a.m.
引用
收藏
页码:21 / 25
页数:5
相关论文
共 12 条
[1]   INABILITY TO PREDICT RELAPSE IN ACUTE ASTHMA [J].
CENTOR, RM ;
YARBROUGH, B ;
WOOD, JP .
NEW ENGLAND JOURNAL OF MEDICINE, 1984, 310 (09) :577-580
[2]   AN INDEX PREDICTING RELAPSE AND NEED FOR HOSPITALIZATION IN PATIENTS WITH ACUTE BRONCHIAL-ASTHMA [J].
FISCHL, MA ;
PITCHENIK, A ;
GARDNER, LB .
NEW ENGLAND JOURNAL OF MEDICINE, 1981, 305 (14) :783-789
[3]   ASTHMA IN THE EMERGENCY ROOM - ASSESSMENT AND TREATMENT [J].
FRANKLIN, W .
NEW ENGLAND JOURNAL OF MEDICINE, 1981, 305 (14) :826-827
[4]   EMERGENCY ROOM ASSESSMENT AND TREATMENT OF PATIENTS WITH ACUTE ASTHMA - ADEQUACY OF CONVENTIONAL APPROACH [J].
KELSEN, SG ;
KELSEN, DP ;
FLEEGLER, BF ;
JONES, RC ;
RODMAN, T .
AMERICAN JOURNAL OF MEDICINE, 1978, 64 (04) :622-628
[5]   BIOMETEOROLOGICAL TRIGGERS IN CHILDHOOD ASTHMA [J].
KHOT, A ;
BURN, R ;
EVANS, N ;
LENNEY, W ;
STORR, J .
CLINICAL ALLERGY, 1988, 18 (04) :351-358
[6]   SEASONAL-VARIATION AND TIME TRENDS IN CHILDHOOD ASTHMA IN ENGLAND AND WALES 1975-81 [J].
KHOT, A ;
BURN, R ;
EVANS, N ;
LENNEY, C ;
LENNEY, W .
BRITISH MEDICAL JOURNAL, 1984, 289 (6439) :235-237
[7]   ACUTE BRONCHIAL-ASTHMA - RELATIONS BETWEEN CLINICAL AND PHYSIOLOGIC MANIFESTATIONS [J].
MCFADDEN, ER ;
KISER, R ;
DEGROOT, WJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1973, 288 (05) :221-225
[8]   OUTCOMES OF EMERGENCY ROOM VISITS FOR ASTHMA .1. PATIENT DETERMINANTS [J].
NEWCOMB, RW ;
AKHTER, J .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1986, 77 (02) :309-315
[9]   EVALUATION OF THE SEVERITY OF THE ACUTE ASTHMATIC ATTACK [J].
REBUCK, AS ;
BRAUDE, AC ;
CHAPMAN, KR .
CHEST, 1982, 82 (01) :S28-S29
[10]  
RIBON A, 1972, ANN ALLERGY, V30, P276