Risk factors for asthmatic patients requiring intubation. II. Observations in teenagers.
The asthma mortality rate has increased steadily over the past 15 years in the United States and has only recently shown signs of leveling off. It is widely believed, although unproven, that many asthma deaths may be preventable. We have addressed one critical factor in severe asthma by attempting a definition of risk factors for intubation using demographic data and a retrospective cohort study of hospitalized asthmatic teenagers. This study included all asthmatics aged 13-19 years admitted over a 10-year period (1984-1994) to the University of California Davis Medical Center, Sacramento, California. A total of 143 such asthma admissions were reviewed, involving 68 females and 75 males, mean age 16.4 +/- 2.3 years. Of this group, 85 teenagers were black, 34 were Caucasian, 14 were Hispanic, and 10 were Asian. By National Heart, Lung, and Blood Institute guidelines, there were 42 mild, 85 moderate, and 16 severe cases. Ten of the 143 teenagers studied required intubation for their asthma.(ABSTRACT TRUNCATED AT 250 WORDS)
LeSon
S
S
Department of Internal Medicine, University of California Davis, School of Medicine 95616, USA.
Gershwin
M E
ME
D000293:Adolescent; D000305:Adrenal Cortex Hormones; D000328:Adult; D001249:Asthma / Q000209:etiology* / Q000628:therapy*; D003441:Crowding; D004522:Educational Status; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D007442:Intubation, Intratracheal; D008297:Male; D012141:Respiratory Tract Infections / Q000150:complications; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000150:complications; D014028:Tobacco Smoke Pollution / Q000009:adverse effects
D000305:Adrenal Cortex Hormones; D014028:Tobacco Smoke Pollution