Investigating asthma deaths among children and young adults: Michigan Asthma Mortality Review.
OBJECTIVE
We developed a surveillance system to investigate asthma deaths in children and young adults.


METHODS
A rapid asthma death notification and investigation system for Michigan was developed to identify interventions to prevent future deaths among people aged 2-34 years. Multidisciplinary panels to determine causal factors and recommend preventative actions reviewed information from death certificates, autopsies, next-of-kin interviews, and medical records. An annual report was disseminated to public health workers, health-care providers, insurers, and others.


RESULTS
Eighty-six asthma deaths in Michigan residents, aged 2-34, occurred from 2002-2004. Sixty-one next of kin were interviewed and medical records were obtained for 84 of the deceased. Summaries were prepared on each of the deceased and were reviewed by expert panels, which reached consensus on causal factors and potential preventive action for each death. Each year an annual report, which summarized the causal factors and potential preventive activity, was prepared.


CONCLUSIONS
This review has informed and catalyzed interventions to improve asthma care and management in Michigan. Factors leading to the review's success and future activities are discussed.
Rosenman
Kenneth D
KD
Department of Medicine, Michigan State University, 117 West Fee Hall, East Lansing, MI 48824-1315, USA. Rosenman@msu.edu
Hanna
Elizabeth A
EA
Lyon-Callo
Sarah K
SK
Wasilevich
Elizabeth A
EA
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001249:Asthma / Q000401:mortality*; D015984:Causality; D002648:Child; D002675:Child, Preschool; D004812:Epidemiologic Methods; D005190:Family; D006266:Health Education; D006801:Humans; D007407:Interviews as Topic; D008824:Michigan / Q000453:epidemiology; D018571:Sentinel Surveillance