RT Journal Article
T1 Characteristics and Prognosis of Near-Fatal Asthma Exacerbations
A1 González Barcala, Francisco Javier
A1 Calvo Álvarez, Uxío
A1 García Sanz, María Teresa
A1 Bourdin, Arnand
A1 Pose Reino, Antonio
A1 Carreira Villamor, José Martín
A1 Moure González, José Domingo
A1 García Couceiro, Nuria
A1 Valdés Cuadrado, Luis
A1 Muñoz, Xavier
K1 Asthma
K1 Near-fatal
K1 Exacerbations
K1 Prognosis
K1 Hospital admissions
AB Background: Asthma remains a major public health concern because of its high prevalence and the costs it generates. Near-fatal asthma (NFA) episodes represent the most severe forms of the disease after fatal asthma with significant variations in their incidence between different populations.Objective: To analyze the episodes of NFA over a period of 11 years in the hospital.Methods: The authors retrospectively reviewed all admissions due to asthma exacerbation in our hospital between 2000 and 2010 for patients over 18 years of age.Results: The study included 400 NFA episodes of 285 patients (74% women; mean age 66 years). Of these patients, 228 (80%) had a single episode of NFA and 57 had more than 1 episode during the study period. The authors observed no clear upward or downward trend during the study period. Readmitted patients had more comorbidities, poorer lung function, more severe forms of asthma and more admissions in the year before the index admission. There was a mortality rate of 3.1%. More than 20% of patients were not given controller treatment and more than 40% of patients were not treated with inhaled corticosteroids (ICS).Conclusions: NFA episodes are still prevalent in the population of patients with asthma. Reasons for this could be related to improper management in the stable phase, as suggested by the low rate of patients treated with ICS. It also seems necessary to optimize patient management during hospitalization because stays appear prolonged in comparison with studies in other countries
PB Lippincott, Williams & Wilkins
SN 0002-9629
YR 2015
FD 2015
LK http://hdl.handle.net/10347/32545
UL http://hdl.handle.net/10347/32545
LA eng
NO The American Journal of the Medical Sciences Volume 350, Issue 2, August 2015, Pages 98-102. https://doi.org/10.1097/MAJ.0000000000000518
DS Minerva
RD 27 abr 2026