Asthma mortality in Uruguay, 1984–1998

Baluga, Juan Carlos; Sueta, Adriana; Ceni, Martha

doi:10.1016/s1081-1206(10)62205-3

Cited by 11 publications

(4 citation statements)

References 20 publications

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“…Also, it has been observed that the risk of asthma mortality increased with age in all ethnicities and races in the US (17, 40). Studies in other countries, such as, Singapore, Uruguay, Spain and France observed the same pattern (42, 45–47). Various factors may contribute to the possible explanations of this observation.…”

Section: Discussionsupporting

confidence: 55%

Asthma Mortality in Puerto Rico: 1980–2007

et al. 2010

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Background Asthma is a highly-prevalent chronic disease. Prevalence and mortality are particularly high in Puerto Ricans living in the US as compared with other populations. Objective To determine asthma mortality rates in Puerto Rico (1980 to 2007) and to assess the socio-demographic variables that may be associated with these rates. Methods Data was obtained from the Vital Statistics Office at the Puerto Rico Department of Health. Crude mortality rates and their 95% confidence intervals were used to evaluate differences between age groups and across years. Mortality risk ratios by socio-demographic variables were estimated using generalized lineal models with a Poisson link function to identify at-risk groups. Results . During the study period, there were 4,232 deaths recorded with asthma as the cause of death. From 1980 to 1998 annual asthma mortality rates fluctuated between 3.32 and 6.56 deaths per 100,000 (Mean 4.77), followed by a decline after implementation of the ICD-10 for reporting cause of death in 1999. Between 1999 and 2007 the mean asthma death rate declined to 3.01 (4.89 in 1999 to 2.02 in 2007). Overall, asthma mortality rates were between 1.77 and 4.0 times higher in Puerto Rico than in the US. Throughout the whole study period, mortality rates were higher in older age groups. In addition, the adjusted regression model for asthma deaths showed that persons divorced or widowed, and persons with only elementary education had significantly higher risk of asthma mortality than their counterparts. Conclusion . Asthma death rates were higher in Puerto Rico than in the US general population. Although asthma mortality in Puerto Rico declined, rates continued to be significantly higher than those recorded in the US. There was a progressive decline in asthma mortality rates after 1999 that may be explained by changes in reporting classification, increased use of corticosteroids, and improved asthma awareness. After controlling for possible confounding variables, age and elementary education were found to increase the risk of mortality due to asthma among Puerto Ricans.

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Section: Discussionsupporting

confidence: 55%

Asthma Mortality in Puerto Rico: 1980–2007

et al. 2010

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“…tion that, despite significant advances in the understanding of asthma pathogenesis and treatment, asthma mortality had increased in countries like Australia and New Zealand in the previous 20 years (2). More recently, asthma mortality has been decreasing or stabilizing, with the decrease more prominent in countries where the use of inhaled steroids has increased (3)(4)(5).…”

mentioning

confidence: 99%

“…In addition to incidence and severity, asthma mortality is high in Latin America, especially in countries like Uruguay and Mexico, reaching overall mortality rates of 4.1 and 5.6 per 100 000 inhabitants, respectively (3,8). Brazil has an intermediate position, with a mean mortality rate of 2.04 per 100 000 inhabitants or approximately 2 000 deaths/year (8).…”

mentioning

confidence: 99%

Characterization of autopsy-proven fatal asthma patients in São Paulo, Brazil

Mauad

Ferreira

Costa

et al. 2008

Rev Panam Salud Publica

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Few data are available on autopsy-proven fatal asthma patients in São Paulo, Brazil. We characterized 73 asthma patients who were autopsied at the Serviço de Verificação de Obitos da Universidade de São Paulo between 1996 and 2004. An interview with the next of kin assessed socioeconomic status, history, and treatment of asthma. There were 42 women and 31 men. Fifty-six (76.7%) of them were older than 34 years. Sixty-three percent were Caucasians, 77.3% had < 8 years of schooling, and the median income was 1.6 times the minimum wage. Twenty-two patients (30.1%) were smokers and 14 (19.2%) were ex-smokers. Only 25 (34.2%) patients were regularly followed by a doctor. Only 12.3% received inhaled steroids. Thirty-five patients (47.9%) had moderate-to-severe asthma. Fifty-five (75.3%) deaths took place outside a hospital. We conclude that this population shares characteristics of severe or poorly controlled asthma, low educational and socioeconomic levels, and lack of medical care and of inhaled steroid use.

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“…Mais recentemente, parece ter havido uma queda gradual na mortalidade da asma em alguns países onde as estatísticas de mortalidade são atualizadas de maneira acurada. Esta tendência tem sido observada particularmente em países que adotaram terapêuticas modernas no tratamento de asma, entre elas o uso de corticosteróide inalatório (Baluga et al, 2001;Sly, 2004;Neffen et al, 2006).…”

Section: Asma -Epidemiologiaunclassified

Componentes da matriz extracelular e seus reguladores no músculo liso brônquico na asma

Araújo¹

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Dedico este trabalho Ao meu Deus, pela companhia e cuidado constantes, Aos meus queridos pais, Noel e Maria Lúcia, por toda dedicação e amor incondicionais, Aos meus lindos irmãos, Fábio e Márcio, pela amizade e apoio, Aos meus avós, exemplos de vida, por todo amor recebido, Ao Wanderson, por tornar minha vida mais bela, Aos meus familiares e amigos. Minha gratidão, À querida Profa. Dra. Thais Mauad, minha orientadora, por proporcionar-me mais que conhecimento científico e acadêmico nestes quatro anos de doutorado. Obrigada por todo auxílio e incentivo para que eu pudesse vivenciar outra Cultura, e para que este trabalho se tornasse realidade. Meu apreço e admiração pela sua dedicação e genialidade.

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Asthma mortality in Uruguay, 1984–1998

Cited by 11 publications

References 20 publications

Asthma Mortality in Puerto Rico: 1980–2007

Asthma Mortality in Puerto Rico: 1980–2007

Characterization of autopsy-proven fatal asthma patients in São Paulo, Brazil

Componentes da matriz extracelular e seus reguladores no músculo liso brônquico na asma

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