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Trends in hospitalizations and mortality from asthma in Costa Rica over a 12- to 15-year period.

Identifieur interne : 004249 ( PubMed/Curation ); précédent : 004248; suivant : 004250

Trends in hospitalizations and mortality from asthma in Costa Rica over a 12- to 15-year period.

Auteurs : Manuel Soto-Martínez [Costa Rica] ; Lydiana Avila [Costa Rica] ; Natalia Soto [Costa Rica] ; Albin Chaves [Costa Rica] ; Juan C. Celed N ; Manuel E. Soto-Quiros [Costa Rica]

Source :

RBID : pubmed:24565774

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Abstract

Little is known about trends in morbidity and/or mortality due to asthma in Latin America.

DOI: 10.1016/j.jaip.2013.09.010
PubMed: 24565774

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Juan C. Celed N
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Le document en format XML

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<term>Child</term>
<term>Costa Rica</term>
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<term>Practice Guidelines as Topic</term>
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<term>Time Factors</term>
<term>Young Adult</term>
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<term>Adhésion aux directives (tendances)</term>
<term>Administration par inhalation</term>
<term>Adolescent</term>
<term>Adulte</term>
<term>Antiasthmatiques (administration et posologie)</term>
<term>Asthme ()</term>
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<term>Répartition par sexe</term>
<term>Répartition par âge</term>
<term>Types de pratiques des médecins (tendances)</term>
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<term>Anti-Asthmatic Agents</term>
<term>Beclomethasone</term>
<term>Glucocorticoids</term>
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<keywords scheme="MESH" type="geographic" xml:lang="en">
<term>Costa Rica</term>
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<term>Antiasthmatiques</term>
<term>Béclométasone</term>
<term>Glucocorticoïdes</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Asthma</term>
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<term>Asthme</term>
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<term>Asthma</term>
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<term>Asthme</term>
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<term>Adhésion aux directives</term>
<term>Hospitalisation</term>
<term>Revue des pratiques de prescription des médicaments</term>
<term>Types de pratiques des médecins</term>
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<term>Asthma</term>
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<term>Drug Utilization Review</term>
<term>Guideline Adherence</term>
<term>Hospitalization</term>
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<term>Administration, Inhalation</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Age Distribution</term>
<term>Child</term>
<term>Drug Prescriptions</term>
<term>Female</term>
<term>Health Care Surveys</term>
<term>Humans</term>
<term>Male</term>
<term>Practice Guidelines as Topic</term>
<term>Sex Distribution</term>
<term>Time Factors</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Administration par inhalation</term>
<term>Adolescent</term>
<term>Adulte</term>
<term>Asthme</term>
<term>Costa Rica</term>
<term>Enfant</term>
<term>Enquêtes sur les soins de santé</term>
<term>Facteurs temps</term>
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<term>Répartition par sexe</term>
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<div type="abstract" xml:lang="en">Little is known about trends in morbidity and/or mortality due to asthma in Latin America.</div>
</front>
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<DateCreated>
<Year>2014</Year>
<Month>02</Month>
<Day>25</Day>
</DateCreated>
<DateCompleted>
<Year>2014</Year>
<Month>04</Month>
<Day>08</Day>
</DateCompleted>
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<Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
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<ISSN IssnType="Print">2213-2198</ISSN>
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<Volume>2</Volume>
<Issue>1</Issue>
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<MedlineDate>2014 Jan-Feb</MedlineDate>
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<Title>The journal of allergy and clinical immunology. In practice</Title>
<ISOAbbreviation>J Allergy Clin Immunol Pract</ISOAbbreviation>
</Journal>
<ArticleTitle>Trends in hospitalizations and mortality from asthma in Costa Rica over a 12- to 15-year period.</ArticleTitle>
<Pagination>
<MedlinePgn>85-90</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jaip.2013.09.010</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S2213-2198(13)00385-1</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Little is known about trends in morbidity and/or mortality due to asthma in Latin America.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To examine trends in hospitalizations and mortality due to asthma from 1997-2000 to 2011 in Costa Rica.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The rates of hospitalization due to asthma were calculated for each sex in 3 age groups from 1997 to 2011. The number of deaths due to asthma was first calculated for all groups and then for each sex in 3 age groups from 2000 to 2011. All analyses were conducted over the entire period and separately for the periods before and after a National Asthma Program (NAP) in 2003. Data also were available for prescriptions for beclomethasone since 2004. All analyses were conducted by using Epi Info.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Substantial reductions were found in hospitalizations and deaths due to asthma in Costa Ricans (eg, from 25 deaths in 2000 to 5 deaths in 2011). Although, the percentage decrement in the rates of hospitalization for asthma in subjects <20 years old was similar before and after the NAP, the reduction in both deaths due to asthma and rates of asthma hospitalizations in older subjects were more pronounced after the NAP, when prescriptions for beclomethasone were also increased by approximately 129%.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In Costa Rica, there was a marked decrement in hospitalizations and mortality due to asthma from 1997-2000 to 2011. In younger subjects, this is likely due to guidelines that, since 1988, recommend inhaled corticosteroids for persistent asthma. In older adults, the NAP probably enhanced reductions in hospitalizations and deaths due to asthma through inhaled corticosteroid use.</AbstractText>
<CopyrightInformation>Copyright © 2013 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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</AffiliationInfo>
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</AffiliationInfo>
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</AffiliationInfo>
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<Month>11</Month>
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<Keyword MajorTopicYN="N">Hospital Nacional de Niños</Keyword>
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<Keyword MajorTopicYN="N">Inhaled corticosteroids</Keyword>
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<Month>09</Month>
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