Trends in Hospitalizations and Mortality From Asthma in Costa Rica Over a 12- to 15-year Period
Background Little is known about trends in morbidity and/or mortality due to asthma in Latin America. Objective To examine trends in hospitalizations and mortality due to asthma from 1997-2000 to 2011 in Costa Rica. Methods The rates of hospitalization due to asthma were calculated for each sex in 3...
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| Veröffentlicht in: | The journal of allergy and clinical immunology in practice (Cambridge, MA) MA), 2014-01, Vol.2 (1), p.85-90 |
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| creator | Soto-Martínez, Manuel, MD Avila, Lydiana, MD Soto, Natalia, MD Chaves, Albin, MD Celedón, Juan C., MD, DrPH Soto-Quiros, Manuel E., MD, PhD |
| description | Background Little is known about trends in morbidity and/or mortality due to asthma in Latin America. Objective To examine trends in hospitalizations and mortality due to asthma from 1997-2000 to 2011 in Costa Rica. 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. 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 |
| doi_str_mv | 10.1016/j.jaip.2013.09.010 |
| format | Article |
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Objective To examine trends in hospitalizations and mortality due to asthma from 1997-2000 to 2011 in Costa Rica. 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. 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%. Conclusion 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.</description><identifier>ISSN: 2213-2198</identifier><identifier>EISSN: 2213-2201</identifier><identifier>DOI: 10.1016/j.jaip.2013.09.010</identifier><identifier>PMID: 24565774</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Administration, Inhalation ; Adolescent ; Adult ; Age ; Age Distribution ; Allergy and Immunology ; Anti-Asthmatic Agents - administration & dosage ; Asthma ; Asthma - diagnosis ; Asthma - mortality ; Asthma - therapy ; Beclomethasone - administration & dosage ; Child ; Chronic obstructive pulmonary disease ; Costa Rica ; Developing countries ; Disease ; Drug Prescriptions ; Drug Utilization Review - trends ; Female ; Glucocorticoids - administration & dosage ; Guideline Adherence - trends ; Health Care Surveys ; Hospitalization ; Hospitalization - trends ; Hospitalizations ; Hospitals ; Humans ; Internal Medicine ; LDCs ; Male ; Morbidity ; Mortality ; Older people ; Practice Guidelines as Topic ; Practice Patterns, Physicians' - trends ; Public health ; Sex Distribution ; Studies ; Time Factors ; Trends ; Young Adult</subject><ispartof>The journal of allergy and clinical immunology in practice (Cambridge, MA), 2014-01, Vol.2 (1), p.85-90</ispartof><rights>American Academy of Allergy, Asthma & Immunology</rights><rights>2013 American Academy of Allergy, Asthma & Immunology</rights><rights>Copyright © 2013 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Jan 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-48d821c87c6ce374a45365602be8a92875701bc740fe0f8b0cf970796859060a3</citedby><cites>FETCH-LOGICAL-c439t-48d821c87c6ce374a45365602be8a92875701bc740fe0f8b0cf970796859060a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24565774$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soto-Martínez, Manuel, MD</creatorcontrib><creatorcontrib>Avila, Lydiana, MD</creatorcontrib><creatorcontrib>Soto, Natalia, MD</creatorcontrib><creatorcontrib>Chaves, Albin, MD</creatorcontrib><creatorcontrib>Celedón, Juan C., MD, DrPH</creatorcontrib><creatorcontrib>Soto-Quiros, Manuel E., MD, PhD</creatorcontrib><title>Trends in Hospitalizations and Mortality From Asthma in Costa Rica Over a 12- to 15-year Period</title><title>The journal of allergy and clinical immunology in practice (Cambridge, MA)</title><addtitle>J Allergy Clin Immunol Pract</addtitle><description>Background Little is known about trends in morbidity and/or mortality due to asthma in Latin America. Objective To examine trends in hospitalizations and mortality due to asthma from 1997-2000 to 2011 in Costa Rica. 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. 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%. Conclusion 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.</description><subject>Administration, Inhalation</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age Distribution</subject><subject>Allergy and Immunology</subject><subject>Anti-Asthmatic Agents - administration & dosage</subject><subject>Asthma</subject><subject>Asthma - diagnosis</subject><subject>Asthma - mortality</subject><subject>Asthma - therapy</subject><subject>Beclomethasone - administration & dosage</subject><subject>Child</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Costa Rica</subject><subject>Developing countries</subject><subject>Disease</subject><subject>Drug Prescriptions</subject><subject>Drug Utilization Review - trends</subject><subject>Female</subject><subject>Glucocorticoids - administration & dosage</subject><subject>Guideline Adherence - trends</subject><subject>Health Care Surveys</subject><subject>Hospitalization</subject><subject>Hospitalization - trends</subject><subject>Hospitalizations</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>LDCs</subject><subject>Male</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Older people</subject><subject>Practice Guidelines as Topic</subject><subject>Practice Patterns, Physicians' - trends</subject><subject>Public health</subject><subject>Sex Distribution</subject><subject>Studies</subject><subject>Time Factors</subject><subject>Trends</subject><subject>Young Adult</subject><issn>2213-2198</issn><issn>2213-2201</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kl9rFTEQxRdRbKn9Aj5IwBdfdp38z4II5WKtUKlofQ652VnMuru5JnsL109vltsq9MG8JAy_c5jMmap6SaGhQNXboRlc2DUMKG-gbYDCk-qUMcprVmpPH960NSfVec4DlGOoBgHPqxMmpJJai9PK3iacu0zCTK5i3oXFjeG3W0KcM3FzRz7HtJaWA7lMcSIXefkxuZXexLw48jV4R27uMBFHKKvJEgmV9QFdIl8whdi9qJ71bsx4fn-fVd8vP9xururrm4-fNhfXtRe8XWphOsOoN9orj1wLJyRXUgHbonEtM1pqoFuvBfQIvdmC71sNulVGtqDA8bPqzdF3l-KvPebFTiF7HEc3Y9xnSyUwzpRQsqCvH6FD3Ke5dGepEkJLQ0EUih0pn2LOCXu7S2Fy6WAp2DUBO9g1AbsmYKG1JYEienVvvd9O2P2VPMy7AO-OAJZZ3AVMNvuAs8cuJPSL7WL4v__7R3I_hrlkMP7EA-Z__7CZWbDf1h1YV4ByAG4k5X8A8Kunog</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Soto-Martínez, Manuel, MD</creator><creator>Avila, Lydiana, MD</creator><creator>Soto, Natalia, MD</creator><creator>Chaves, Albin, MD</creator><creator>Celedón, Juan C., MD, DrPH</creator><creator>Soto-Quiros, Manuel E., MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20140101</creationdate><title>Trends in Hospitalizations and Mortality From Asthma in Costa Rica Over a 12- to 15-year Period</title><author>Soto-Martínez, Manuel, MD ; Avila, Lydiana, MD ; Soto, Natalia, MD ; Chaves, Albin, MD ; Celedón, Juan C., MD, DrPH ; Soto-Quiros, Manuel E., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-48d821c87c6ce374a45365602be8a92875701bc740fe0f8b0cf970796859060a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Administration, Inhalation</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Age Distribution</topic><topic>Allergy and Immunology</topic><topic>Anti-Asthmatic Agents - administration & dosage</topic><topic>Asthma</topic><topic>Asthma - diagnosis</topic><topic>Asthma - mortality</topic><topic>Asthma - therapy</topic><topic>Beclomethasone - administration & dosage</topic><topic>Child</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Costa Rica</topic><topic>Developing countries</topic><topic>Disease</topic><topic>Drug Prescriptions</topic><topic>Drug Utilization Review - trends</topic><topic>Female</topic><topic>Glucocorticoids - administration & dosage</topic><topic>Guideline Adherence - trends</topic><topic>Health Care Surveys</topic><topic>Hospitalization</topic><topic>Hospitalization - trends</topic><topic>Hospitalizations</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>LDCs</topic><topic>Male</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Older people</topic><topic>Practice Guidelines as Topic</topic><topic>Practice Patterns, Physicians' - trends</topic><topic>Public health</topic><topic>Sex Distribution</topic><topic>Studies</topic><topic>Time Factors</topic><topic>Trends</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soto-Martínez, Manuel, MD</creatorcontrib><creatorcontrib>Avila, Lydiana, MD</creatorcontrib><creatorcontrib>Soto, Natalia, MD</creatorcontrib><creatorcontrib>Chaves, Albin, MD</creatorcontrib><creatorcontrib>Celedón, Juan C., MD, DrPH</creatorcontrib><creatorcontrib>Soto-Quiros, Manuel E., MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of allergy and clinical immunology in practice (Cambridge, MA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soto-Martínez, Manuel, MD</au><au>Avila, Lydiana, MD</au><au>Soto, Natalia, MD</au><au>Chaves, Albin, MD</au><au>Celedón, Juan C., MD, DrPH</au><au>Soto-Quiros, Manuel E., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in Hospitalizations and Mortality From Asthma in Costa Rica Over a 12- to 15-year Period</atitle><jtitle>The journal of allergy and clinical immunology in practice (Cambridge, MA)</jtitle><addtitle>J Allergy Clin Immunol Pract</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>2</volume><issue>1</issue><spage>85</spage><epage>90</epage><pages>85-90</pages><issn>2213-2198</issn><eissn>2213-2201</eissn><abstract>Background Little is known about trends in morbidity and/or mortality due to asthma in Latin America. Objective To examine trends in hospitalizations and mortality due to asthma from 1997-2000 to 2011 in Costa Rica. 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. 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%. Conclusion 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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24565774</pmid><doi>10.1016/j.jaip.2013.09.010</doi><tpages>6</tpages></addata></record> |
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| subjects | Administration, Inhalation Adolescent Adult Age Age Distribution Allergy and Immunology Anti-Asthmatic Agents - administration & dosage Asthma Asthma - diagnosis Asthma - mortality Asthma - therapy Beclomethasone - administration & dosage Child Chronic obstructive pulmonary disease Costa Rica Developing countries Disease Drug Prescriptions Drug Utilization Review - trends Female Glucocorticoids - administration & dosage Guideline Adherence - trends Health Care Surveys Hospitalization Hospitalization - trends Hospitalizations Hospitals Humans Internal Medicine LDCs Male Morbidity Mortality Older people Practice Guidelines as Topic Practice Patterns, Physicians' - trends Public health Sex Distribution Studies Time Factors Trends Young Adult |
| title | Trends in Hospitalizations and Mortality From Asthma in Costa Rica Over a 12- to 15-year Period |
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