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Asthma Mortality in Michigan for the Years 2002 to 2005, Ages 5–34

The data presented by Rosenman and Hanna from their study of asthma mortality are consistent with the results of our study (1) and further highlight the need for public health efforts to reduce out-of-hospital asthma deaths, especially for children and young adults. For these younger patients with asthma, we have shown that mortality is quite low for those who are hospitalized. More research is necessary to clearly identify the reasons why these patients are dying without reaching the hospital, and the extent to which interventions earlier in the course of an exacerbation can reduce mortality. For now, we believe that efforts should emphasize patient education on how to avoid factors that worsen asthma control, on easy-to-use asthma action plans that enable patients to more quickly recognize and treat asthma exacerbations, and on improved access to routine and emergent health care.

Vidya Krishnan and Gregory B. Diette

Johns Hopkins University, Baltimore, Maryland

Jerry A. Krishnan

University of Chicago, Chicago, Illinois

FOOTNOTES

Conflict of Interest Statement: None of the authors has a financial relationship with a commercial entity that has an interest in the subject of this manuscript.

REFERENCES

1. Krishnan V, Diette GB, Rand CS, Bilderback AL, Merriman B, Hansel NN, Krishnan JA. Mortality in patients hospitalized for asthma exacerbations in the United States. Am J Respir Crit Care Med 2006;174:633–638.[Abstract/Free Full Text]

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