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. 1988 Jul;63(7):774–779. doi: 10.1136/adc.63.7.774

Rising asthma admissions and self referral.

J Storr 1, E Barrell 1, W Lenney 1
PMCID: PMC1779085  PMID: 3415293

Abstract

An eight fold rise in asthma admissions to the Royal Alexandra Hospital for Sick Children, Brighton occurred over the 15 year period 1971-85. The cause was an increase in the number of children seen, rather than increased readmission. The initial rise was associated with the introduction of nebulised salbutamol in 1976. The children concerned were mainly over 5 years old. Three years later came a larger influx of younger children. Circumstances leading to admissions were examined in a prospective study over a one year period. There were 605 admissions, 437 (72%) were self referrals. The commonest reason parents gave for preferring hospital treatment was the availability of nebuliser treatment.

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Selected References

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  1. Aas K. Allergic asthma in childhood. Arch Dis Child. 1969 Feb;44(233):1–10. doi: 10.1136/adc.44.233.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Anderson H. R., Bailey P. A., Cooper J. S., Palmer J. C., West S. Morbidity and school absence caused by asthma and wheezing illness. Arch Dis Child. 1983 Oct;58(10):777–784. doi: 10.1136/adc.58.10.777. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Anderson H. R., Bailey P., West S. Trends in the hospital care of acute childhood asthma 1970-8: a regional study. Br Med J. 1980 Nov 1;281(6249):1191–1194. doi: 10.1136/bmj.281.6249.1191. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Anderson H. R. Increase in hospitalisation for childhood asthma. Arch Dis Child. 1978 Apr;53(4):295–300. doi: 10.1136/adc.53.4.295. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Conway S. P., Littlewood J. M. Admission to hospital with asthma. Arch Dis Child. 1985 Jul;60(7):636–639. doi: 10.1136/adc.60.7.636. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Fleming D. M., Crombie D. L. Prevalence of asthma and hay fever in England and Wales. Br Med J (Clin Res Ed) 1987 Jan 31;294(6567):279–283. doi: 10.1136/bmj.294.6567.279. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Godfrey S. What is asthma? Arch Dis Child. 1985 Nov;60(11):997–1000. doi: 10.1136/adc.60.11.997. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. ILLINGWORTH R. S. The child with chronic allergy. Practitioner. 1955 Apr;174(1042):414–421. [PubMed] [Google Scholar]
  9. Inman W. H., Adelstein A. M. Rise and fall of asthma mortality in England and Wales in relation to use of pressurised aerosols. Lancet. 1969 Aug 9;2(7615):279–285. doi: 10.1016/s0140-6736(69)90051-8. [DOI] [PubMed] [Google Scholar]
  10. KRAEPELIEN S. The frequency of bronchial asthma in Swedish school children. Acta Paediatr Suppl. 1954;43(100):149–153. doi: 10.1111/j.1651-2227.1954.tb15464.x. [DOI] [PubMed] [Google Scholar]
  11. Khot A., Burn R., Evans N., Lenney C., Lenney W. Seasonal variation and time trends in childhood asthma in England and Wales 1975-81. Br Med J (Clin Res Ed) 1984 Jul 28;289(6439):235–237. doi: 10.1136/bmj.289.6439.235. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Khot A., Burn R. Seasonal variation and time trends of deaths from asthma in England and Wales 1960-82. Br Med J (Clin Res Ed) 1984 Jul 28;289(6439):233–234. doi: 10.1136/bmj.289.6439.233. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Lee D. A., Winslow N. R., Speight A. N., Hey E. N. Prevalence and spectrum of asthma in childhood. Br Med J (Clin Res Ed) 1983 Apr 16;286(6373):1256–1258. doi: 10.1136/bmj.286.6373.1256. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Leeder S. R., Corkhill R. T., Irwig L. M., Holland W. W. Influence of family factors on asthma and wheezing during the first five years of life. Br J Prev Soc Med. 1976 Dec;30(4):213–218. doi: 10.1136/jech.30.4.213. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Lenney W., Milner A. D. At what age do bronchodilator drugs work? Arch Dis Child. 1978 Jul;53(7):532–535. doi: 10.1136/adc.53.7.532. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Martin A. J., Landau L. I., Phelan P. D. Lung function in young adults who had asthma in childhood. Am Rev Respir Dis. 1980 Oct;122(4):609–616. doi: 10.1164/arrd.1980.122.4.609. [DOI] [PubMed] [Google Scholar]
  17. Mcnicol K. N., Macnicol K. N., Williams H. B. Spectrum of asthma in children. I. Clinical and physiological components. Br Med J. 1973 Oct 6;4(5883):7–11. doi: 10.1136/bmj.4.5883.7. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Mellis C. M., Phelan P. D. Asthma deaths in children--a continuing problem. Thorax. 1977 Feb;32(1):29–34. doi: 10.1136/thx.32.1.29. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Mitchell E. A. International trends in hospital admission rates for asthma. Arch Dis Child. 1985 Apr;60(4):376–378. doi: 10.1136/adc.60.4.376. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Park E. S., Golding J., Carswell F., Stewart-Brown S. Preschool wheezing and prognosis at 10. Arch Dis Child. 1986 Jul;61(7):642–646. doi: 10.1136/adc.61.7.642. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Pride N. Smoking, allergy and airways obstruction: revival of the 'Dutch hypothesis'. Clin Allergy. 1986 Jan;16(1):3–6. doi: 10.1111/j.1365-2222.1986.tb01946.x. [DOI] [PubMed] [Google Scholar]
  22. Sears M. R., Rea H. H., Fenwick J., Gillies A. J., Holst P. E., O'Donnell T. V., Rothwell R. P. 75 deaths in asthmatics prescribed home nebulisers. Br Med J (Clin Res Ed) 1987 Feb 21;294(6570):477–480. doi: 10.1136/bmj.294.6570.477. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Speight A. N., Lee D. A., Hey E. N. Underdiagnosis and undertreatment of asthma in childhood. Br Med J (Clin Res Ed) 1983 Apr 16;286(6373):1253–1256. doi: 10.1136/bmj.286.6373.1253. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Storr J., Barrell E., Barry W., Lenney W., Hatcher G. Effect of a single oral dose of prednisolone in acute childhood asthma. Lancet. 1987 Apr 18;1(8538):879–882. doi: 10.1016/s0140-6736(87)92857-1. [DOI] [PubMed] [Google Scholar]
  25. Williams H. E., McNicol K. N. The spectrum of asthma in children. Pediatr Clin North Am. 1975 Feb;22(1):43–52. doi: 10.1016/s0031-3955(16)33100-5. [DOI] [PubMed] [Google Scholar]
  26. Williams H., McNicol K. N. Prevalence, natural history, and relationship of wheezy bronchitis and asthma in children. An epidemiological study. Br Med J. 1969 Nov 8;4(5679):321–325. doi: 10.1136/bmj.4.5679.321. [DOI] [PMC free article] [PubMed] [Google Scholar]

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