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

Bibliographic Data

ID14968902
AuthorsThais Mauad (0000-0002-3354-1466, Universidade de São Paulo, corresponding author), Diogenes S Ferreira (0000-0002-6086-835X, Universidade de São Paulo), Maria Beatriz G Costa (Universidade de São Paulo), Bianca Araújo (0000-0003-4058-7785, Universidade de São Paulo), Bianca B Araujo, Luiz Fernando Ferraz Da Silva (0000-0002-0181-6357, Universidade de São Paulo), Milton A Martins (0000-0001-9690-9371, Universidade de São Paulo), Sally E Wenzel (0000-0002-4242-0164, University of Pittsburgh), Marisa Dolhnikoff (0000-0002-9073-9989, Universidade de São Paulo)
Year2008
Volume23
Issue6
Pages418-23
Publication date2008-06-01
Open AccessYes
TypeARTICLE
VenueRevista Panamericana de Salud Pública (JOURNAL)
Journal identifiersISSN: 1020-4989 • E-ISSN: 1680-5348
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s1020-49892008000600007
PMID18644210
OpenAlexW2103176869
SciELOS1020-49892008000600007
LanguageIT
References cited2

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

Asthma · Autopsy · Cause of death · Environmental health · Population · Socioeconomic status · Verbal autopsy · Asthma and respiratory diseases · Chronic Obstructive Pulmonary Disease (COPD) Research · Inhalation and Respiratory Drug Delivery · Medicine · Internal Medicine · Pediatrics

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