Review the prevalence, hospitalization rate, and mortality of asthma in the elderly within the state of Texas
Extraction of data from Texas Department of Health, Bureau of Vital Statistics and Health Care Information Council, Hospital Inpatient Discharge Public Use Data File.
The prevalence of current asthma in patients over 65 was 6.5% and similar to the entire population (6.2%) for the years 1999-2001. Self-reported asthma was 3.7% for Hispanic vs. 7.2% for Black vs. 7.4% for Whites. Hospitalizations were 90.4/100,000 for elderly asthmatics vs. 38.3/100,000 for the entire population. Hospitalizations were significantly higher for female and black patients. From 1980-2000, there were 5,386 deaths from asthma in Texas. The rate of asthma deaths (150/100,000/yr) and the rise in asthma deaths was greatest in the elderly.CONCLUSIONS: The morbidity and mortality rate in elderly asthmatics is significantly greater than in the general population.
Prospective studies need to be conducted to identify the reasons why elderly patients have an increased morbidity and mortality from asthma.
J.I. Peters, None.