Beware of sudden death from asthma

Asthma, also known as bronchial asthma, is a common chronic inflammatory disease of the airways in the lungs (bronchi). This bronchial inflammation makes the bronchi more responsive to triggers, which in turn trigger asthma attacks. Asthma symptoms include shortness of breath, wheezing, chest tightness, and cough, which often appear at night and early in the morning and recur. If an asthma attack is not treated properly, the condition will worsen within hours and can even lead to sudden death from asthma. Statistically a number of causes of death from asthma include:
57% of deaths were not evaluated for asthma in the previous year. 47% of the deaths had been hospitalized for asthma in the previous year. 45% of deaths did not seek medical help or urgent care during an asthma exacerbation that resulted in death. 20% of the deaths were smokers, or people who smoked secondhand at home. 10% of deaths within 1 month of discharge from the hospital due to asthma treatment. A common condition is over-dependence on short-acting relievers and underuse of asthma controller medications. Many of the patients who died were being treated for mild or moderate asthma. The experts concluded that most of the deaths were poorly controlled, severe asthma, patients taking under-the-counter asthma medication. Only 23% of deaths had individual asthma action plans (PAAP). SEE ALSO: An asthma attack can cause sudden death

Most cases of sudden death are chronic severe asthma. A small number of fatal asthma exacerbations have occurred suddenly in asthmatic patients classified as mild or moderate.

Overuse of drugs or increased use of short-acting relievers. Medications to control asthma attacks are not adequate commensurate with asthma stage. Inappropriate prescribing of β-blockers (β-blockers) and non-steroidal anti-inflammatory drugs (NSAIDs). Patients with an acute asthma attack should not be sedated unless this is necessary to induce anesthesia.

Psychosocial factors and adverse behaviors are reported in the majority of sudden asthma deaths, the most important of which are:
Patient non-compliance with treatment or follow-up Missing medical appointments back to the doctor Escape from the hospital Mental disorders, depression, other mental illnesses or intentional self-harm. Recent or current heavy use of sedatives Abuse of alcohol or drugs Obesity Difficulty educating about asthma Have a job problem Having income problems Socially isolated Childhood abuse bro

Measures to prevent asthma exacerbations include:
Better communication to make people aware of factors that increase the risk of acute asthma attacks and death. Each hospital should establish a department of properly trained personnel responsible for the management of asthma exacerbations and outpatients. Asthma patients taking more than 12 short-acting reliever inhalers in a year should have an urgent assessment of the patient's asthma control. After being discharged from the hospital for asthma, the patient should be continued to be monitored, re-examined and treated as outpatient. People with asthma should be evaluated by a specialist at least once a year. All patients with asthma should be provided with a personalized asthma action plan (PAAP). Patients with asthma who are still smoking should be counseled and treated by a smoking cessation program. Asthma patients who smoke at home should be aware of the harms and how to prevent them. There is a need for better media education for parents, carers and children about asthma management. Everyone in the family needs to know the "why", "when" and "how" to take their asthma medicine. Also, recognize uncontrolled asthma and know when and how to seek emergency medical help. In summary, asthma is a common chronic inflammatory disease of the airways in the lungs. This bronchial inflammation makes the bronchi more responsive to triggers, which in turn trigger an asthma attack. An asthma attack if not treated in time can lead to sudden death. Therefore, patients need to take preventive measures to control asthma attacks, take medication as prescribed by the doctor. When there are signs of worsening asthma, it is necessary to take the patient to a medical facility for immediate intervention.
Respiratory - Allergy and Clinical Immunology Unit at Vinmec Times City International Hospital was established and expanded with the desire to provide professional services with high expertise for medical examination and treatment. respiratory, allergic and autoimmune diseases.
Unit brings together professors, doctors and specialists with more than 30 years of experience, well-trained young doctors in advanced countries who are always ready in the work of examining and taking care of people. sick. In addition, the Unit is equipped with the most modern equipment and machinery in Vietnam to support the diagnosis and treatment of diseases.
Especially, for patients with bronchial asthma, patients are measured FeNO to support early diagnosis of asthma. This is an effective monitoring tool for asthma management, treatment, and prognosis of acute asthma attacks (only address in the North). In addition, with the desire to work with you to control asthma, the Asthma Club is opened regularly to supplement knowledge, help patients exchange knowledge with leading experts in Vietnam and the world about asthma. asthma. Currently, the Unit has professional cooperation and scientific research with hospitals and universities in Australia, the United States and France.
Respiratory unit - Clinical immuno-allergy is currently becoming a reliable examination address for many customers because when coming to the clinic, the patient will be examined and thoroughly consulted by the doctor about the disease and treatment plan. Patients are also provided with comprehensive supplemental information about the disease.