The use of beta-agonists and the risk of death and near death from asthma

The New England Journal of Medicine
W O SpitzerAnthony S Rebuck

Abstract

Morbidity and mortality from asthma appear to be increasing, and it has been suggested that medications used to treat asthma are contributing to this trend. We investigated a possible association between death or near death from asthma and the regular use of beta 2-agonist bronchodilators. Using linked health insurance data bases from Saskatchewan, Canada, we conducted a matched case-control study of subjects drawn from a cohort of 12,301 patients for whom asthma medications had been prescribed between 1978 and 1987. We matched 129 case patients who had fatal or near-fatal asthma with 655 controls (who had received medications for asthma but had not had fatal or near-fatal events) with respect to region of residence, age, receipt of social assistance, and previous hospitalization for asthma. The use of beta-agonists administered by a metered-dose inhaler was associated with an increased risk of death from asthma (odds ratio, 2.6 per canister per month; 95 percent confidence interval, 1.7 to 3.9) and of death or near death from asthma, considered together (odds ratio, 1.9; 95 percent confidence interval, 1.6 to 2.4). For death from asthma, use of the beta-agonist fenoterol was associated with an odds ratio of 5.4 per canister, a...Continue Reading

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Sep 1, 1994·The Annals of Pharmacotherapy·A K KamadaK V Blake
Jan 1, 1993·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·C P Page
Feb 26, 2003·Pediatric Annals·Mary Beth Hogan, Nevin W Wilson
Mar 20, 2003·Pharmacoepidemiology and Drug Safety·Chi-Yu ChenChun-Yuh Yang
Mar 9, 2004·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Catherine M Jackson, Brian Lipworth
Oct 20, 2006·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Kim MuddArlene Butz
Nov 13, 2007·American Journal of Physiology. Lung Cellular and Molecular Physiology·Padmini KomalavilasColleen M Brophy
Feb 24, 2010·Journal of Clinical Pharmacy and Therapeutics·N Hizawa
Sep 16, 2010·British Journal of Pharmacology·Stefano FogliMaria Cristina Breschi
Jun 14, 2017·Evidence-based Complementary and Alternative Medicine : ECAM·Ji WuMing Zhang
Sep 1, 1995·The Annals of Pharmacotherapy·H W KellyS Murphy
Aug 1, 1995·Australian and New Zealand Journal of Medicine·J WilsonC Robertson
Jan 1, 1994·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·T L Guidotti, G S Jhangri
Aug 15, 1994·Hospital Practice·U G Mason, S E Wenzel
Jul 1, 1994·The Annals of Pharmacotherapy·A K Kamada
Sep 24, 1999·Postgraduate Medicine·W G Kuschner
Sep 7, 2002·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Sunil K Chhabra, Kamal K Pandey
Jul 1, 1999·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·M C Roghmann, M Sexton
Mar 9, 2002·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Takao FujisawaHitoshi Kamiya
Feb 24, 2000·Pediatric Pulmonology·A A Verberne, J C de Jongste
Apr 18, 2003·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·M Giroux, J Ferrières
Nov 22, 2002·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Yuko ItoYoshiyuki Ohno
Dec 1, 2000·Postgraduate Medicine·R P ByrdThomas M Roy
Jan 5, 2002·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·T M PetrilloH K Simon
Jan 15, 2004·American Journal of Respiratory Medicine : Drugs, Devices, and Other Interventions·David W Boulton, J Paul Fawcett
Jul 21, 2004·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Said B IskandarThomas M Roy
Mar 9, 2002·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Steven Delaronde
Jul 28, 2012·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Andrew Bush, Louise Fleming
Dec 20, 2019·Pharmacological Reviews·Hermann Koepsell
Apr 30, 2020·Journal of Clinical Medicine·Andrew Bush
Nov 1, 1992·Postgraduate Medicine·W Busse
Jan 1, 1995·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·B CornK Sperber
Apr 1, 1995·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·K F Chung
Nov 1, 1992·The Annals of Pharmacotherapy·A Ekedahl, H Liedholm
Oct 10, 1992·BMJ : British Medical Journal·J Garrett
Jan 1, 1996·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·S C ToughJ C Butt
Jan 1, 2003·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Kosuke KashiwabaraToshihiro Moroi
Jan 15, 2004·American Journal of Respiratory Medicine : Drugs, Devices, and Other Interventions·Michael J AbramsonE H Walters
Jan 1, 1996·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·C H Hand, C Bradley
Feb 19, 1999·Pediatric Pulmonology·C H HungK D Yang
May 1, 1993·The Annals of Pharmacotherapy·R C Parish, L J Miller
Jul 1, 1993·The Annals of Pharmacotherapy·J S Larsen, E P Acosta
Jul 25, 2003·Histopathology·H J Sidebotham, W R Roche
May 24, 2007·Public Health Reports·Kenneth D RosenmanElizabeth A Wasilevich
Jan 17, 2016·American Journal of Physiology. Lung Cellular and Molecular Physiology·Amy BrownGeorge Gallos
Sep 1, 2016·The New England Journal of Medicine·David A StempelVESTRI Investigators
Aug 1, 2017·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Dekel ShlomiNir Peled
Mar 27, 2020·Patient Preference and Adherence·Suvina AminClaudia Cabrera
Jun 10, 2020·Clinical and Translational Allergy·Izabela Kuprys-LipinskaPiotr Kuna
Jun 1, 1995·Journal of the American Academy of Nurse Practitioners·M Fitzgerald
Apr 1, 1994·Postgraduate Medicine·P G Gianaris, J A Golish
Jan 1, 1995·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·S A Tilles, H S Nelson
Jun 15, 1994·Hospital Practice·S Malkiel
Jul 22, 2005·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Michael B AnthracopoulosNicholas G Beratis
Aug 4, 2015·Expert Opinion on Drug Metabolism & Toxicology·Kathryn Blake, John Lima
Aug 1, 1996·Postgraduate Medicine·R J Morris
Jan 1, 1996·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·D M ScalabrinC K Naspitz
Sep 7, 2002·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Anita L KozyrskyjF Estelle R Simons
Sep 28, 2001·The Annals of Pharmacotherapy·S D HornD L Uden
Jun 14, 2003·The Cochrane Database of Systematic Reviews·E H Walters, J Walters
Apr 11, 2015·The Journal of Pediatric Pharmacology and Therapeutics : JPPT : the Official Journal of PPAG·Anastassios C Koumbourlis, Christopher Mastropietro
Oct 31, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Dekel ShlomiIrit Katz
Jun 21, 1993·The Medical Journal of Australia·R M Ford
Dec 10, 2019·The Veterinary Clinics of North America. Small Animal Practice·Julie E Trzil
Jan 31, 2021·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Njira LugogoMiguel J Lanz
Dec 1, 1993·Postgraduate Medicine·David E Griffith, Richard S Kronenberg
Mar 13, 2002·Allergologia et immunopathologia·J J Salto JúniorD Solé
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