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One thousand unselected patients with bronchial asthma have been followed up for an average period of 11 years, with extremes of 33 years and three years. The average period from the first symptoms to the date of follow-up was 20.6 years in the 562 males and 22.3 years in the 438 females, with extremes of 72 years and three years. Since throughout the analysis no differences were found between the sexes, they have been grouped together. Terms used, such as asthma, chronic bronchitis, childhood bronchitis, age of onset, etc., have been carefully defined, as have the descriptions of intermittent and continuous asthma. The present state of the patients has been classified as A (good), B (fair), C (poor), and D (dead). Early age of onset (before 16) and intermittent asthma were associated and had a more favourable prognosis, while the childhood bronchitic had a better outlook than the adult bronchitic. Intermittent and continuous asthma have been compared. The incidence of bronchitis initially was higher in the continuous group, and the tendency to develop bronchitis over the years (present in all asthmatics) was also greater in the continuous group. Those with bronchitis were in much poorer health on follow-up than those without.
Sommario
Extra Mortality and Expectation of Life.- Maximum Utilization of the Life Table Method in Analyzing Survival.- The Underwriting of Blood Pressure Abnormalities.- The Prognosis of Chronic Nephritis.- A Survey of Heart Disease in Africa, with Particular Attention to Southern Africa.- Electrocardiographic and Pathologic Features of Myocardial Infarction in Man.- Estudio Epidemiologico de la Hipertension Arterial y de la Isquemia Miocardica.- An Epidemiological Study of Hypertension and Myocardial Ischaemia.- Anti Hypertensive Therapy and Its Effect on Risk Evaluation.- Aglycosuric Diabetes.- Changing Concepts in Vascular Surgery.- Asthma: A Study in Prognosis of 1,000 Patients.- Choice and Limitations of the Various Operations for the Surgical Treatment of Lung Cancer.- Author index.
Riassunto
One thousand unselected patients with bronchial asthma have been followed up for an average period of 11 years, with extremes of 33 years and three years. The average period from the first symptoms to the date of follow-up was 20.6 years in the 562 males and 22.3 years in the 438 females, with extremes of 72 years and three years. Since throughout the analysis no differences were found between the sexes, they have been grouped together. Terms used, such as asthma, chronic bronchitis, childhood bronchitis, age of onset, etc., have been carefully defined, as have the descriptions of intermittent and continuous asthma. The present state of the patients has been classified as A (good), B (fair), C (poor), and D (dead). Early age of onset (before 16) and intermittent asthma were associated and had a more favourable prognosis, while the childhood bronchitic had a better outlook than the adult bronchitic. Intermittent and continuous asthma have been compared. The incidence of bronchitis initially was higher in the continuous group, and the tendency to develop bronchitis over the years (present in all asthmatics) was also greater in the continuous group. Those with bronchitis were in much poorer health on follow-up than those without.
