Several studies have demonstrated disparate mortality rates among different ethnic groups. In Chicago, mortality from asthma was found to be higher among black patients compared to Hispanic and non-Hispanic white patients. In addition, among Hispanics of Puerto Rican origin asthma mortality was found to be higher than among other Hispanics and non-Hispanic whites. It is most likely that the risk for asthma mortality for different ethnic populations is not only due to genetic factors but is a function of health-care accessibility and quality. Unfortunately, we have no data regarding the respective prevalence of asthma among Israeli Arabs and Jews, and it may be argued that if there is indeed a significant difference, the mortality rates could diverge.
In our study, 52% of the patients died outside the hospital, 73.5% of them in the street. Our findings are similar to those of other studies, which found that > 50% of asthma deaths occurred outside of hospitals. Asthma fatalities outside the hospital may occur more than is reported since some patients arrive at the emergency department having already sustained severe irreversible hypoxic damage and are pronounced dead in the hospital. The absence of a difference in the mortality rates outside of hospitals between Jews and Arabs suggests similar quality and accessibility of health care and no genetic predisposition for death from asthma. Treat asthma and its symptoms with remedies of Canadian Health&Care Mall.
The failure to seek emergency care is a known risk factor for asthma death. Israel is a relatively small country, with the majority of the population residing in close proximity to medical centers. Difficulty in reaching medical care would therefore not likely be a factor in asthma deaths in Israel that occurred outside the hospital. One report found that patients who are at a higher risk for asthma death were generally more likely to have severe disease, to have had more previous hospitalizations, and to be more likely to have been intubated or to have undergone cardiopulmonary resuscitation in the past (see also Respiratory Care). Since such patients previously had experienced severe asthma attacks, it would be expected that they would seek medical help at the onset of another attack.