Published in

European Respiratory Society, European Respiratory Journal, 3(36), p. 494-502

DOI: 10.1183/09031936.00124209

Links

Tools

Export citation

Search in Google Scholar

Long-acting 2-agonists in adult asthma and the pattern of risk of death and severe asthma outcomes: a study using the GPRD

Journal article published in 2010 by F. de Vries, E. Setakis, B. Zhang, T. P. van Staa ORCID
This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

Full text: Unavailable

Green circle
Preprint: archiving allowed
Green circle
Postprint: archiving allowed
Red circle
Published version: archiving forbidden
Data provided by SHERPA/RoMEO

Abstract

The objective of this study was to describe risks of death and asthma outcomes with prescription of long-acting β(2)-agonists (LABA), short-acting β(2)-agonists (SABA) or inhaled corticosteroids (ICS) in general practice. The study population included β(2)-agonist users aged ≥18 yrs, who were in the UK General Practice Research Database (GPRD), which is linked to the national registry of hospitalisations. The study included 507,966 patients with 5.5 million SABA, 4.0 million ICS and 1.3 million LABA prescriptions. Rates of asthma outcome increased with more severe treatment steps. The mortality rate was increased with least and most severe treatment steps. Higher relative rates (RR) of outcomes were found in recent starters and heavy long-term users with LABA, SABA and ICS. The RRs in heavy long-term users were 1.9 for all-cause mortality and 3.0 for asthma death with SABA, 1.4 and 1.6, respectively, with LABA and 1.7 and 2.2, respectively, with ICS. The RR of death was statistically similar over time between LABA and ICS despite changes in exposure. Risks for death and asthma outcomes varied substantially with exposure characteristics. The statistical power for detecting increases in asthma death was low. The results of this study did not indicate that LABA exposure was associated with an increased risk for all-cause mortality.