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. 2020 May;12(3):467-484.
doi: 10.4168/aair.2020.12.3.467.

Increasing Prevalence and Mortality of Asthma With Age in Korea, 2002-2015: A Nationwide, Population-Based Study

Eunyoung Lee  1   2 , Anhye Kim  3 , Young Min Ye  4 , Sang Eun Choi  5 , Hae Sim Park  6
Affiliations

Increasing Prevalence and Mortality of Asthma With Age in Korea, 2002-2015: A Nationwide, Population-Based Study

Eunyoung Lee et al. Allergy Asthma Immunol Res. 2020 May.

Abstract

Purpose: The prevalence of asthma is increasing globally as the world population increases; however, and the prevalence and mortality of asthma have not been extensively investigated. Also, the effects of severity and aging on asthma prevalence and mortality are unknown. We aimed to investigate trends of the prevalence and mortality of asthma as well as health care uses and costs over 14 years according to disease severity by using real-world data in Korea.

Methods: Using the National Health Insurance Sharing Service database, we extracted asthmatic patients having diagnosis codes of asthma and prescription records of antiasthmatic medications from 2002 to 2015 and categorized them according to asthma exacerbation and regular treatment. We defined asthma-associated death in terms of patients' prescription records within 3 months before all-cause death, then linked with the Cause of Death Statistics. The annual asthma-related health care uses and costs were analyzed.

Results: The prevalence rates of asthma (1.6% to 2.2%) and severe asthma (SA; 3.5% to 6.1% among total asthmatics) have increased steadily over the decade in Korea, where the proportion of elderly asthmatics having increased. The asthma-related health care uses and costs had increased during the study period with the highest uses/costs in SA. The asthma mortality had a steady rising trend from 16.2 to 28.0 deaths per 100,000 with the highest mortality in SA.

Conclusions: The prevalence and mortality of asthma as well as SA increases along with the burden of health care uses/costs. More active interventions, including changes in health care policies, are needed to reduce the prevalence and mortality of asthma, especially SA.

Keywords: Asthma; aged; health care costs; morbidity; mortality; prevalence.

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Conflict of interest statement

There are no financial or other issues that might lead to conflicts of interest.

Figures

Fig. 1
Fig. 1. (A) Age-standardized prevalence of asthma (over 12 years) in Korea. (B) Prevalence of asthma by age groups.
Fig. 2
Fig. 2. (A) Percentage of UCT by sex. (B) Percentage of asthma groups. (C) Percentage of SA group and UCT by age groups.
SA, severe asthma; UT, untreated asthma; WC, well-controlled asthma; IT, intermittently treated asthma; UCT, uncontrolled asthmatics.
Fig. 3
Fig. 3. Trends in the percentage of prescribed medications in (A) uncontrolled asthmatics and (B) the severe asthma group. The proportion of (C) uncontrolled asthmatics and (D) the severe asthma group according to treatment steps.
SABA, short-acting β2-agonist; SAMA, short-acting muscarinic antagonist; LTRA, leukotriene receptor antagonist; ICS, inhaled corticosteroids; LABA, long-acting β2-agonist; PO, by mouth.
Fig. 4
Fig. 4. (A) Asthma mortality rates, AAD, and ACTD, compared to those from Statistics Korea. (B) Trends of asthma-associated mortality rates per 100,000 in males and females. (C) Asthma-associated mortality rates per 100,000 by asthma groups.
AAD, asthma-associated deaths; ACTD, asthma-contributing deaths; AS-AAD, age-standardized asthma-associated deaths; SA, severe asthma; UT, untreated asthma; WC, well-controlled asthma; IT, intermittently treated asthma.
Fig. 5
Fig. 5. The percentage of healthcare use in (A) outpatient and (B) inpatient care.
Fig. 6
Fig. 6. (A) Total asthma-related costs. (B) Inpatient medical costs by age groups.
See this image and copyright information in PMC

References

    1. Zein JG, Dweik RA, Comhair SA, Bleecker ER, Moore WC, Peters SP, et al. Asthma is more severe in older adults. PLoS One. 2015;10:e0133490. - PMC - PubMed
    1. Holt S, Masoli M, Beasley R. The use of the self-management plan system of care in adult asthma. Prim Care Respir J. 2004;13:19–27. - PMC - PubMed
    1. Crescioni M, Gorina Y, Bilheimer L, Gillum RF. Trends in Health Status and Health Care Use Among Older Men. Natl Health Stat Report. 2010:1–18. - PubMed
    1. National Health Insurance Service (KR) Status of national health insurance benefits 2004–2010 [Internet] Wonju: National Health Insurance Service; 2011. [cited 2017 Nov 22]. Available from: http://www.nhic.or.kr.
    1. Statistics Korea. Cause of death statistics [Internet] Daejeon: Korean Statistical Information Service; [cited 2017 Feb 20]. Available from: http://kosis.kr.