Elderly and aged asthma have different characteristics: results of a multicenter study.

Autor:	Damadoğlu E; Division of Allergy and Clinical Immunology, Department of Chest Diseases, Faculty of Medicine, Hacettepe University, Ankara, Turkiye., Aktaş ÖÖ; Division of Immunology and Allergic Diseases Ankara City Hospital, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, Turkiye., Gemicioğlu B; Department of Pulmonary Diseases, Cerrahpaşa Faculty of Medine, İstanbul University-Cerrahpaşa, İstanbul, Turkiye., Yilmaz N; Department of Chest Diseases, Faculty of Medicine, Ataturk University, Erzurum, Turkiye., Bozkuş F; Department of Chest Diseases, Faculty of Medicine, Sütçü İmam University, Kahramanmaraş, Turkiye., Ayhan V; Division of Allergy and Clinical Immunology, Department of Chest Diseases, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkiye., Kalpaklioğlu AF; Division of Allergy and Immunology, Department of Chest Diseases, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkiye., Erkekol FÖ; Department of Allergy and Immunology, Medicana International Ankara Hospital, Ankara, Turkiye., Havlucu Y; Department of Pulmonology, Faculty of Medicine, Celal Bayar University, Manisa, Turkiye., Erel F; Department of Pulmonology, Faculty of Medicine, Balıkesir University, Balıkesir, Turkiye., Aydin Ö; Division of Immunology and Allergy, Department of Chest Disease, Faculty of Medicine, Ankara University, Ankara, Turkiye., Ekici A; Department of Chest Diseases, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkiye., Baççioğlu A; Division of Allergy and Immunology, Department of Chest Diseases, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkiye., Bariş SA; Department of Chest Diseases, Faculty of Medicine, Kocaeli University, Kocaeli, Turkiye., Buhari GK; Division of Immunology and Allergy, Department of Chest Diseases, Ankara Atatürk Sanatoryum Training and Research Hospital, University of Health Sciences, Ankara, Turkiye., Ceyhan B; Department of Chest Diseases, Faculty of Medicine, Marmara University, İstanbul, Turkiye., Göksel Ö; Division of Allergy and Clinical Immunology, Department of Chest Diseases, Faculty of Medicine, Ege University, İzmir, Turkiye., Köse M; Department of Pulmonology, Faculty of Medicine, Balıkesir University, Balıkesir, Turkiye., Dursun AB; Department of Chest Diseases, Faculty of Medicine, Lokman Hekim University, Ankara, Turkiye., Yildiz F; Department of Pulmonary Diseases, Faculty of Medicine, Cyprus International University, Northern Cyprus, Turkiye., Yorgancioğlu A; Department of Pulmonology, Faculty of Medicine, Celal Bayar University, Manisa, Turkiye., Işik SR; Koc Healthcare, American Hospital, İstanbul, Turkiye., Ediger D; Division of Allergy and Clinical Immunology, Department of Chest Diseases, Faculty of Medicine, Bursa Uludağ University, Bursa, Turkiye., Oğuzülgen İK; Department of Chest Diseases, Faculty of Medicine, Gazi University, Ankara, Turkiye., Demir AU; Department of Chest Diseases, Faculty of Medicine, Hacettepe University, Ankara, Turkiye., Karakaya G; Division of Allergy and Clinical Immunology, Department of Chest Diseases, Faculty of Medicine, Hacettepe University, Ankara, Turkiye., Kalyoncu AF; Division of Allergy and Clinical Immunology, Department of Chest Diseases, Faculty of Medicine, Hacettepe University, Ankara, Turkiye.
Jazyk:	angličtina
Zdroj:	Turkish journal of medical sciences [Turk J Med Sci] 2023 Nov 18; Vol. 54 (1), pp. 309-315. Date of Electronic Publication: 2023 Nov 18 (Print Publication: 2024).
DOI:	10.55730/1300-0144.5792
Abstrakt:	Background/aim: Characteristics of asthma in the elderly population is not well-known. The aim of the present study was to evaluate asthma in the elderly population, to compare disease characteristics between patients diagnosed <60 (aged asthma) and ≥60 (elderly asthma) years of age. Materials and Methods: The study was a prospective, multicenter, cross-sectional type. A questionnaire was filled out to patients 60 years of age and over, that have been followed for asthma for at least 3 months. Asthma Control Test (ACT), eight-item Morisky Medication Adherence Scale (MMAS-8) was filled out, inhaler device technique was assessed. Results: A total of 399 patients were included from 17 tertiary care centers across the country. Mean age was 67.11 years and 331 (83%) were female. The age at asthma diagnosis was ≥60 in 146 (36.6%) patients. Patients diagnosed ≥60 years were older (p < 0.001), had higher education level (p < 0.001), more commonly had first-degree relative with asthma (p = 0.038), asthma related comorbidities (p = 0.009) and accompanying rhinitis/rhinosinusitis (p = 0.005), had better asthma control (p = 0.001), were using less controller medications (p = 0.014). Inhaler technique was correct in 37% of the patients with no difference in between the groups. Treatment compliance was better in elderly asthma patients (p < 0.001). In the multivariate logistic regression analysis, having well-controlled asthma (odds ratio = 1.61, CI = 1.04-2.51), and high medication adherence rate (odds ratio = 2.43, CI = 1.48-4.0) were associated with being in the elderly asthma group. Conclusion: The characteristics of asthma are different among patients aged 60 years and over which seems to be related to onset age of asthma. In our cohort, the elderly asthma patients had higher education level, and treatment adherence and asthma control was better. Patients diagnosed ≥60 years of age did not have more severe disease. Competing Interests: Conflicts of interest: None (© TÜBİTAK.)
Databáze:	MEDLINE
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