Treatment of Asthma in the Elderly: Questionnaire Survey in Japan
| Autor: | Reiko Taki, Yuka Mishima, Kimitake Tsuchiya, Yoshikazu Tsukada, Susumu Isogai, Jun Takagiwa, Ichiro Natsume, Tsutomu Kawasaki, Kazuhito Saito, Nobuo Ishiwata, Torahiko Jinta, Yoshihiro Miyashita, Motohisa Yamasaki, Naohiko Inase, Yasuto Jinn, Tamon Yagi, Tomoyuki Ogata, Tomoshige Chiaki, Masato Kishi, Reina Imase, Sahoko Chiba |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
COPD business.industry Transdermal patch health care facilities manpower and services Inhaler Medical record social sciences Disease medicine.disease humanities Pulmonary function testing 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Internal medicine medicine 030212 general & internal medicine Medical prescription Intensive care medicine business Asthma |
| Zdroj: | International Journal of Clinical Medicine. :236-247 |
| ISSN: | 2158-2882 2158-284X |
| DOI: | 10.4236/ijcm.2017.84023 |
| Popis: | Introduction: The prevalence of asthma in the elderly has been increasing due to the aging of the global population. Appropriate treatment for asthma in the elderly is now a major issue, as the disease is often fatal and incurs high medical costs in the elderly population. There have been few recent reports on asthma treatment for the elderly in the real-world clinical settings. Objectives: This study was performed to assess how respiratory physicians manage asthma in elderly patients in clinical settings in Japan. Methods: Respiratory physicians in 16 Japanese hospitals responded to a questionnaire survey on asthma and COPD treatment between December 2014 and February 2015. The analysis was performed using data collected from medical records on 2041 asthma patients. Results: The mean patient age was 61.2 years, and 36.6% of the patients were men. In the breakdown by age, 1018 (49.9%) of the patients were elderly (≥ 65 years). Compared to the non-elderly, the elderly patients had a significantly lower BMI, greater smoking history in pack-years, and poorer pulmonary function. There were no significant differences between the elderly and non-elderly in the prescription rates of common medications such as inhaled corticosteroids, long-acting beta-agonists (LABA) administered via inhaler or transdermal patch, long-acting muscarinic antagonists, or leukotriene receptor antagonists. In contrast, mucoactive drugs (18.7% vs. 12.3%, P P P = 0.02). Conclusions: According to this survey, the prescription rates of mucoactive drugs, macrolides, and transdermal LABA were significantly higher in the elderly than in the non-elderly. |
| Databáze: | OpenAIRE |
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