Factors Related With the Higher Percentage of Hospitalizations Due to Asthma Amongst Women: The FRIAM Study
| Autor: | Maria Teresa Ramírez Prieto, Carolina Cisneros Serrano, Antolín López-Viña, Carlos Melero Moreno, Javier Jareño Esteban, Mercedes García-Salmones Martín |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Inhaled corticosteroids Anxiety Patient Readmission Risk Factors Surveys and Questionnaires Internal medicine Hyperventilation medicine Humans Anti-Asthmatic Agents Prospective Studies Risk factor Prospective cohort study Asthma Hyperventilation syndrome Depression business.industry General Medicine Length of Stay Middle Aged medicine.disease Obesity Hospitalization Spain Health Care Surveys Cohort Physical therapy Patient Compliance Female Menopause medicine.symptom business |
| Zdroj: | Archivos de Bronconeumología (English Edition). 48:234-239 |
| ISSN: | 1579-2129 |
| Popis: | Introduction The reason why there is a higher hospitalization rate due to asthma exacerbations amongst women is unclear. The objective of this study is to explore the possible causes that may explain this fact. Methods A multi-center, prospective study including asthma patients hospitalized in the pulmonary medicine departments during a 2-year period. By means of a questionnaire, the following data were collected: demographic characteristics and treatment compliance, anxiety-depression, hyperventilation and asthma control, both prior to and during the hospitalization. Results 183 patients were included, 115 (62.84%) of whom were women. The women were older (52.4±18.3/43.4±18.7; P =.02), were more frequently prescribed inhaled corticosteroids (63.2%/47.1%; P =.03) and had a higher rate of hyperventilation syndrome (57.3/35.9; P =.02) and a longer mean hospital stay (7.3±3.4/5.9±3.6; P =.02). The percentage of smokers among the women was lower (21.2%/38.8%; P =.01) and the FEV 1 was lower at admittance (58.2%±15.9%/67.5%±17.4%; P =.03). In the 40–60-year-old age range, an association was demonstrated between being female and the ‘previous hospitalizations’ variable (OR, 16.1; 95% CI, 1.6–156.7); sex and obesity were also independently associated (OR, 4.8; 95% CI, 1.06–22). Conclusions In this cohort, the rate of hospitalization for asthma was higher in women than in men. Being a woman between the ages of 40 and 60 is associated with previous hospitalizations and is a risk factor for asthma-related hospitalization. This situation could partially be explained by the hormonal changes during menopause, where polyposis and obesity are independent risk factors. |
| Databáze: | OpenAIRE |
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