Rates and predictors of uncontrolled bronchial asthma in elderly patients from western Romania

Bronchial asthma (BA) is a chronic inflammatory disorder of the airways, featuring variable and often reversible airflow limitations. An accurate assessment of BA control is difficult in practice, especially in the elderly, requiring the assessment of several clinical and paraclinical parameters tha...

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Bibliographic Details
Published in:Clinical interventions in aging 2015-01, Vol.10, p.963-967
Main Authors: Marincu, Iosif, Frent, Stefan, Tomescu, Mirela Cleopatra, Mihaicuta, Stefan
Format: Article
Language:English
Subjects:
Adrenal Cortex Hormones - therapeutic use
Age
Aged
Aged, 80 and over
Airway Obstruction
Anti-Asthmatic Agents - therapeutic use
Asthma
Asthma - drug therapy
Asthma - epidemiology
Asthma - physiopathology
Care and treatment
Chronic illnesses
Chronic obstructive pulmonary disease
comorbidities
Comorbidity
Complications and side effects
Elderly patients
Family medical history
Female
Health aspects
Hospitals
Humans
Hypersensitivity - epidemiology
Infections
Longitudinal Studies
Male
Occupational Exposure - adverse effects
Older people
Original Research
Patient assessment
Pharmacy
Population
predictors
Respiratory Function Tests
Respiratory Tract Infections - epidemiology
Retrospective Studies
Risk factors
Romania - epidemiology
smokers
Smoking - epidemiology
Socioeconomic Factors
spirometry
Statistical analysis
Time Factors
Viral infections
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Description
Summary:Bronchial asthma (BA) is a chronic inflammatory disorder of the airways, featuring variable and often reversible airflow limitations. An accurate assessment of BA control is difficult in practice, especially in the elderly, requiring the assessment of several clinical and paraclinical parameters that are influenced not only by asthma, but also by comorbidities. The purpose of this study was to evaluate the predictors of uncontrolled BA in a group of elderly patients from western Romania. We retrospectively evaluated 126 elderly patients (aged $ 65 years), who were consecutively evaluated in the Pulmonology Department of Victor Babes Hospital, Timisoara, Romania, between March 2009 and July 2012. We collected demographic data, performed pulmonary function testing and an asthma control test (ACT), and evaluated the level of BA control based on the 2012 Global Initiative for Asthma guidelines. Statistical processing of the data was done using the Epi Info and STATA programs. In our study group, 36 (29%) patients were men and 90 (71%) were women; their mean age was 74.42±8.32 years (range: 65-85 years). A total of 14.28% of patients were smokers. About 30.15% of patients had an ACT score
ISSN:1178-1998
1176-9092
1178-1998
DOI:10.2147/CIA.S83141