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Titolo:
Underdiagnosis and undertreatment of asthma in the elderly
Autore:
Enright, PL; McClelland, RL; Newman, AB; Gottlieb, DJ; Lebowitz, MD;
Indirizzi:
Univ Arizona, Tucson, AZ 85724 USA Univ Arizona Tucson AZ USA 85724Univ Arizona, Tucson, AZ 85724 USA Univ Washington, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 iv Washington, Seattle, WA 98195 USA Univ Pittsburgh, Pittsburgh, PA USA Univ Pittsburgh Pittsburgh PA USAUniv Pittsburgh, Pittsburgh, PA USA Boston Univ, Boston, MA 02215 USA Boston Univ Boston MA USA 02215Boston Univ, Boston, MA 02215 USA
Titolo Testata:
CHEST
fascicolo: 3, volume: 116, anno: 1999,
pagine: 603 - 613
SICI:
0012-3692(199909)116:3<603:UAUOAI>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
OBSTRUCTIVE PULMONARY-DISEASE; QUALITY-OF-LIFE; RESPIRATORY SYMPTOMS; LUNG-DISEASE; CARDIOVASCULAR HEALTH; GENERAL-POPULATION; DAYTIME SLEEPINESS; QUESTIONNAIRE; MANAGEMENT; COMMUNITY;
Keywords:
asthma; elderly; peak flow; quality of life; spirometry; wheezing;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Enright, PL Univ Arizona, HSC 2342,1501 N Campbell Ave, Tucson, AZ 85724 USA Univ Arizona HSC 2342,1501 N Campbell Ave Tucson AZ USA 85724
Citazione:
P.L. Enright et al., "Underdiagnosis and undertreatment of asthma in the elderly", CHEST, 116(3), 1999, pp. 603-613

Abstract

Objective: To describe the clinical correlates of asthma in a community-based sample of elderly persons,Participants: A community sample of 4,581 persons greater than or equal to65 years old from the Cardiovascular Health Study. Measurements: Standardized respiratory, sleep, and quality-of-life (QOL) questions, a medication inventory, spirometry, and ambulatory peak flow. Results: Four percent of the participants reported a current diagnosis of asthma (definite asthma), while another 4% reported at least one attack of wheezing accompanied by chest tightness or dyspnea during the previous 12 months (probable asthma), Smokers and those with congestive heart failure were excluded from the subsequent analyses, leaving 2,527 participants. Of those who had definite asthma, 40% were taking a sympathomimetic bronchodilator, 30% inhaled corticosteroids, 21% theophylline, and 18% oral corticosteroids; 39% were taking no asthma medications. The participants with definiteor probable asthma were much more likely than the others to have a family history of asthma, childhood respiratory problems, a history of workplace exposures, dyspnea on exertion, hay fever, chronic bronchitis, nocturnal symptoms, and daytime sleepiness. They were also more likely to report poor general health, symptoms of depression, and limitation of activities of dailyliving. There was little difference in the morbidity and QOL of participants with recent asthma-like symptoms who had received the diagnosis of asthma versus those who had not. Conclusions: Asthma in elderly persons is associated with a lower QOL and considerable morbidity when compared with those who do not have asthma symptoms. Asthma is underdiagnosed in this group and is often associated with allergic triggers; inhaled corticosteroids are underutilized.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/11/20 alle ore 22:49:38