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Features of asthma in the elderly.

S A Quadrelli1, A Roncoroni

  • 1Instituto de Investigaciones Médicas, Universidad de Buenos Aires, Argentina. silviaq@satlink.com

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|August 23, 2001
PubMed
Summary

Asthma is as common in older adults as in middle-aged individuals, yet often overlooked. Early, aggressive asthma treatment in younger populations may prevent severe disease in the elderly.

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Area of Science:

  • Geriatric Medicine
  • Pulmonology
  • Allergy Immunology

Background:

  • Asthma was historically considered rare in the elderly.
  • Recent evidence indicates asthma prevalence in older adults is similar to middle-aged populations.
  • Diagnosis is frequently missed in elderly patients, leading to undertreatment.

Purpose of the Study:

  • To highlight the prevalence and diagnostic challenges of asthma in the elderly.
  • To emphasize the importance of appropriate diagnostic tools and treatment strategies for geriatric asthma.
  • To underscore the long-term impact of early asthma management on future elderly populations.

Main Methods:

  • Utilizing spirometry for pulmonary function assessment.
  • Determining expiratory flow lability.
  • Administering histamine challenge tests for bronchial hyperresponsiveness evaluation.

Main Results:

  • Diagnostic tools like spirometry and histamine challenge tests are effective in elderly asthmatics.
  • Asthma tends to be more severe in the elderly, particularly in those with long-standing disease.
  • Standard stepwise treatment guidelines are applicable but require intensified monitoring in older adults.

Conclusions:

  • Asthma diagnosis and management in the elderly require careful consideration due to potential severity and diagnostic delays.
  • Standard diagnostic and treatment protocols are effective but necessitate closer patient monitoring.
  • Proactive and aggressive asthma management in younger individuals is crucial for mitigating future asthma burden in the elderly.

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