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Predictors of asthma control in elderly patients
Ga-Young Ban1, Tu H K Trinh, Young-Min Ye
1aDepartment of Allergy and Clinical Immunology, Ajou University School of Medicine, Suwon, South Korea *Both authors contributed equally to this work.
Current Opinion in Allergy and Clinical Immunology
|April 8, 2016
Summary
Comorbidities and poor treatment adherence predict uncontrolled asthma in elderly patients. Managing these factors is crucial for improving asthma control in this aging population.
Area of Science:
- Gerontology
- Pulmonology
- Clinical Medicine
Background:
- The global population is aging rapidly.
- Elderly asthmatic patients face higher hospitalization rates and mortality.
- Asthma control in older adults presents unique challenges.
Purpose of the Study:
- To review comorbidities and treatment issues affecting asthma control in the elderly.
- To identify predictors of poor asthma control in older asthmatic patients.
- To highlight the importance of managing comorbidities and treatment adherence.
Main Methods:
- Literature review focusing on elderly asthma.
- Analysis of factors influencing asthma control.
- Synthesis of current evidence on comorbidities and treatment.
Main Results:
- Frequent comorbidities (COPD, sinusitis, obesity, depression) and smoking are linked to uncontrolled asthma.
- Low treatment adherence, influenced by poor knowledge, cognitive issues, and inhaler technique, predicts poor control.
- Polypharmacy is associated with low adherence, adverse drug reactions, and drug-drug interactions, impacting asthma control.
Conclusions:
- Multifactorial assessment of comorbidities, treatment adherence, and polypharmacy is essential for elderly asthma management.
- Targeted strategies are needed to improve asthma control in older adults.
- Further real-world studies are required to optimize management strategies.
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