Clinical characteristics and comorbidities of elderly asthmatics who attend allergy clinics

• Autores: Yáñez, Anahí; Soria, Marcela; de Barayazarra, Norma Susana; Recuero, Nancy; Rovira, Francisco; Jares, Edgardo; Stok, Ana María; Nemirovsky, Sergio Ivan; Bueno, Carlos Alberto
• Año de publicación: 2018
• Idioma: inglés
• Tipo de recurso: artículo
• Materia: ASTHMA; COMORBIDITIES; ALLERGY; ELDERLY
• Institución: Consejo Nacional de Investigaciones Científicas y Técnicas

Background: To date, few studies have focused on the clinical and allergic characteristics of asthma in the elderly, defined as asthma in people aged 60 or over. Thus, we propose to identify and study the clinical and allergic characteristics and comorbidities of patients with asthma among the elderly.Methods: A retrospective, observational, descriptive study was developed in five clinics and hospitals in Argentina. Allergy Physicians analyzed their patients? medical records in 2014 and included those adults over the age of 60, who had been diagnosed with asthma according to the GINA guidelines. Clinical and allergic characteristics were analyzed.Results: A total of 152 patients diagnosed with asthma, of whom 73% were women and 11% ex-smokers, were included in this study, with a mean age of 66 years. Only 10.5% of the participants had onset asthma past the age of 60. Regarding asthma severity, 74.3% were diagnosed with moderate persistent asthma, and 7.2% with severe persistent asthma. Eighty-four percent of the patients were treated with an inhaled corticosteroid (ICS) along with a long-acting β 2-adrenergic agent (LABA). More than half of the patients had two or more comorbidities simultaneously. Allergic comorbidities were the most frequent comorbidities, followed by arterial hypertension. Among allergic comorbidities, most patients presented allergies at the nasal level. There were no significant differences between the subpopulations of patients with late-onset asthma (LOA) and asthma with onset before the age of 60, i.e. early onset asthma (EOA) in most of their clinical characteristics. However, it was observed that EOA accounted for a higher percentage of patients with nasal allergies as compared to LOA (71% vs 46%, p < 0.05).It is worth mentioning that almost half of the patients with LOA had allergies at the nasal level.Conclusion: These results may provide a better understanding of the clinical characteristics of asthma in the elderly in Argentina, thus, enabling the development of future therapeutic strategies and a better quality of life for our elderly asthma patients.
Fil: Yáñez, Anahí. Investigaciones En Alergia y Enfermedades Respiratoria; Argentina
Fil: Soria, Marcela. Gobierno de la Ciudad Autónoma de Buenos Aires. Hospital General de Niños "Ricardo Gutiérrez". Departamento de Medicina; Argentina
Fil: de Barayazarra, Norma Susana. Gobierno de la Provincia de Cordoba. Nuevo Hospital San Roque.; Argentina
Fil: Recuero, Nancy. Gobierno de la Provincia de Cordoba. Nuevo Hospital San Roque.; Argentina
Fil: Rovira, Francisco. No especifíca;
Fil: Jares, Edgardo. No especifíca;
Fil: Stok, Ana María. Instituto de Investigaciones En Patologías Respiratorias; Argentina
Fil: Nemirovsky, Sergio Ivan. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Química Biológica de la Facultad de Ciencias Exactas y Naturales. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Química Biológica de la Facultad de Ciencias Exactas y Naturales; Argentina
Fil: Bueno, Carlos Alberto. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Química Biológica de la Facultad de Ciencias Exactas y Naturales. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Química Biológica de la Facultad de Ciencias Exactas y Naturales; Argentina