FEATURES OF ASTHMA IN OLDER ADULTS

被引:26
作者
BAILEY, WC
RICHARDS, JM
BROOKS, CM
SOONG, SJ
BRANNEN, AL
机构
[1] Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of Alabama, Birmingha
[2] Department of Veterans Affairs Medical Center, Office of Educational Development, University of Alabama, Birmingham
[3] Department of Biostatistics and Biomathematics and Biostatistics Unit, Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL
[4] Augusta, GA, 30910
关键词
D O I
10.3109/02770909209110637
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
A study compared clinical and functional features of elderly patients with asthma to younger patients at a university medical center. Older patients had a larger than predicted reduction in pulmonary function parameters even though physician-assessed severity, duration of diagnosed asthma, and smoking status were no different between groups. A significant increase in the comorbid diagnosis of chronic obstructive pulmonary disease was noted in older patients with asthma. These two points support the hypothesis that long-standing asthma may lead to irreversible airflow obstruction. Older patients reported better medication compliance and decreases in some respiratory symptoms and demonstrated lower health care utilization.
引用
收藏
页码:21 / 28
页数:8
相关论文
共 13 条
  • [1] Buist A.S., Vollmer W.M., Prospective investigations in asthma. What have we learned from longitudinal studies about lung growth and senescence in asthma, Chest, 91, (1987)
  • [2] Parsons G.H., Asthma in the elderly: diagnostic and treatment concerns, Geriatrics, 40, (1985)
  • [3] Braman S.S., Davis S.M., Wheezing in the elderly. Asthma and other causes, Clin Geriatric Med, 2, (1986)
  • [4] Richards J.M., Bailey W.C., Windsor R.A., Martin B., Soong S., Some simple scales for use in asthma research, J Asthma, 25, (1988)
  • [5] Morisky D.E., Green L.W., Levine D.M., Concurrent and predictive validity of a self-reported measure of medication adherence, Med Care, 24, (1986)
  • [6] Snowbird workshop on standardization of spirometry, Am Rev Respir Dis, 119, (1979)
  • [7] Crapo R.O., Morris A.H., Gardner R.M., Reference spirometric values using techniques and equipment that meets ATS recommendations, Am Rev Respir Dis, 123, (1981)
  • [8] Cohen J., Statistical Power Analysis for the Behavioral Sciences., (1972)
  • [9] Fletcher C.M., Terminology in chronic obstructive lung diseases, J Epidemiol Community Health, 32, (1978)
  • [10] Fletcher C.M., Pride N.B., Definitions of emphysema, chronic bronchitis, asthma, and airflow obstruction: 25 years on from the Ciba Symposium, Thorax, 39, (1984)