WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?

DURSUN, ADİLE BERNA; KARADOĞAN, Dilek ÇAKMAKCI; AYHAN, Vehbi

WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?

Vehbi AYHAN, (Recep Tayyip Erdoğan University, Department of Immunology and Allergic Diseases, RIZE)

Adile Berna DURSUN, (Recep Tayyip Erdoğan University, Department of Immunology and Allergic Diseases, RIZE)

Dilek ÇAKMAKCI KARADOĞAN (1 Hopa State Hospital, Clinic of Chest Diseases, ARTVIN)

Türk Geriatri Dergisi

16 6

Yıl: 2017 Cilt: 20 Sayı: 3 Sayfa Aralığı: 194 - 203 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?

Öz:

Giriş: Yapılan çalışmalar, yaşlı nüfusta astım tanısındaki gecikmenin hastalığın ciddiyetini artırdığını göstermiştir. Yaşlılarda bu hastalığın özelliklerinin gösterilmesi tanı gecikmesini önleyerek daha iyi astım kontrolü sağlayacaktır. Gereç ve Yöntem: Son bir yıldır üçüncü basamak üniversite hastanesine düzenli kontrol başvuruları olan 160 astım hastasının verileri toplandı. Hastalar yaşlı olmayan (<60 yaş) ve yaşlı (>=60 yaş) olmak üzere iki grupta incelendi. Demografik özellikleri, ek hastalıkları, klinik ve fonksiyonel parametreleri kaydedildi. Bulgular: Hastaların çoğunluğunu yaşlı olmayanlar (%68.1) ve hiç sigara içmemişler oluşturuyordu (%83.1). Ortalama tanı yaşı, ortalama astım süresi yaşlı grupta daha yüksekti ve yaşlı hastalarda geç-başlangıçlı astım çoğunluktaydı (p<0.05). Yaşlı grupta sigara içme öyküsü daha azdı, ek hastalık yüzdesi daha yüksekti ve aşırı kilolu hastalar çoğunluktaydı (p<0.05). Yaşlı grupta solunumsal allerjen duyarlılığı, çoklu allerjen duyarlılığı ve allerjik riniti olanların sıklığı daha düşüktü (p<0.05). Ortalama hastane yatış sayısı yaşlı grupta daha fazlaydı ve astım kontrol testine göre kontrol altında olanların oranı yaşlı grupta daha azdı (p<0.05). Yaşlılarda birinci saniye zorlu ekspirasyon volümünün zorlu vital kapasiteye oranının ve zorlu ekspirasyon ile volümlerin % 25 ila %75'inin atıldığı perioddaki akım hızının ortalamaları daha düşüktü (p<0.05). Sonuç: Yaşlılarda astım kontrolü daha zayıftı ve geç-başlangıçlı astım hastalarının (%90.2) ve hiç sigara içmemişlerin (%92.2) yüzde değerleri daha yüksek bulundu. Daha düşük atopi yüzdesine rağmen (%45.1), duyarlılık dağılımı yaşlı olmayanlara benzer saptandı.

Anahtar Kelime:

Konular: Cerrahi

YAŞLI VE YAŞLI OLMAYAN ASTIMLI HASTALAR ARASINDAKİ FARKLILIKLAR NELERDİR?

Öz:

Introduction: Previous studies have shown that diagnostic delay increases the severity of asthma in elderly populations. Addressing the disease characteristics in elderly patients may prevent delayed diagnosis and allow for better asthma control. Materials and Method: Data of 160 asthma patients who had regular checkups in the last year were collected from a tertiary university hospital. Patients were divided into two groups: non-elderly (aged <60 years) and elderly (aged ≥60 years). Demographic characteristics, comorbidities, and clinical and functional parameters were documented. Results: Most patients were non-elderly (68.1%) and never smokers (83.1%). Mean age at diagnosis and mean duration of asthma were higher in the elderly group; most elderly patients had late-onset asthma (p<0.05). Ratio of patients with a smoking history was lower, comorbidity rates were higher, and more patients were overweight in the elderly group (p<0.05). Fewer elderly patients had aeroallergen sensitization, polysensitization, or allergic rhinitis (p <0.05). Mean number of hospitalizations was higher, ad ratio of patients with good asthma symptom control was lower in the elderly group (p <0.05). In the elderly group, the ratio of the mean forced expiratory volume in the first second to the forced vital capacity and forced expiratory flow at 25%–75% of forced vital capacity were lower (p <0.05). Conclusion: In elderly patients, asthma control was poorer and the rates of late-onset asthmatics (90.2%) and never-smoker asthmatics (92.2%) were higher. Despite the lower atopy rate (45.1%), the sensitization pattern was similar to that in younger patients.A

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	AYHAN V, DURSUN A, KARADOĞAN D (2017). WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?. , 194 - 203.
Chicago	AYHAN Vehbi,DURSUN ADİLE BERNA,KARADOĞAN Dilek ÇAKMAKCI WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?. (2017): 194 - 203.
MLA	AYHAN Vehbi,DURSUN ADİLE BERNA,KARADOĞAN Dilek ÇAKMAKCI WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?. , 2017, ss.194 - 203.
AMA	AYHAN V,DURSUN A,KARADOĞAN D WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?. . 2017; 194 - 203.
Vancouver	AYHAN V,DURSUN A,KARADOĞAN D WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?. . 2017; 194 - 203.
IEEE	AYHAN V,DURSUN A,KARADOĞAN D "WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?." , ss.194 - 203, 2017.
ISNAD	AYHAN, Vehbi vd. "WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?". (2017), 194-203.

APA	AYHAN V, DURSUN A, KARADOĞAN D (2017). WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?. Türk Geriatri Dergisi, 20(3), 194 - 203.
Chicago	AYHAN Vehbi,DURSUN ADİLE BERNA,KARADOĞAN Dilek ÇAKMAKCI WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?. Türk Geriatri Dergisi 20, no.3 (2017): 194 - 203.
MLA	AYHAN Vehbi,DURSUN ADİLE BERNA,KARADOĞAN Dilek ÇAKMAKCI WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?. Türk Geriatri Dergisi, vol.20, no.3, 2017, ss.194 - 203.
AMA	AYHAN V,DURSUN A,KARADOĞAN D WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?. Türk Geriatri Dergisi. 2017; 20(3): 194 - 203.
Vancouver	AYHAN V,DURSUN A,KARADOĞAN D WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?. Türk Geriatri Dergisi. 2017; 20(3): 194 - 203.
IEEE	AYHAN V,DURSUN A,KARADOĞAN D "WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?." Türk Geriatri Dergisi, 20, ss.194 - 203, 2017.
ISNAD	AYHAN, Vehbi vd. "WHAT ARE THE DIFFERENCES BETWEEN ELDERLY AND NON-ELDERLY ASTHMA PATIENTS?". Türk Geriatri Dergisi 20/3 (2017), 194-203.