DAMADOĞLU E, AKTAŞ ÖÖZTÜRK, GEMİCİOĞLU B, YILMAZ N, BOZKUŞ F, AYHAN V, KALPAKLIOĞLU AF, ERKEKOL FÖNER, HAVLUCU Y, EREL F, AYDIN Ö, EKİCİ A, BAÇÇIOĞLU A, BARIŞ SARGUN, BUHARİ GKÖYCÜ, CEYHAN B, GÖKSEL Ö, KÖSE M, DURSUN AB, YILDIZ F, YORGANCIOĞLU A, IŞIK SR, EDİGER D, OĞUZÜLGEN İK, DEMİR AU, KARAKAYA G, KALYONCU AF. Elderly and aged asthma have different characteristics: results of a multicenter study.
Turk J Med Sci 2023;
54:309-315. [PMID:
38812643 PMCID:
PMC11031165 DOI:
10.55730/1300-0144.5792]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 02/15/2024] [Accepted: 11/18/2023] [Indexed: 05/31/2024] Open
Abstract
Background/aim
Characteristics of asthma in the elderly population is not well-known. The aim of the present study was to evaluate asthma in the elderly population, to compare disease characteristics between patients diagnosed <60 (aged asthma) and ≥60 (elderly asthma) years of age.
Materials and methods
The study was a prospective, multicenter, cross-sectional type. A questionnaire was filled out to patients 60 years of age and over, that have been followed for asthma for at least 3 months. Asthma Control Test (ACT), eight-item Morisky Medication Adherence Scale (MMAS-8) was filled out, inhaler device technique was assessed.
Results
A total of 399 patients were included from 17 tertiary care centers across the country. Mean age was 67.11 years and 331 (83%) were female. The age at asthma diagnosis was ≥60 in 146 (36.6%) patients. Patients diagnosed ≥60 years were older (p < 0.001), had higher education level (p < 0.001), more commonly had first-degree relative with asthma (p = 0.038), asthma related comorbidities (p = 0.009) and accompanying rhinitis/rhinosinusitis (p = 0.005), had better asthma control (p = 0.001), were using less controller medications (p = 0.014). Inhaler technique was correct in 37% of the patients with no difference in between the groups. Treatment compliance was better in elderly asthma patients (p < 0.001). In the multivariate logistic regression analysis, having well-controlled asthma (odds ratio = 1.61, CI = 1.04-2.51), and high medication adherence rate (odds ratio = 2.43, CI = 1.48-4.0) were associated with being in the elderly asthma group.
Conclusion
The characteristics of asthma are different among patients aged 60 years and over which seems to be related to onset age of asthma. In our cohort, the elderly asthma patients had higher education level, and treatment adherence and asthma control was better. Patients diagnosed ≥60 years of age did not have more severe disease.
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