Management of asthma in the elderly patient

Andrea S Melani Fisiopatologia e Riabilitazione Respiratoria, Dipartimento Vasi, Cuore e Torace, Policlinico Le Scotte, Azienda Ospedaliera Universitaria Senese, Siena, Italy Abstract: A significant number of older asthmatics, more often than in previous ages, have poorly controlled asthma, leading...

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Autor principal:	Melani AS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Asthma beta2-agonists inhaled corticosteroids asthma control elderly Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/caaeaf39728f48a4998968cbf3c62cf5
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spelling	oai:doaj.org-article:caaeaf39728f48a4998968cbf3c62cf52021-12-02T03:54:24ZManagement of asthma in the elderly patient1178-1998https://doaj.org/article/caaeaf39728f48a4998968cbf3c62cf52013-07-01T00:00:00Zhttps://www.dovepress.com/management-of-asthma-in-the-elderly-patient-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Andrea S Melani Fisiopatologia e Riabilitazione Respiratoria, Dipartimento Vasi, Cuore e Torace, Policlinico Le Scotte, Azienda Ospedaliera Universitaria Senese, Siena, Italy Abstract: A significant number of older asthmatics, more often than in previous ages, have poorly controlled asthma, leading to increased morbidity and mortality. On the other hand, current guidelines suggest that most asthmatics can obtain achievement and maintenance of disease control and do not include sections specific to the management of asthma in the elderly so that it is more evident the contrast between poor control of asthma in the elderly and the lack of specific guidance from guidelines on asthma management in older asthmatics. Inhaled corticosteroids are the cornerstone for older asthmatics, eventually with add-on inhaled long-acting beta-agonists; inhaled short acting beta-agonists can be used as rescue medications. Triggers exacerbating asthma are similar for all ages, but inhaled viruses and drug interactions have greater clinical significance in the elderly. Older asthmatics have an increased likelihood of comorbidities and polypharmacy, with possible worsening of asthma control and reduced treatment adherence. Physicians and older asthmatics probably either do not perceive or accept a poor asthma control. We conclude that specific instruments addressed to evaluate asthma control in the elderly with concomitant comorbidities and measurements for improving self-management and adherence could assure better disease control in older asthmatics. Keywords: asthma, beta2-agonists, inhaled corticosteroids, asthma control, elderlyMelani ASDove Medical PressarticleAsthmabeta2-agonistsinhaled corticosteroidsasthma controlelderlyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 913-922 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Asthma beta2-agonists inhaled corticosteroids asthma control elderly Geriatrics RC952-954.6
spellingShingle	Asthma beta2-agonists inhaled corticosteroids asthma control elderly Geriatrics RC952-954.6 Melani AS Management of asthma in the elderly patient
description	Andrea S Melani Fisiopatologia e Riabilitazione Respiratoria, Dipartimento Vasi, Cuore e Torace, Policlinico Le Scotte, Azienda Ospedaliera Universitaria Senese, Siena, Italy Abstract: A significant number of older asthmatics, more often than in previous ages, have poorly controlled asthma, leading to increased morbidity and mortality. On the other hand, current guidelines suggest that most asthmatics can obtain achievement and maintenance of disease control and do not include sections specific to the management of asthma in the elderly so that it is more evident the contrast between poor control of asthma in the elderly and the lack of specific guidance from guidelines on asthma management in older asthmatics. Inhaled corticosteroids are the cornerstone for older asthmatics, eventually with add-on inhaled long-acting beta-agonists; inhaled short acting beta-agonists can be used as rescue medications. Triggers exacerbating asthma are similar for all ages, but inhaled viruses and drug interactions have greater clinical significance in the elderly. Older asthmatics have an increased likelihood of comorbidities and polypharmacy, with possible worsening of asthma control and reduced treatment adherence. Physicians and older asthmatics probably either do not perceive or accept a poor asthma control. We conclude that specific instruments addressed to evaluate asthma control in the elderly with concomitant comorbidities and measurements for improving self-management and adherence could assure better disease control in older asthmatics. Keywords: asthma, beta2-agonists, inhaled corticosteroids, asthma control, elderly
format	article
author	Melani AS
author_facet	Melani AS
author_sort	Melani AS
title	Management of asthma in the elderly patient
title_short	Management of asthma in the elderly patient
title_full	Management of asthma in the elderly patient
title_fullStr	Management of asthma in the elderly patient
title_full_unstemmed	Management of asthma in the elderly patient
title_sort	management of asthma in the elderly patient
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/caaeaf39728f48a4998968cbf3c62cf5
work_keys_str_mv	AT melanias managementofasthmaintheelderlypatient
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Management of asthma in the elderly patient

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