asthma in the elderly
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Clinical manifestations
Diagnostic procedures
- spirometry
- in elderly patients, incomplete reversibility of obstructive airway disease is common
- COPD is common
Differential diagnosis
Management
- general
- follow recommendations for adults but with considerations of polypharmacy & comorbidities
- patient/family/caregiver education to encourage compliance
- screening for psychosocial, physical, cognitive, & environmental barriers to asthma control & self-management with actions to address identified barriers[7] 2 pharmacologic therapy
- use stepwise approach
- also see COPD as this is a common comorbidity
More general terms
Additional terms
References
- ↑ Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
- ↑ Mathur SK. Allergy and asthma in the elderly. Semin Respir Crit Care Med. 2010 Oct;31(5):587-95 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20941659
- ↑ Hanania NA, King MJ, Braman SS et al Asthma in the elderly: Current understanding and future research needs--a report of a National Institute on Aging (NIA) workshop. J Allergy Clin Immunol. 2011 Sep;128(3 Suppl):S4-24 PMID: https://www.ncbi.nlm.nih.gov/pubmed/21872730
- ↑ Gibson PG, McDonald VM, Marks GB. Asthma in older adults. Lancet. 2010 Sep 4;376(9743):803-13. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20816547
- ↑ Jones SC, Iverson D, Burns P, Evers U, Caputi P, Morgan S. Asthma and ageing: an end user's perspective--the perception and problems with the management of asthma in the elderly. Clin Exp Allergy. 2011 Apr;41(4):471-81. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21395876
- ↑ Reed CE. Asthma in the elderly: diagnosis and management. J Allergy Clin Immunol. 2010 Oct;126(4):681-7; Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20673985
- ↑ 7.0 7.1 Federman AD, O'Conor R, Mindlis I et al. Effect of a self-management support intervention on asthma outcomes in older adults: The SAMBA study randomized clinical trial. JAMA Intern Med 2019 Jun 10; PMID: https://www.ncbi.nlm.nih.gov/pubmed/31180474 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2735448
- ↑ http://www.nhlbi.nih.gov/health/prof/lung/asthma/as_elder.htm