Characterization of Severe Uncontrolled Asthma in Adults Older Than 60 Years
Keywords:
severe asthma, older adults, obesity, bronchodilator reversibility, poor control, long-standing asthma.Abstract
Introduction: Patients older than 60 years tend to have more severe, less controlled asthma and worse lung function than younger people.
Objective: To characterize patients older than 60 years with severe uncontrolled asthma.
Methods: A descriptive, prospective and cross-sectional observational study was carried out at Benéfico Jurídico Pneumological Hospital from January 2020 to January 2021.
Results: The age group 60-69 years (76.5%) predominated. Women also predominated (61.8%), as well as family history of asthma or allergy (64.7%), and long-standing asthma (85.3%). Asthma associated with obesity and poor control was 55.9%. The reversibility of the forced expiratory volume in the first second (FEV1) after the application of the bronchodilator was 26.5%. The adherence to treatment was 61.8%. The future risk of adverse results was low (58.8%), which is the main factor, the current poor control in 100%.
Conclusions: Severe uncontrolled asthma in people over 60 years of age is more frequent in women, patients usually have family history of asthma or allergy, there is long-term asthma. It was observed that obesity is associated with poor control, the decreased FEV1 reversibility with the application of the bronchodilator, poor adherence to treatment and poor current control as a future risk of the disease.
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