Ayşın COŞKUN ŞAKAR, Arzu YORGANCIOĞLU

Is the diagnosis of asthma different in elderly?

Yaşlı popülasyonda astım yetersiz tanı ve tedavi almaktadır, ancak bu yaş grubunda mortalite oldukça yüksektir. Yaşlanmaya bağlı akciğerlerde gelişen fizyolojik değişiklikler, komorbid durumlar ve ilaç kullanımları tipik astım tablosunu yaş- lılarda değiştirebilmekte ve tanıda zorluk yaratmaktadır. Bu nedenle başta kronik obstrüktif akciğer hastalığı olmak üzere tüm ayırıcı durumları göz önüne alarak doğru tanı konulmalıdır, çünkü doğru hasta yönetimi hastalık morbidite ve mortalitesini değiştirecektir.

Yaşlılarda astım tanısı farklı mıdır?

Asthma is mis-diagnosed, under-diagnosed and under-treated in older populations but has a high mortality rate. The physiological changes due to aging of lung, the co-morbid situations and poly pharmacy may change the typical presentation of asthma in older people and cause diagnostic difficulties. But it therefore should be diagnosed properly by taking of all differential situations especially chronic obstructive pulmonary disease into consideration since the appropriate management of the disease will alter the morbidity and mortality.

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