Esra SARI, Benan MÜSELLİM, Bilun GEMİCİOĞLU, Berk DEĞİRMENCİ, Ayşe Firuze ÖZGÖKÇE, İpek ÇALIK, Onur MERZİFONLU

Yaşlı astımında klinik zorluklar

Giriş: Yaşlı astımının farklarını anlamak, bu hastalara daha iyi bir sağlık hizmeti sunmak için esas oluşturmaktadır. Bu çalışmanın amacı genç ve yaşlı astım hastaları arasındaki klinik farklılıkları ortaya koymaktır. Materyal ve Metod: Bu gerçek hayat çalışması, kesitsel bir analiz olarak tasarlandı. Tüm veriler internet tabanlı yapılandırılmış astım programı aracılığıyla toplandı. Toplamda en az bir yıl takip edilen 373 (%89.9) genç astım (GA, yaş < 65) ve 42 (%10.1) yaşlı astım (YA, yaş ≥ 65) hastasının demografik, klinik, fonksiyonel parametreleri ve tedavileri istatistiksel olarak karşılaştırıldı. Bulgular: YA olgularındaki daha düşük sigara kullanımı oranlarına (p< 0.001) rağmen, öksürük YA olgularında daha sık gözlendi (p< 0.01). Allerjik rinit ve allerjik konjunktivit, gençlerdeki daha yüksek allerji sıklığı (p< 0.05) ile örtüşen bir biçimde, GA olgularında daha sık gözlendi (p< 0.05, p< 0.01). Öte yandan, diyabet ve hipertansiyon YA hastalarında belirgin olarak yüksek saptandı (p< 0.01, p< 0.01). YA olgularının %52.4’ünün düşük difüzyon kapasitesine (DLCO < %80) sahip olduğu görüldü. YA hastalarınca daha çok inhale kortikosteroid ve uzun etkili beta-agonist içeren kombine tedavi kullanımına (p< 0.01) rağmen, Acil Servis ziyaretleri ve hastaneye yatış oranları YA olgularında daha yüksek gözlendi (p< 0.001, p< 0.001). Sonuç: YA olgularının daha fazla kronik öksürük ile başvuru olduğu, hipertansiyon, diyabet ve düşük difüzyon kapasitesi seviyesi açısından yüksek risk taşıdığı gözlendi. Kombine tedavilerin daha çok kullanımına rağmen, Acil Servis ziyaretleri ve hastane yatış oranları daha yüksek saptandı.

Clinical challenges in elderly asthma

Introduction: Understanding the difference of elderly asthma is essential toprovide better healthcare for this vulnerable population. The aim of this studywas to evaluate the differences between young and elderly asthma patients.Materials and Methods: This real-life study was designed as a cross-sectionalanalysis. All data collected with structured web based asthma program. Insum, 373 (89.9%) young asthma (YA, age < 65) and 42 (10.1%) elderlyasthma (EA, age ≥ 65) patients followed at least one year and compared statistically.Results: Cough is found higher in EA (p< 0.01) despite lower smoking rate inEA (p< 0.001). Allergic rhinitis and allergic conjunctivitis were more commonin YA (p< 0.05, p< 0.01) which is consistent with higher allergy rate in YA (p

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