Characterization of elderly and non-elderly patients with bronchial asthma
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Tipo de documento: | Dissertação |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.6/5348 |
Resumo: | Background: Asthma control is harder to assess in elderly asthmatics due to the presence of co-morbidities that can mimic asthma symptomatology and due to the lack of perception of asthma symptoms on the part of the patients. Moreover, impairment of cognitive functions and decrease of lung function due to aging also contribute to the flawed control assessment in this age group. This study aims to assess asthma control as well as its impact on the quality of life in elderly and non-elderly asthmatics, and to find out predictors of poor asthma control in these two age groups of asthmatics. Methods: Cross-sectional assessment of a sample of 92 elderly and 100 non-elderly patients with the clinical diagnosis of Bronchial Asthma being followed up at Centro Hospitalar Cova da Beira, Covilhã, Portugal. All volunteers signed a written informed consent form. Clinical and sociodemographic data were collected first and then standardized and validated questionnaires were used to evaluate depression, cognitive state, asthma control, quality of life and knowledge about the disease. Assessment of inhaler technique by the patients was also carried out. Results were analysed using the Software Package for Social Sciences®, version 23.0. Results: The majority of the asthmatics were well controlled according to ACT and partially controlled according to GINA. When control was studied using CARAT in elderly asthmatics with allergic rhinitis, most of them were not controlled. Non-elderly patients with well controlled and partially controlled asthma had better quality of life than well controlled and partially controlled elderly patients. Regarding predictors of poor control on EA, higher Graffar class and exposure to tobacco smoke were predictors of poor control on CARAT lower airways component and global components, respectively. For the NEA, higher Graffar class and higher number of exacerbations in the last year were predictors of poor control on the CARAT and ACT, respectively. Conclusions: Although most of the patients were at least partially controlled, those with concurrent rhinitis have worse asthma control. When compared to non-elderly asthmatics, elderly patients have similar levels of control, although their quality of life tends to be worse than in younger patients. In terms of factors that predict worse asthma control, low socioeconomic status may be a predictor of poor asthma and allergic rhinitis control in the two age groups and exposure to tobacco smoke may also be a predictor of worse control in elderly asthmatics with rhinitis. |
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Characterization of elderly and non-elderly patients with bronchial asthmaPerspective of the clinical control of the diseaseAsthma ControlAsthmaticBronchial AsthmaElderlyNon ElderlyDomínio/Área Científica::Ciências Médicas::Ciências da Saúde::MedicinaBackground: Asthma control is harder to assess in elderly asthmatics due to the presence of co-morbidities that can mimic asthma symptomatology and due to the lack of perception of asthma symptoms on the part of the patients. Moreover, impairment of cognitive functions and decrease of lung function due to aging also contribute to the flawed control assessment in this age group. This study aims to assess asthma control as well as its impact on the quality of life in elderly and non-elderly asthmatics, and to find out predictors of poor asthma control in these two age groups of asthmatics. Methods: Cross-sectional assessment of a sample of 92 elderly and 100 non-elderly patients with the clinical diagnosis of Bronchial Asthma being followed up at Centro Hospitalar Cova da Beira, Covilhã, Portugal. All volunteers signed a written informed consent form. Clinical and sociodemographic data were collected first and then standardized and validated questionnaires were used to evaluate depression, cognitive state, asthma control, quality of life and knowledge about the disease. Assessment of inhaler technique by the patients was also carried out. Results were analysed using the Software Package for Social Sciences®, version 23.0. Results: The majority of the asthmatics were well controlled according to ACT and partially controlled according to GINA. When control was studied using CARAT in elderly asthmatics with allergic rhinitis, most of them were not controlled. Non-elderly patients with well controlled and partially controlled asthma had better quality of life than well controlled and partially controlled elderly patients. Regarding predictors of poor control on EA, higher Graffar class and exposure to tobacco smoke were predictors of poor control on CARAT lower airways component and global components, respectively. For the NEA, higher Graffar class and higher number of exacerbations in the last year were predictors of poor control on the CARAT and ACT, respectively. Conclusions: Although most of the patients were at least partially controlled, those with concurrent rhinitis have worse asthma control. When compared to non-elderly asthmatics, elderly patients have similar levels of control, although their quality of life tends to be worse than in younger patients. In terms of factors that predict worse asthma control, low socioeconomic status may be a predictor of poor asthma and allergic rhinitis control in the two age groups and exposure to tobacco smoke may also be a predictor of worse control in elderly asthmatics with rhinitis.Introdução: Avaliar o controlo da Asma nos idosos é difícil, devido à presença de comorbilidades que imitam a sintomatologia da asma, bem como à falta de percepção dos sintomas. Além do mais, os défices cognitivos e a diminuição da função pulmonar devido ao envelhecimento também contribuem para uma avaliação defeituosa do controlo neste grupo etário. Este estudo tem como objectivos avaliar o controlo da asma em idosos e não idosos asmáticos, o seu impacto na qualidade de vida e encontrar preditores de mau controlo, comparando sempre os dois grupos etários em questão. Métodos: Avaliação transversal de uma população alvo de 92 idosos e 100 não-idosos com o diagnóstico clínico de Asma Brônquica seguidos no Centro Hospitalar Cova da Beira, em Portugal. Todos os voluntários assinaram um consentimento informado. Primeiro obtiveram-se os dados clínicos e sociodemográficos e depois usaram-se questionários estandardizados e validados para avaliar depressão, estado cognitivo, controlo da asma, qualidade de vida e auto-conhecimento da doença. Também foi avaliada a técnica inalatória. Os resultados foram analisados usando o Software Package for Social Sciences®, versão 23.0. Resultados: A grande maioria dos asmáticos encontrava-se bem controlada segundo o ACT e parcialmente controlada segundo o GINA. No subgrupo dos asmáticos com rinite, segundo o CARAT a maioria estava não controlada. Os idosos asmáticos bem e parcialmente controlados apresentavam pior qualidade de vida do que não idosos asmáticos bem e parcialmente controlados, respectivamente. Uma alta classe de Graffar e a exposição ao tabaco estavam associados a pior controlo no CARAT, na parte das vias inferiores e na parte global respectivamente. Nos asmáticos não idosos, uma alta classe de Graffar e um aumento do número de exacerbações da asma no último ano estavam associadas a pior controlo no CARAT e no ACT, respectivamente. Conclusões: Independentemente da idade, em doentes asmáticos com a doença, no mínimo, parcialmente controlada, a co-morbilidade com rinite está associada apior controlo da asma. Quando comparados com os asmáticos não idosos, os asmáticos idosos têm semelhantes níveis de controlo, embora a qualidade de vida tenda a ser pior nos idosos. Em termos de preditores de pior controlo da asma, um nível socioeconómico baixo está associado a pior controlo em asmáticos com rinite de ambos os grupos etários, e a exposição ao fumo do tabaco está associada a pior controlo nos idosos asmáticos com rinite.Barata, Luís Manuel TabordaGama, Jorge Manuel dos ReisuBibliorumFerreira, Gonçalo Rafael Marques2018-07-23T15:20:42Z2016-5-162016-06-272016-06-27T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/10400.6/5348TID:201773783enginfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-12-15T09:43:10Zoai:ubibliorum.ubi.pt:10400.6/5348Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T00:46:17.026404Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Characterization of elderly and non-elderly patients with bronchial asthma Perspective of the clinical control of the disease |
title |
Characterization of elderly and non-elderly patients with bronchial asthma |
spellingShingle |
Characterization of elderly and non-elderly patients with bronchial asthma Ferreira, Gonçalo Rafael Marques Asthma Control Asthmatic Bronchial Asthma Elderly Non Elderly Domínio/Área Científica::Ciências Médicas::Ciências da Saúde::Medicina |
title_short |
Characterization of elderly and non-elderly patients with bronchial asthma |
title_full |
Characterization of elderly and non-elderly patients with bronchial asthma |
title_fullStr |
Characterization of elderly and non-elderly patients with bronchial asthma |
title_full_unstemmed |
Characterization of elderly and non-elderly patients with bronchial asthma |
title_sort |
Characterization of elderly and non-elderly patients with bronchial asthma |
author |
Ferreira, Gonçalo Rafael Marques |
author_facet |
Ferreira, Gonçalo Rafael Marques |
author_role |
author |
dc.contributor.none.fl_str_mv |
Barata, Luís Manuel Taborda Gama, Jorge Manuel dos Reis uBibliorum |
dc.contributor.author.fl_str_mv |
Ferreira, Gonçalo Rafael Marques |
dc.subject.por.fl_str_mv |
Asthma Control Asthmatic Bronchial Asthma Elderly Non Elderly Domínio/Área Científica::Ciências Médicas::Ciências da Saúde::Medicina |
topic |
Asthma Control Asthmatic Bronchial Asthma Elderly Non Elderly Domínio/Área Científica::Ciências Médicas::Ciências da Saúde::Medicina |
description |
Background: Asthma control is harder to assess in elderly asthmatics due to the presence of co-morbidities that can mimic asthma symptomatology and due to the lack of perception of asthma symptoms on the part of the patients. Moreover, impairment of cognitive functions and decrease of lung function due to aging also contribute to the flawed control assessment in this age group. This study aims to assess asthma control as well as its impact on the quality of life in elderly and non-elderly asthmatics, and to find out predictors of poor asthma control in these two age groups of asthmatics. Methods: Cross-sectional assessment of a sample of 92 elderly and 100 non-elderly patients with the clinical diagnosis of Bronchial Asthma being followed up at Centro Hospitalar Cova da Beira, Covilhã, Portugal. All volunteers signed a written informed consent form. Clinical and sociodemographic data were collected first and then standardized and validated questionnaires were used to evaluate depression, cognitive state, asthma control, quality of life and knowledge about the disease. Assessment of inhaler technique by the patients was also carried out. Results were analysed using the Software Package for Social Sciences®, version 23.0. Results: The majority of the asthmatics were well controlled according to ACT and partially controlled according to GINA. When control was studied using CARAT in elderly asthmatics with allergic rhinitis, most of them were not controlled. Non-elderly patients with well controlled and partially controlled asthma had better quality of life than well controlled and partially controlled elderly patients. Regarding predictors of poor control on EA, higher Graffar class and exposure to tobacco smoke were predictors of poor control on CARAT lower airways component and global components, respectively. For the NEA, higher Graffar class and higher number of exacerbations in the last year were predictors of poor control on the CARAT and ACT, respectively. Conclusions: Although most of the patients were at least partially controlled, those with concurrent rhinitis have worse asthma control. When compared to non-elderly asthmatics, elderly patients have similar levels of control, although their quality of life tends to be worse than in younger patients. In terms of factors that predict worse asthma control, low socioeconomic status may be a predictor of poor asthma and allergic rhinitis control in the two age groups and exposure to tobacco smoke may also be a predictor of worse control in elderly asthmatics with rhinitis. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-5-16 2016-06-27 2016-06-27T00:00:00Z 2018-07-23T15:20:42Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.6/5348 TID:201773783 |
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http://hdl.handle.net/10400.6/5348 |
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TID:201773783 |
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eng |
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eng |
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openAccess |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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