Diagnostic and therapeutic approaches for elderly asthma patients: the importance of multidisciplinary and multidimensional management.

IF 2.9 3区 医学 Q2 RESPIRATORY SYSTEM Expert Review of Respiratory Medicine Pub Date : 2023-01-01 Epub Date: 2023-05-18 DOI:10.1080/17476348.2023.2215432
Alida Benfante, Alessandra Tomasello, Enrico Gianquinto, Maria Noemi Cicero, Nicola Scichilone
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引用次数: 1

Abstract

Introduction: Asthma is commonly considered a disease of younger ages; however, it is not infrequent to pose a diagnosis of the disease in older individuals. Although current recommendations do not distinguish between young and old asthmatics in terms of diagnostic and therapeutic approaches, asthma in the elderly may present with peculiar features that contribute to complicate its management.

Areas covered: The current review focuses on the challenges that arise when approaching an older individual with suspected asthma. Age-associated changes of the lung may complicate the diagnostic approach. Measurement of the forced expiratory volume in the first 6 s (FEV6) in an easier and faster alternative to FVC estimation, and residual volume should always be assessed. Older individuals are often affected by concomitant diseases, both age- and drug-related, that need to be considered when approaching elderly asthmatics, since they can affect the efficacy of the treatment as well as the control of the disease.

Expert opinion: The potential drug to drug interaction should be routinely investigated, and documented in medical records. The effect of aging on the response to pharmacological therapy in older asthmatics should be explored. Therefore, the need of a multidisciplinary and multidimensional approach to the elderly asthmatics is strongly encouraged.

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老年哮喘患者的诊断和治疗方法:多学科和多层面管理的重要性。
引言:哮喘通常被认为是一种年轻人的疾病;然而,在老年人中诊断这种疾病并不罕见。尽管目前的建议在诊断和治疗方法方面没有区分年轻和老年哮喘患者,但老年哮喘可能表现出特殊的特征,导致其管理复杂化。涵盖的领域:目前的综述重点关注在接近疑似哮喘的老年人时出现的挑战。与年龄相关的肺部变化可能会使诊断方法复杂化。前6秒用力呼气量(FEV6)的测量是FVC估计的一种更简单、更快的替代方法,应始终评估残余量。老年人经常受到伴随疾病的影响,包括年龄和药物相关疾病,在治疗老年哮喘时需要考虑这些疾病,因为它们会影响治疗效果和疾病控制。专家意见:应定期调查潜在的药物间相互作用,并将其记录在医疗记录中。应探讨衰老对老年哮喘患者药物治疗反应的影响。因此,强烈鼓励对老年哮喘患者采取多学科和多层面的治疗方法。
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来源期刊
CiteScore
6.80
自引率
2.60%
发文量
90
期刊介绍: Coverage will include the following key areas: - Prospects for new and emerging therapeutics - Epidemiology of disease - Preventive strategies - All aspects of COPD, from patient self-management to systemic effects of the disease and comorbidities - Improved diagnostic methods, including imaging techniques, biomarkers and physiological tests. - Advances in the treatment of respiratory infections and drug resistance issues - Occupational and environmental factors - Progress in smoking intervention and cessation methods - Disease and treatment issues for defined populations, such as children and the elderly - Respiratory intensive and critical care - Updates on the status and advances of specific disease areas, including asthma, HIV/AIDS-related disease, cystic fibrosis, COPD and sleep-disordered breathing morbidity
期刊最新文献
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