Confronting the challenges of asthma in the elderly patient

Journal of Respiratory Diseases

Volumn 25, Issue 8, 2004, Pages 310-316

  Bashoura, Lara ^a,b   Hanania, Nicola A ^a,c,d  

^a BAYLOR COLLEGE OF MEDICINE   (United States)

^b Div of Pulmon/Critical Care Med   (United States)

^c Department of Medicine ^*

^d Asthma Clinical Research Center   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACETYLSALICYLIC ACID; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; BETA ADRENERGIC RECEPTOR STIMULATING AGENT; CORTICOSTEROID; CROMOGLYCATE DISODIUM; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; FLUTICASONE PROPIONATE PLUS SALMETEROL; FORMOTEROL; IPRATROPIUM BROMIDE; LEUKOTRIENE RECEPTOR BLOCKING AGENT; METHYLPREDNISOLONE; METHYLXANTHINE; MONTELUKAST; NEDOCROMIL; NONSTEROID ANTIINFLAMMATORY AGENT; PREDNISOLONE; SALMETEROL; THEOPHYLLINE DERIVATIVE; ZAFIRLUKAST; ZILEUTON;

ADRENAL SUPPRESSION; AGED; ANGINA PECTORIS; ASTHMA; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL FEATURE; CONGESTIVE HEART FAILURE; CORTICOSTEROID INDUCED OSTEOPOROSIS; COUGHING; DIABETES MELLITUS; DISEASE EXACERBATION; DRUG DELIVERY SYSTEM; DYSPHONIA; DYSPNEA; ELDERLY CARE; GLAUCOMA; HEART ARRHYTHMIA; HEART INFARCTION; HEART PALPITATION; HUMAN; HYPERTENSION; HYPOKALEMIA; INSOMNIA; LUNG FUNCTION; MYOPATHY; NAUSEA; PATIENT EDUCATION; PHYSICAL EXAMINATION; POWDER; REVIEW; SEIZURE; SIDE EFFECT; SKIN TOXICITY; SPIROMETRY; TACHYCARDIA; THRUSH; TREMOR; URINE RETENTION; VOMITING; WHEEZING;

EID: 4043072198     PISSN: 0194259X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (30)

1. Burr ML, Charles TJ, Roy K, et al. Asthma in the elderly: an epidemiological survey. Br Med J. 1979;1:1041-1044.
2. Enright PL, Kronmal RA, Higgins MW, et al. Prevalence and correlates of respiratory symptoms and disease in the elderly. Cardiovascular Health Study. Chest. 1994;106:827-834.
3. Enright PL, McClelland RL, Newman AB, et al. Underdiagnosis and undertreatment of asthma in the elderly. Chest. 1999;116:603-613.
4. Centers for Disease Control and Prevention. Surveillance Summaries, March 29, 2002. MMWR. 2002;51:SS-1.
5. Dyer CA, Hill SL, Stockley RA, Sinclair AJ. Quality of life in elderly subjects with a diagnostic label of asthma from general practice registers. Eur Respir J. 1999;14:39-45.
6. Nejjari C, Tessier JF, Barberger-Gateau P, et al. Functional status of elderly people treated for asthma-related symptoms: a population based case-control study. Eur Respir J. 1994;7:1077-1083.
7. National Heart, Lung, and Blood Institute. NAEPP Working Group Report: Consideration for Diagnosing and Managing Asthma in the Elderly. Bethesda, Md: National Institutes of Health; 1996. NIH publication 96-3662.
8. Parameswaran K, Hildreth AJ, Taylor IK, et al. Predictors of asthma severity in the elderly: results of a community survey in Northeast England. J Asthma. 1999;36:613-618.
9. Cassino C, Berger KI, Goldring RM, et al. Duration of asthma and physiologic outcomes in elderly nonsmokers. Am J Respir Crit Care Med. 2000;162:1423-1428.
10. Braman SS, Kaemmerlen JT, Davis SM. Asthma in the elderly: a comparison between patients with recently acquired and long-standing diseases. Am Rev Respir Dis. 1991;143:336-340.
11. Weiner P, Magadle R, Waizman J, et al. Characteristics of asthma in the elderly. Eur Respir J. 1998;12:564-568.
12. Quadrelli SA, Roncoroni A. Features of asthma in the elderly. J Asthma. 2001;38:377-389.
13. Connolly MJ. Aging, late-onset asthma and the beta-adrenoceptor. Pharm Ther. 1993;60: 389-404.
14. Cuttitta G, Cibella F, Bellia V, et al. Changes in FVC during methacholine-induced bronchoconstriction in elderly patents with asthma: bronchial hyperresponsiveness and aging. Chest. 2001;119:1685-1690.
15. Enright PL, Burchette RJ, Peters JA, et al. Peak flow lability: association of asthma and spirometry in an older cohort. Chest 1997;112: 895-901.
16. Enright PL, McClelland RL, Buist AS, et al for the Cardiovascular Health Study Research Group. Correlates of peak expiratory flow lability in elderly persons, Chest. 2001;120:1861-1868.
17. Smymios NA. Asthma. A six-part strategy for managing older patients. Geriatrics. 1997;52:36-44.
18. Rogers L, Cassino C, Berger KI, et al. Asthma in the elderly: cockroach sensitization and severity of airway obstruction in elderly nonsmokers. Chest. 2002;122:1580-1586.
19. Harding SM, Guzzo MR, Richter JE, et al. The prevalence of gastroesophegeal reflux in asthma patients without reflux symptoms. Am J Respir Crit Care Med. 2000;162:34-39.
20. Hamilos DL. Gastroesophageal reflux and sinusitis in asthma. Clin Chest Med. 1995;16:683-697.
21. National Heart, Lung, and Blood Institute. National Asthma Education and Prevention Program: Expert Panel Report 2. Guidelines for the Diagnosis and Management of Asthma. Bethesda, Md: National Institutes of Health; 1997. NIH publication 974051.
22. Sin DD, Tu JV. Underuse of inhaled steroid therapy in elderly patients with asthma. Chest 2001;119:720-725.
23. Hartert TV, Togias A, Mellen BG, et al. Underutilization of controller and rescue medications among older adults with asthma requiring hospital care. J Am Geriatr Soc. 2000;48:651-657.
24. Parameswaran KP, Hildreth AJ, Keaney NP, et al. Asthma in the elderly: underperceived, underdiagnosed and undertreated, a community survey. Respir Med. 1998;92: 573-577.
25. Walsh LJ, Wong CA, Oborne J, et al. Adverse effects of oral corticosteroids in relation to dose in patients with lung disease. Thorax. 2001;56:279-284.
26. Braman SS. Drug treatment of asthma in the elderly. Drugs. 1996;51:415-423.
27. Pounsford JC. Nebulizers for the elderly. Thorax. 1997;52(suppl):S53-S55.
28. Chapman KR, Love L, Brubaker H. A comparison of breath-actuated and conventional metered-dose inhaler inhalation techniques in elderly subjects. Chest. 1993;104: 1332-1337.
29. Anderson CJ, Bardana EJ. Asthma in the elderly: the importance of patient education. Comp Ther 1996;22:375-378.
30. National Asthma Education and Prevention Program. Expert Panel Report: Guidelines for the Diagnosis and Management of Asthma-Update on Selected Topics 2002. Bethesda, Md: National Heart, Lung, and Blood Institute, National Institutes of Health; 2002. NIH publication 02-5075. Available at: http://www.nhlbi.nih.gov/guidelines/asthma/ asthsumm.htm. Accessed February 11, 2004.