IQUIBICEN   23947
INSTITUTO DE QUIMICA BIOLOGICA DE LA FACULTAD DE CIENCIAS EXACTAS Y NATURALES
Unidad Ejecutora - UE
congresos y reuniones científicas
Título:
Comorbidities of asthma in the elderly in Argentina
Autor/es:
ANAHÍ YAÑEZ; MARCELA SORIA; SUSANA DE BARAYAZARRA; EDGARDO JARES; CARLOS BUENO
Lugar:
Rio de Janeiro
Reunión:
Congreso; WAO (World Allergy Organization) International Scientific Conference (WISC) 2014; 2014
Institución organizadora:
World Allergy Organization (WAO)
Resumen:
Background: Relatively little attention has been paid to
asthma in elderly (AIE) subjects. Our goal is to describe the comorbidities in
an Argentinean old population with asthma.
Methods: An
observational descriptive study was performed at five different health care
facilities in Buenos Aires. Clinical records during three months of 2014 were
searched. Allergists reviewed all clinical histories and elderly was
defined as older than 60 years. We evaluated the presence of comorbidities in
old patients diagnosed with asthma.
Results: Total 152
patients were included and their average age (SD) were 66.83 years (6.52), 73%
women, 78% Caucasian and 22% Hispanic. Arterial hypertension was the most
frequent comorbidity (27%), followed by chronic rhino sinusitis (14%), RGE
(10%), diabetes (5%) and obesity (5%). Other comorbidities were also searched,
but they were only found in a few patients, such as eosinophilia esophagitis,
nasal polyps, dyslipemia, coronary heart disease and pulmonary hypertension.
Specifically with respect to allergic comorbidities, patients presented mainly
chronic rhino sinusitis (13,8%), and seasonal ( 16%) and perennial rhinitis
(16%), or both chronic rhino sinusitis and perennial rhinitis simultaneously
(18%). Only a few patients exhibited chronic rhino sinusitis and seasonal rhinitis
(0,65%). Considering the well-known association between allergic rhinitis and
early-onset asthma (EOA), we observed that most of the patients with EOA
exhibited allergic rhinitis (63,4%), but we also observed that half of the
patients with long-onset asthma (48%) presented chronic rhino sinusitis or
allergic rhinitis.
Conclusions: Understanding
comorbidities associated with AIE may identify at-risk patient populations,
improve disease management, and guide treatment advances.