Perception of bronchoconstriction in elderly asthmatics

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dc.contributor.authorEkici, M.
dc.contributor.authorApan, A.
dc.contributor.authorEkici, A.
dc.contributor.authorErdemoglu, A.K.
dc.date.accessioned2020-06-25T17:34:54Z
dc.date.available2020-06-25T17:34:54Z
dc.date.issued2001
dc.departmentKırıkkale Üniversitesi
dc.description.abstractThe impaired perception of bronchoconstriction in asthmatic patients may increase the risk of severe exacerbation. To characterize the perception of bronchoconstriction in elderly asthma patients, we compared the perception in older patients with that of younger patients. To determine the influence of perception of long-standing diseases, we further evaluated the perception in early-onset elderly asthma patients and in late-onset elderly, asthma patients. The study group consisted of 80 stable asthmatic patients. The patients were grouped according to their age (group 1, < 60 years, n = 37; group 2 greater than or equal to 60 years, n = 43). Each group was separated into two subgroups according to the duration of symptoms (late-onset asthma IA and 2A, <5 years, early-onset asthma IB and 2B, greater than or equal to 5 years). A histamine inhalation test was performed for each patient. Dyspnea was assessed by modified Borg scale. The Borg score in forced expiratory volume in I see (FEV1) reduction by 20% was determined as perception score 20 (PS20). The mean perception scores of the elderly asthmatic patients were significantly lower than those of the younger asthmatic patients (group 1, PS20 = 2.35 +/- 0.17; group 2, PS20 = 1.37 +/- 0.12; p < 0.0001). The differences of mean perception score (PS20) between early- and late-onset subgroups were insignificant (1A, 2.63 +/- 0.30 and IB, 2.07 +/- 0.16; p = 0.101: 2A, 1.36 +/- 0.19 and 2B, 1.59 +/- 0.120; p = 0.91). The mean perception scores of male asthmatic patients were significantly lower than those of female patients (p = 0.03). There was a correlation between PS20 and %FEV1 in the younger group (r = 0.392, p = 0.02), but not in the elderly, group (r = 139, p = 0.375). The correlation between PS20 and PD20 in both younger and elderly group was insignificant (p > 0.05). Elderly, asthmatics perceive less intense respiratory, distress for a decrease of 20% in FEV1 than do younger asthmatics. This underperception of bronchoconstriction may result in a delay in medical care during an acute asthmatic episode. Thus, we strongly recommend that elderly, asthmatic patients should be followed up more frequently and closely.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1081/JAS-100107547
dc.identifier.endpage696en_US
dc.identifier.issn0277-0903
dc.identifier.issn1532-4303
dc.identifier.issue8en_US
dc.identifier.pmid11758898
dc.identifier.scopus2-s2.0-0035180552
dc.identifier.scopusqualityQ2
dc.identifier.startpage691en_US
dc.identifier.urihttps://doi.org/10.1081/JAS-100107547
dc.identifier.urihttps://hdl.handle.net/20.500.12587/2944
dc.identifier.volume38en_US
dc.identifier.wosWOS:000172491800010
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofJournal Of Asthma
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectasthmaen_US
dc.subjectBorg scaleen_US
dc.subjectbronchoconstrictionen_US
dc.subjectelderlyen_US
dc.subjectperceptionen_US
dc.titlePerception of bronchoconstriction in elderly asthmaticsen_US
dc.typeArticle

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