Asthma in the elderly: Current understanding and future research needs--a report of a National Institute on Aging (NIA) workshop.
Asthma in the elderly: Current understanding and future research needs--a report of a National Institute on Aging (NIA) workshop.
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DOI：
10.1016/j.jaci.2011.06.048
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发表时间：
2011-09
期刊：
影响因子：
--
通讯作者：
Asthma in Elderly workshop participants
中科院分区：
文献类型：
--
作者：
Hanania NA;King MJ;Braman SS;Saltoun C;Wise RA;Enright P;Falsey AR;Mathur SK;Ramsdell JW;Rogers L;Stempel DA;Lima JJ;Fish JE;Wilson SR;Boyd C;Patel KV;Irvin CG;Yawn BP;Halm EA;Wasserman SI;Sands MF;Ershler WB;Ledford DK;Asthma in Elderly workshop participants
老年人哮喘的诊断和治疗不足，对这一问题的认识也很缺乏。国家老龄化研究所召开了这次研讨会，以确定已知的知识和知识的差距，并建议需要改善老年人哮喘的理解和护理的研究方向。高龄哮喘的临床和生理后果与年轻患者相似，但共病和衰老的心理社会影响可能会影响这一人群中哮喘的诊断、临床表现和护理。在老年哮喘患者中至少存在2种表型;与晚发性哮喘患者相比，长期哮喘患者的气流受限更严重，完全可逆性更差。老年人哮喘的识别和治疗存在许多挑战。此外，老年人哮喘的病理生理机制可能与年轻哮喘患者不同，这些差异可能影响该人群哮喘的临床病程和结局。
Asthma in the elderly is underdiagnosed and undertreated, and there is a paucity of knowledge on the subject. The National Institute on Aging convened this workshop to identify what is known and what gaps in knowledge remain and suggest research directions needed to improve the understanding and care of asthma in the elderly. Asthma presenting at an advanced age often has similar clinical and physiologic consequences as seen with younger patients, but comorbid illnesses and the psychosocial effects of aging might affect the diagnosis, clinical presentation, and care of asthma in this population. At least 2 phenotypes exist among elderly patients with asthma; those with longstanding asthma have more severe airflow limitation and less complete reversibility than those with late-onset asthma. Many challenges exist in the recognition and treatment of asthma in the elderly. Furthermore, the pathophysiologic mechanisms of asthma in the elderly are likely to be different from those seen in young asthmatic patients, and these differences might influence the clinical course and outcomes of asthma in this population.
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DOI：
10.1093/gerona/61.3.262
发表时间：
2006-03-01
影响因子：
5.1
作者：
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通讯作者：
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DOI：
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