Prospective multicenter study of acute asthma in younger versus older adults presenting to the emergency department
Prospective multicenter study of acute asthma in younger versus older adults presenting to the emergency department
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DOI：
10.1111/j.1532-5415.2005.00563.x
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发表时间：
2006-01-01
影响因子：
6.3
通讯作者：
Camargo, CA
中科院分区：
文献类型：
--
作者：
Banerji, A;Clark, S;Camargo, CA
目的：描述急诊科（艾德）就诊的年轻人与老年人的急性哮喘。设计：前瞻性队列研究。成人哮喘患者分为三个年龄组：18至34岁，35至54岁，55岁及以上。研究对象：2064名年龄在18岁及以上，经医生诊断为哮喘的患者。测量：药物和呼气峰流速。结果：1,158名（56%）受试者年龄在18 - 34岁之间，777名（37%）年龄在35 - 54岁之间，777名（37%）年龄在35 - 54岁之间。55岁及以上129人（6%）。老年患者最有可能有初级保健提供者（分别为65%、74%和91%; P < .001）;大多数患者未使用吸入性皮质类固醇（分别为39%、55%和48%; P < .001）。
OBJECTIVES: To describe acute asthma in younger versus older adults presenting to the emergency department (ED).DESIGN: Prospective cohort study. Asthmatic adults were divided into three age groups: 18 to 34, 35 to 54, and 55 and older. The analysis was restricted to never smokers and smokers with fewer than 10 pack-years.SETTING: ED.PARTICIPANTS: Two thousand sixty-four patients aged 18 and older with a physician diagnosis of asthma.MEASUREMENTS: Medications and peak expiratory flow.RESULTS: There were 1,158 (56%) subjects aged 18 to 34; 777 (37%) aged 35 to 54; and 129 (6%) aged 55 and older. Older patients were most likely to have a primary care provider (65%, 74%, and 91%, respectively; P < .001); most were not taking inhaled corticosteroids (39%, 55%, and 48%, respectively; P