Age-Specific Characteristics of Inpatients with Severe Asthma Exacerbation

Background: The characteristics of inpatients with severe asthma exacerbation remain unclear. It is considered that the characteristics of inpatients with severe asthma vary depending on age. However, these are rarely investigated. The objective of this study is to investigate the differences in cha...

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Main Authors: Kiyoshi Sekiya, Masami Taniguchi, Yuma Fukutomi, Kentaro Watai, Takafumi Minami, Hiroaki Hayashi, Jun Ito, Hidenori Tanimoto, Chiyako Oshikata, Naomi Tsurikisawa, Takahiro Tsuburai, Maki Hasegawa, Kazuo Akiyama
Format: Article
Language:English
Published: Elsevier 2013-01-01
Series:Allergology International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1323893015301465
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author Kiyoshi Sekiya
Masami Taniguchi
Yuma Fukutomi
Kentaro Watai
Takafumi Minami
Hiroaki Hayashi
Jun Ito
Hidenori Tanimoto
Chiyako Oshikata
Naomi Tsurikisawa
Takahiro Tsuburai
Maki Hasegawa
Kazuo Akiyama
author_facet Kiyoshi Sekiya
Masami Taniguchi
Yuma Fukutomi
Kentaro Watai
Takafumi Minami
Hiroaki Hayashi
Jun Ito
Hidenori Tanimoto
Chiyako Oshikata
Naomi Tsurikisawa
Takahiro Tsuburai
Maki Hasegawa
Kazuo Akiyama
author_sort Kiyoshi Sekiya
collection DOAJ
description Background: The characteristics of inpatients with severe asthma exacerbation remain unclear. It is considered that the characteristics of inpatients with severe asthma vary depending on age. However, these are rarely investigated. The objective of this study is to investigate the differences in characteristics among different age groups. We considered that it is necessary to understand the characteristics of each age group so that we can establish strategies in preventing severe asthma exacerbation. Methods: All asthma inpatients who were hospitalized between 2004 and 2011 with SpO2 <90% (in room air), were breathless at rest, and showed increased respiratory rate and pulse rate were examined. We compared the characteristics among the young age group, middle age group, and advanced age group. Results: The total number of patients was 204. In the young age group, the percentages of patients with irregular visits and non visits to a medical institution were high. This group showed high percentages of smokers and pet owners. The percentage of continuous ICS users in this group was 25.9%. The middle age group had high rates of aspirin-intolerant asthma. The percentage of continuous ICS users in this group was 60.2%. In the advanced age group, the percentages of patients with hypertension/heart disease, diabetes mellitus, and COPD were high. This group showed good treatment adherence. The percentage of continuous ICS users in this group was 77.4%. Conclusions: The characteristics of inpatients with severe asthma vary depending on age. We need to establish countermeasures for asthma exacerbation according to the characteristics of patients depending on age.
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spelling doaj.art-4877e812dc384eb090797f055404c22f2022-12-21T19:49:29ZengElsevierAllergology International1323-89302013-01-0162333133610.2332/allergolint.12-OA-0525Age-Specific Characteristics of Inpatients with Severe Asthma ExacerbationKiyoshi Sekiya0Masami Taniguchi1Yuma Fukutomi2Kentaro Watai3Takafumi Minami4Hiroaki Hayashi5Jun Ito6Hidenori Tanimoto7Chiyako Oshikata8Naomi Tsurikisawa9Takahiro Tsuburai10Maki Hasegawa11Kazuo Akiyama12Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Kanagawa, Japan.Background: The characteristics of inpatients with severe asthma exacerbation remain unclear. It is considered that the characteristics of inpatients with severe asthma vary depending on age. However, these are rarely investigated. The objective of this study is to investigate the differences in characteristics among different age groups. We considered that it is necessary to understand the characteristics of each age group so that we can establish strategies in preventing severe asthma exacerbation. Methods: All asthma inpatients who were hospitalized between 2004 and 2011 with SpO2 <90% (in room air), were breathless at rest, and showed increased respiratory rate and pulse rate were examined. We compared the characteristics among the young age group, middle age group, and advanced age group. Results: The total number of patients was 204. In the young age group, the percentages of patients with irregular visits and non visits to a medical institution were high. This group showed high percentages of smokers and pet owners. The percentage of continuous ICS users in this group was 25.9%. The middle age group had high rates of aspirin-intolerant asthma. The percentage of continuous ICS users in this group was 60.2%. In the advanced age group, the percentages of patients with hypertension/heart disease, diabetes mellitus, and COPD were high. This group showed good treatment adherence. The percentage of continuous ICS users in this group was 77.4%. Conclusions: The characteristics of inpatients with severe asthma vary depending on age. We need to establish countermeasures for asthma exacerbation according to the characteristics of patients depending on age.http://www.sciencedirect.com/science/article/pii/S1323893015301465acute exacerbationasthmaasthma attackasthma deathinhaled corticosteroid
spellingShingle Kiyoshi Sekiya
Masami Taniguchi
Yuma Fukutomi
Kentaro Watai
Takafumi Minami
Hiroaki Hayashi
Jun Ito
Hidenori Tanimoto
Chiyako Oshikata
Naomi Tsurikisawa
Takahiro Tsuburai
Maki Hasegawa
Kazuo Akiyama
Age-Specific Characteristics of Inpatients with Severe Asthma Exacerbation
Allergology International
acute exacerbation
asthma
asthma attack
asthma death
inhaled corticosteroid
title Age-Specific Characteristics of Inpatients with Severe Asthma Exacerbation
title_full Age-Specific Characteristics of Inpatients with Severe Asthma Exacerbation
title_fullStr Age-Specific Characteristics of Inpatients with Severe Asthma Exacerbation
title_full_unstemmed Age-Specific Characteristics of Inpatients with Severe Asthma Exacerbation
title_short Age-Specific Characteristics of Inpatients with Severe Asthma Exacerbation
title_sort age specific characteristics of inpatients with severe asthma exacerbation
topic acute exacerbation
asthma
asthma attack
asthma death
inhaled corticosteroid
url http://www.sciencedirect.com/science/article/pii/S1323893015301465
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