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...
Main Authors: | , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2013-01-01
|
Series: | Allergology International |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S1323893015301465 |
_version_ | 1818941254202818560 |
---|---|
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. |
first_indexed | 2024-12-20T06:52:37Z |
format | Article |
id | doaj.art-4877e812dc384eb090797f055404c22f |
institution | Directory Open Access Journal |
issn | 1323-8930 |
language | English |
last_indexed | 2024-12-20T06:52:37Z |
publishDate | 2013-01-01 |
publisher | Elsevier |
record_format | Article |
series | Allergology International |
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 |
work_keys_str_mv | AT kiyoshisekiya agespecificcharacteristicsofinpatientswithsevereasthmaexacerbation AT masamitaniguchi agespecificcharacteristicsofinpatientswithsevereasthmaexacerbation AT yumafukutomi agespecificcharacteristicsofinpatientswithsevereasthmaexacerbation AT kentarowatai agespecificcharacteristicsofinpatientswithsevereasthmaexacerbation AT takafumiminami agespecificcharacteristicsofinpatientswithsevereasthmaexacerbation AT hiroakihayashi agespecificcharacteristicsofinpatientswithsevereasthmaexacerbation AT junito agespecificcharacteristicsofinpatientswithsevereasthmaexacerbation AT hidenoritanimoto agespecificcharacteristicsofinpatientswithsevereasthmaexacerbation AT chiyakooshikata agespecificcharacteristicsofinpatientswithsevereasthmaexacerbation AT naomitsurikisawa agespecificcharacteristicsofinpatientswithsevereasthmaexacerbation AT takahirotsuburai agespecificcharacteristicsofinpatientswithsevereasthmaexacerbation AT makihasegawa agespecificcharacteristicsofinpatientswithsevereasthmaexacerbation AT kazuoakiyama agespecificcharacteristicsofinpatientswithsevereasthmaexacerbation |