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The geriatric asthma: pitfalls and challenges

机译：老年哮喘：陷阱和挑战

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Historically, asthma has been envisioned as a disease of younger ages. This has led to the assumption that respiratory symptoms suggestive of asthma occurring in older ages are to be attributed to conditions other than asthma, mainly COPD. Old observational reports and new epidemiological studies confirm that asthma is as frequent in older as it is in younger populations. Nevertheless, under-recognition, misdiagnosis and under-treatment are still relevant issues. The characterization of asthma in the aged suffers from the fact that there has been very little original research in this field. Indeed, geriatric asthma is often excluded from clinical trials because of age and comorbidities. The current review paper revises the areas that need to be elucidated, and highlights the gaps in the management of this condition. It follows that a multidimensional management is advocated for elderly asthmatics to evaluate the severity and establish the complexity of the disease. We suggest that the term “geriatric” asthma should be preferred to “senile” asthma, which is confined to the age-related changes in the lung, or the more generic “asthma in the elderly”, which is only descriptive of the prevalence in specific age groups.
机译：从历史上看，哮喘被认为是一种较年轻的疾病。这导致了这样的假设，即提示老年人出现哮喘的呼吸道症状应归因于哮喘以外的其他疾病，主要是COPD。旧的观察报告和新的流行病学研究证实，哮喘的发作年龄与年轻人相同。然而，认识不足，误诊和治疗不足仍是相关问题。老年人哮喘的特征在于该领域的研究很少。确实，由于年龄和合并症，老年哮喘常常被排除在临床试验之外。当前的审查文件修订了需要阐明的领域，并强调了在管理这种情况方面的差距。因此，提倡对老年哮喘患者进行多维管理，以评估其严重程度并确定疾病的复杂性。我们建议，术语“老年性”哮喘应优先于“老年性”哮喘，后者仅限于与年龄相关的肺部变化，或更笼统的“老年人哮喘”仅用于描述老年性哮喘。特定年龄段。

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