How is the diagnosis of asthma in older people established in clinical practice?

Abstract

What we need to know How is breathlessness perceived and defined in older people? What impact does breathlessness have on quality of life? Can history taking and physical examination be tailored to efficiently cover all the organ systems associated with breathlessness? Can a self‐ or carer‐rated questionnaire be used to identify asthma in patients with breathlessness? What we need to do Develop self‐ and carer‐rated questionnaires that measure change in function and quality of life before and after treatment. Validate objective measures of physical function and airflow that are sufficiently sensitive to measure change with treatment. Develop a diagnostic guideline in general practice that includes measures of mood and cognitive function and involves carers where necessary. Provide rehabilitation and restorative care services.

We would have got it by now if we were going to get it…’ An analysis of asthma awareness and beliefs in older adults

“…Several studies note the relative oversight of spirometry in this group. [3][4][5] A study in regional Victoria 6 did investigate perspectives of older asthmatics in relation to the most appropriate methods of asthma management.…”

La relación entre el asma y la enfermedad pulmonar obstructiva crónica

“…El grupo de investigadores concluye entonces que la mayoría de los pacientes aún no tenían el diagnóstico de asma. En otro estudio similar realizado en Australia, también se demostró lo relevante del subdiagnóstico y subtratamiento, pero de los pacientes asmáticos adultos mayores 12,22 , tomando en cuenta que las pruebas de función pulmonar no son consideradas como exámenes de rutina en la población con riesgo. 23 El fumado es el principal factor de riesgo para el desarrollo y progresión de EPOC.…”