Factors Affecting Control and Adherence to One Year Treatment in Elderly Asthmatics in Turkey
Sunday, March 6, 2016
South Exhibit Hall H (Convention Center)
Bilun Gemicioglu, M.D.,Ph.D., Hasan Bayram, M.D.,Ph.D., Arif Cimrin, M.D., Oznur Abadoglu, M.D., Aykut Cilli, M.D., Esra Uzaslan, M.D., Hakan Gunen, M.D., Levent Akyildiz, M.D., Mecit Suerdem, M.D., Tevfik Ozlu, M.D., Zeynep Misirligil, M.D.
Rationale: The objective of this study was to investigate the factors that affected the control and the adherence to one year treatment of newly diagnosed elderly asthmatics(EA) living in different areas of Turkey, and to compare these with young asthmatics(YA) regarding different parameters.

Methods: A total of 1116 newly diagnosed adult asthmatic patients from 122 secondary or tertiary centers of different geographic locations took part in the study, and a standard web-based questionnaire was applied from July-2012 to March-2014. Patients were divided into two groups as YA (age: 18-59) and EA (age≥60). The differences in biometric parameters, pulmonary functions, allergic status, comorbidities, first given therapies, one year control, and adherence to treatment were analyzed.

Results: The age of 12.2% of the new-onset asthma patients was ≥60 years. Body mass index was found as 27.8 kg/m2 for YA and 29.8 kg/m2 for EA (p<0.001). The presence of any comorbidity was 66.2% and 52.2% in EA and YA, respectively (p=0.003). Combined inhaled steroid plus long acting beta2 agonists were the most frequently administered treatment (83.0% vs. 93.4% in YA and EA, p=0.002).

The asthma control during one year was not significant between groups. But the number of visits were elevated in EA than YA (1.60 vs 1.22, p=0.011). The adherence to therapy was not significant between groups. The adherence to therapy in EA was significantly correlated with the presence of hypertension (p< 0.025).

Conclusions: Our findings demonstrated that EA presented more co-morbidities and the presence of hypertension increased adherence to asthma treatment in elderly asthmatics.