Attention to ACOS in patients with asthma and COPD:Results from a national- multicentered study
Bildiriler > Özet Bildiri
Yazarlar: Gülfem Elif Çelik, Ömür Aydın, Elif Şen, Tunçalp Demir, Bilun Gemicioğlu, Esen Kıyan, Dilşad Mungan, Kıvılcım Oğuzülgen, Mehmet Polatlı, Özlem GÖKSEL, Abdullah SAYINER, Nurhayat Yıldırım, Füsun Yıldız, Arzu Yorgancıoğlu, Atilla Elhan, Öznur Yıldız, İlknur Başyiğit, Şermin Börekçi, Yavuz Havlucu, Gülfer Okumuş, Murat Türk, Sevgi Saryal
Allergy and immunology, , , Uluslararası, Özet Bildiri, ss PA4057-PA4057
DOI: 10.1183/1393003.congress-2017.pa4057
Özet
Introduction: Limited data is available on Asthma-COPD Overlap Syndrome (ACOS. In this study, the patients followed in specialized centers with a diagnosis of asthma or COPD were evaluated by a standart approach to determine the prevalence of ACOS, as well as risk factors and clinical presentations to predict the factors for development of ACOS. Methods: The study was conducted in a cross-sectional design in 9 different asthma and COPD centers. The patients followed with a diagnosis of asthma or COPD i for at least for 1 year were enrolled in the study. The demographics, disease characteristics, results of diagnostic tests and medications were recorded. Results: The study included a total of 408 subjects. The prevalance of ACOS was 20.8% (n:85) in the whole group. The patients with ACOS had similarities to the patients with COPD in terms of advanced age, male gender, exposure to biomass during childhood, being raised in rural area and radiological features, whereas characteristics like history of childhood asthma and allergic rhinits, presence of comorbidities such as chronic sinusitis, NSAIDs hypersensitivity, atopy, and high eosinophil counts resembled to those of asthma patients (p<0.0001) Conclusion: This study showed that ACOS was common among asthma and COPD patients in Turkey. Results indicated that ACOS can be predicted particularly among male asthma patients with advanced age who raised in rural area and who had childhood exposure to biomass.COPD patients should be reviewed for possibility of ACOS in the presence of atopy, eosinophilia, childhood allergic rhinitis/ asthma, and sinusitis or NSAIDs hypersensitivity. This study is granted by Turkish Thoracic Society.