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2019

ANUÁRIO DO HOSPITAL
DONA ESTEFÂNIA

CHULC LOGOlogo HDElogo anuario

ALLERGIC RHINITIS WITHIN THE SCOPE OF THE GERIA PROJECT – RESPIRATORY HEALTH IN THE ELDERLY LIVING IN NURSING HOMES IN PORTUGAL

Autores: Joana Belo1, Teresa Palmeiro2, Iolanda Caires2,Pedro Martins1,2, Paula Leiria Pinto1,2, Nuno Neuparth1,2

Afliações:
1- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, EPE, Rua Jacinta Marto, 1169-045, Lisboa
2- CEDOC, Faculdade de Ciências Médicas (FCM), Universidade Nova de Lisboa, Campo dos Mártires da Pátria, 130, 1169-056, Lisboa

Divulgação:
European Academy of Allergy and Clinical Immunology Congress 2014, 7-11 Junho, Copenhaga, Dinamarca.
Reunião Internacional.
Comunicação sob a forma de poster

Resumo: Introduction: Over the last decades the demographic trends worldwide have been marked by an increasing ageing of the population. In this sense, the recognition that a range of conditions usually related to the young people also affects the elderly is also rising.

Aim: To determine the prevalence and risk factors for reported AR diagnosis in theelderly living in nursing homes of Lisbon and Oporto.

Methods: During the Phase I of the GERIA study, 53 nursing homes from Lisbon and Oporto were randomly selected and stratified by district. A medical questionnaire concerning the diagnosis of AR was applied to the nursing homes residents between September of 2012 and April 2013. The association between reported AR and different variables was studied (gender, age, literacy, occupational exposure to dusts and smoking habits).

Results: 931 out of 2110 elderly responded to the questionnaire (mean age of 84,1± 7,2 years old). A predominance of the female sex (79%) and a low degree of literacy (77,6%) was found. About 124 (13.3%) had been diagnosed with AR and 109 (11,7%) claimed to maintain that condition at the time of the survey. Regarding the multivariable analysis, occupational dust exposure (OR: 2.21; IC 95%: 1.41 – 3.47; p=0.001), smoking habits (OR: 2.08; IC 95%: 1.17 - 3.71; p=0.013) and a higher education (OR: 2.53; IC 95%: 1.64 - 3.89; p = 0.000) were directly associated with reported AR diagnosis, as well as female gender (OR:2.56; IC 95%: 1.35 – 4,76; p=0.004).

Conclusions: Reported AR diagnosis prevalence in the elderly was lower than the one found through symptomatic criteria. The association of AR diagnosis with the female sex may result from the larger proportion of women in our sample. The association found with higher literacy may be consequence of an easier access to healthcare. As far as dust exposure and smoking habits are concerned, these are well recognized airway inflammation risk factors.

Palavras Chave: allergic rhinitis, elderly