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A 12-year prognosis of adult-onset asthma: Seinajoki adult-onset asthma study

Leena Tuomisto, Pinja Ilmarinen, Onni Niemela, Jussi Haanpaa, Terhi Kankaanranta, Hannu Kankaanranta
European Respiratory Journal 2015 46: PA4576; DOI: 10.1183/13993003.congress-2015.PA4576
Leena Tuomisto
1Respiratory, Seinajoki Central Hospital, Seinajoki, Finland
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Pinja Ilmarinen
1Respiratory, Seinajoki Central Hospital, Seinajoki, Finland
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Onni Niemela
2Laboratory, Seinajoki Central Hospital, Seinajoki, Finland
3Laboratory Medicine, University of Tampere, Tampere, Finland
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Jussi Haanpaa
4Clinical Physiology, Seinajoki Central Hospital, Seinajoki, Finland
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Terhi Kankaanranta
5Research, Development and Innovation Unit, Police University College, Tampere, Finland
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Hannu Kankaanranta
1Respiratory, Seinajoki Central Hospital, Seinajoki, Finland
6Respiratory, University of Tampere, Tampere, Finland
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Abstract

Background: The long-term prognosis of adult-onset asthma is not known.

Objective: To evaluate the 12-year prognosis of adult-onset asthma with regards to remission and control of asthma and to evaluate the factors associated with the prognosis.

Methods: Seinajoki Adult-onset Asthma Study (SAAS) is a 12-year real-life single-center follow-up study of new-onset asthma diagnosed at adult age and treated in primary and specialized care. Remission was defined by no symptoms and no asthma medication usage for 6 months. Asthma control was evaluated according to GINA 2010. Factors associated with current asthma control were analyzed by multinomial multivariate logistic regression.

Results: A total of 203 patients were followed for 12 years. Remission occurred in 6 (3%) patients. In 34 % asthma was controlled, in 36% it was partly controlled and in 30% uncontrolled. Uncontrolled asthma was predicted by elevated body-mass index at baseline, smoking (pack-years) and current allergic or persistent rhinitis. Elevated blood eosinophils and good lung function (FEV1) at baseline protected from uncontrolled asthma. In contrast, gender, age at the onset of the disease or symptoms (AQ-20) at baseline were not significant predictors of uncontrolled asthma.

Conclusions: During a follow-up for 12-years, remission of adult-onset asthma was rare occurring in only 3 % of patients. The majority of patients (66 %) showed either uncontrolled or partially controlled asthma.

  • Asthma - management
  • Longitudinal study
  • Chronic disease
  • Copyright ©ERS 2015
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A 12-year prognosis of adult-onset asthma: Seinajoki adult-onset asthma study
Leena Tuomisto, Pinja Ilmarinen, Onni Niemela, Jussi Haanpaa, Terhi Kankaanranta, Hannu Kankaanranta
European Respiratory Journal Sep 2015, 46 (suppl 59) PA4576; DOI: 10.1183/13993003.congress-2015.PA4576

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A 12-year prognosis of adult-onset asthma: Seinajoki adult-onset asthma study
Leena Tuomisto, Pinja Ilmarinen, Onni Niemela, Jussi Haanpaa, Terhi Kankaanranta, Hannu Kankaanranta
European Respiratory Journal Sep 2015, 46 (suppl 59) PA4576; DOI: 10.1183/13993003.congress-2015.PA4576
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