Sarah Barbara|Vicky Kritikos|Sinthia Bosnic?Anticevich
Inhaler technique: does age matter? A systematic review
Woolcock Institute of Medical Research|University of Sydney|Woolcock Institute of Medical Research|Woolcock Institute of Medical Research|University of Sydney
poor inhaler technique inferior asthma outcomes evident older adults reviews comparing metered dose inhaler mdi dry powder inhaler dpi techniques across older adults younger cohorts scarce systematic review aimed determine whether differences exist cohorts regards number type mdi dpi errors made systematic literature search conducted embase medline pubmed july 1 december 31 2016 studies selected accordance preset inclusion criteria relevant data extracted quality assessed validated checklists 14 studies identified evidence suggests negative correlation advancing age correct technique across mdi varying dpi devices examined collectively differences appear exist older adult younger cohorts prescribed mdis error types evidence ageassociated differences number type inhaler technique errors research required assess outcomes individual dpis reproducibility effects confounders