目的:确定以鼻腔过敏为主诉的慢性鼻-鼻窦炎(CRS)的预测因子。
方法:横断面研究。
方法:三级护理,学术中心。
方法:收集患者的临床和人口统计学特征,这些患者是主诉鼻腔过敏的患者。所有参与者,收集了22项鼻窦结果测试(SNOT-22),并根据鼻内镜计算改良的Lund-Kennedy内镜评分。寻求CRS与临床和人口统计学特征变量之间的关联,SNOT-22和内窥镜评分。
结果:共纳入219例患者,91.3%被诊断为过敏性鼻炎;45.2%被诊断为CRS。大约一半的CRS患者报告没有鼻内使用皮质类固醇。患有CRS与男性相关(优势比[OR]=2.29,95%置信区间[CI]:1.30-4.04,P=.004),内镜评分(OR=1.96,95%CI:1.59-2.42,P<.001),与SNOT-22项目相关的SNOT-22鼻亚域评分(OR=1.07,95%CI:1.03-1.11,P=.001):“需要吹鼻子,“”厚厚的鼻涕,“\”味觉/嗅觉,“和”鼻子阻塞/充血。\"至少中度(项目评分≥3)\"鼻塞/充血\"或\"厚流鼻涕,\"轻度\"需要吹鼻子\"(项目评分≥2)或非常轻度下降\"味觉/嗅觉\"(项目评分≥1),和任何鼻内镜检查结果(内镜评分≥1)均为CRS的统计学显著预测因子.
结论:中度或更严重的鼻塞或出院症状,任何减少的嗅觉/味觉,或认为患有过敏性鼻炎的患者的鼻内窥镜检查结果为阳性,应提示对CRS进行进一步评估,以避免延误治疗。
OBJECTIVE: To identify predictors of chronic rhinosinusitis (CRS) in patients presenting with the chief complaint of nasal allergies.
METHODS: Cross-sectional study.
METHODS: Tertiary care, academic center.
METHODS: Clinical and demographic characteristics were collected from participants who were patients presenting with the chief complaint of nasal allergies. From all participants, a 22-item Sinonasal Outcome Test (SNOT-22) was collected, and a modified Lund-Kennedy endoscopy score was calculated from nasal endoscopy. Association was sought between having CRS and variables of clinical and demographic characteristics, SNOT-22, and endoscopy score.
RESULTS: A total of 219 patients were recruited and 91.3% were diagnosed with allergic rhinitis; 45.2% were also diagnosed with CRS. Approximately half of the patients with CRS reported no intranasal corticosteroid usage. Having CRS was associated with male sex (odds ratio [OR] = 2.29, 95% confidence interval [CI]: 1.30-4.04, P = .004), endoscopy score (OR = 1.96, 95% CI: 1.59-2.42, P < .001), and the SNOT-22 nasal subdomain score (OR = 1.07, 95% CI: 1.03-1.11, P = .001) related to SNOT-22 items: \"need to blow nose,\" \"thick nasal discharge,\" \"sense of taste/smell,\" and \"blockage/congestion of nose.\" At least moderate (item score ≥3) \"blockage/congestion of nose\" or \"thick nasal discharge,\" mild \"need to blow nose\" (item score ≥2) or very mild decreased \"sense of taste/smell\" (item score ≥1), and any nasal endoscopy findings (endoscopy score ≥1) were statistically significant predictors of CRS.
CONCLUSIONS: Moderate or more severe nasal obstruction or discharge symptoms, any decreased sense of smell/taste, or positive nasal endoscopy findings in patients believing they have allergic rhinitis should prompt further evaluation of CRS to avoid delays in treatment.