Burden of rhinitis in children with asthma
Burden of rhinitis in children with asthma
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DOI：
10.1002/ppul.20247
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发表时间：
2005-09-01
影响因子：
3.1
通讯作者：
Sekerel, BE
中科院分区：
文献类型：
--
作者：
Kocabas, CN;Civelek, E;Sekerel, BE
虽然过敏性鼻炎和哮喘的临床关联已经被认识了几个世纪，但近年来这种关联似乎比以前报道的更强，然而，儿童的数据不太清楚，一些研究表明，在发展中国家观察到的结果可能与西方人群中观察到的结果不同。因此，我们打算从护理人员的认知、医生实践和档案记录方面记录鼻炎与儿童哮喘的关联。在过敏性哮喘门诊至少随访1年的3-16岁哮喘儿童被邀请参加为期10个月的研究。除了面对面的访谈，档案记录进行了回顾性评价，以获得有关哮喘和鼻炎的信息。在纳入研究的396例患者中，369例应答一致的患者被纳入分析。研究组的平均年龄为10.6 +/- 0.2（平均+/- SEM）岁，男性（63.7%）、特应性（78.3%）和轻度哮喘（50.7%）的受访者比例较高。屋尘螨和草花粉是最常见的致敏原（分别为50.7%和46.9%）。虽然根据档案记录，只有5.4%的研究人群认为自己患有鼻炎，23.8%的患者被诊断患有过敏性鼻炎，但近57.7%的患者在过去一年内需要鼻炎药物治疗，68.8%的患者的结果与过敏性鼻炎一致。此外，分别有41.2%和58.8%的人报告说，他们的鼻炎症状给他们的日常生活造成了重大负担，并加剧了他们的哮喘，近50%的人认为他们的鼻炎没有得到他们的医生的重视。总之，尽管我们报告了护理人员对鼻炎的感知、文件记录和鼻炎治疗之间存在很大差异，但调查中确定的过敏性鼻炎患病率和鼻炎药物使用似乎是一致的。我们建议在哮喘门诊中更努力地识别、标记和教育鼻炎儿童及其家人。
Although the clinical association of allergic rhinitis and asthma has been recognized for centuries, in recent years the association appears to be stronger than was reported previously However, data for children are less clear, and some studies indicate that results observed in developing countries may differ from those observed in Western populations. We therefore intended to document the association of rhinitis with pediatric asthma in terms of caregivers' perception, physician practice, and file records. Asthmatic children aged 3-16 years with at least 1 year follow-up in an allergy-asthma outpatient clinic were invited to participate in the study during a 10-month interval. In addition to a face-to-face questionnaire-based interview, file records were evaluated retrospectively to obtain information relating to asthma and rhinitis. Of 396 patients included in the study, 369 with consistent replies were included in the analyses. The mean age of the study group was 10.6 +/- 0.2 (mean +/- SEM) years, and a greater proportion of the respondents were male (63.7%), atopic (78.3%), and mildly asthmatic (50.7%). House dust mite and grass pollens were the most commonly sensitized allergens (50.7% and 46.9%, respectively). Although only 5.4% of our study population regarded themselves as rhinitic and 23.8% had been diagnosed with allergic rhinitis according to the file records, almost 57.7% of patients had required medications for rhinitis within the last year, and 68.8% had findings consistent with allergic rhinitis. Furthermore, 41.2% and 58.8% reported that their rhinitis symptoms caused a significant burden in their daily life and exacerbated their asthma, respectively, and almost 50% felt that their rhinitis had not been given significant consideration by their physician. In conclusion, although we report a large discrepancy between caregivers' perception of rhinitis, documentation in file records, and treatments for rhinitis, the allergic rhinitis prevalence determined in the survey and the medication use for rhinitis appeared to be in agreement. We recommend a greater effort be made to identify, label, and educate children with rhinitis and their families in asthma outpatient clinics.