Prevalence, severity, and risk factors for acute exacerbations of nasal and sinus symptoms by chronic rhinosinusitis status

Details

• Alternative Title:
  Allergy
• Personal Author:
  Kuiper, Jordan R. ; Hirsch, Annemarie G. ; Bandeen-Roche, Karen ; Sundaresan, Agnes S. ; Tan, Bruce K. ; Schleimer, Robert P. ; Kern, Robert C. ; Stewart, Walter F. ; Schwartz, Brian S.
• Description:
  Background
  
  Nasal and sinus symptoms (NSS) are common to many health conditions, including chronic rhinosinusitis (CRS). Few studies have investigated the occurrence and severity of, and risk factors for, acute exacerbations of NSS (AENSS) by CRS status (current, past, or never met European Position Paper on Rhinosinusitis [EPOS] criteria for CRS).
  
  Methods
  
  Four seasonal questionnaires were mailed to a stratified random sample of Geisinger primary care patients. Logistic regression was used to identify individual characteristics associated with AENSS occurrence and severity by CRS status (current long-term, current recent, past, never) using EPOS subjective symptoms-only (EPOSS) CRS criteria. We operationalized three AENSS definitions based on prescribed antibiotics or oral corticosteroids, symptoms, and symptoms with purulence.
  
  Results
  
  Baseline and at least one follow-up questionnaires were available from 4,736 subjects. Self-reported NSS severity with exacerbation was worst in the current long-term CRS group. AENSS was common in all subgroups examined and generally more common among those with current EPOSS CRS. Seasonal prevalence of AENSS differed by AENSS definition and CRS status. Associations of risk factors with AENSS differed by definition, but CRS status, body mass index, asthma, hay fever, sinus surgery history, and winter season consistently predicted AENSS.
  
  Conclusions
  
  In this first longitudinal, population-based study of three AENSS definitions, NSS and AENSS were both common, sometimes severe, and differed by EPOSS CRS status. Contrasting associations of risk factors for AENSS by the different definitions suggest a need for a standardized approach to definition of AENSS.
  
  
• Subjects:
  Chronic Disease Disease Progression Female Humans Longitudinal Studies Male Population Surveillance Prevalence Rhinitis Risk Factors Severity Of Illness Index Sinusitis Surveys And Questionnaires Symptom Assessment

  More +
• Keywords:
  Chronic Rhinosinusitis Epidemiology Exacerbation Longitudinal
• Source:
  Allergy. 73(6):1244-1253
• Pubmed ID:
  29331046
• Pubmed Central ID:
  PMC5993580
• Document Type:
  Journal Article
• Funding:
  P01 AI106683/AI/NIAID NIH HHSUnited States/ ; R01 AI137174/AI/NIAID NIH HHSUnited States/ ; T42 OH008428/OH/NIOSH CDC HHSUnited States/ ; U19 AI106683/AI/NIAID NIH HHSUnited States/ ; T42OH008428/ACL/ACL HHSUnited States/
• Volume:
  73
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:85dc7302d0859949b3aba1333c96834c8cc29e3bb4d55d69db689a8468156473
• Download URL:
  https://stacks.cdc.gov/view/cdc/55839/cdc_55839_DS1.pdf
• File Type:
  [PDF - 541.63 KB ]