Fatores preditivos de rinossinusite crônica em pacientes asmáticos

• Ano de defesa: 2016
• Autor(a) principal: Bongiovanni, Giuliano [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Sinusitis; Rhinitis; Chronic disease; Risk factors; Value predictive tests; Asthma; Sinusite; Rinite; Doença crônica; Fatores de risco; Valor preditivo dos testes; Asma
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3800424; http://repositorio.unifesp.br/handle/11600/47800

Introduction: Chronic rhinosinusitis (CRS) and asthma have several mutual factors that associate each other. CRS is a risk factor for severe asthma, increasing the frequency of exacerbations and reducing its level of disease control. Objective: To identify predictive factors of chronic rhinosinusitis (CRS) in patients with asthma, among clinical history and physical examination?s data. Method: Observational cross-sectional study with asthmatic patients from the UNIFESP asthma clinic. Patients underwent ENT evaluation with nasal endoscopy to identify CRS with and without nasal polyps (CRSwNP and CRSsNP). Results: A hundred and ninety nine patients were included. Thirty-three (16.9%) asthmatic patients presented CRSwNP; 16 (8.2%) patients have CRSsNP; and 146 (74.9%) did not meet CRS criteria. Chronic nasal obstruction, hyposmia and anterior rhinorrhea were related to CRSwNP, whereas higher SNOT-22 scores were related to CRSsNP. Conclusion: CRS was highly related to asthma, comprising prevalence of 25.1% in the present sample. Chronic nasal obstruction, hiposmia, anterior rhinorrhea and high values of SNOT-22 scores are predictive factors for CRS in asthmatics.