Effect of Nasal Obstructive Disorders on Sinonasal Symptoms in Children with Different Levels of Bronchial Asthma Control

Allergic rhinitis (AR) and allergic rhinosinusitis (ARS) are typical upper airway pathologies (UAP) in children with bronchial asthma (BA) frequently accompanied with nasal obstructive diseases (NOD). In order to establish the effect of NOD on correlations between nasal and synonasal symptoms with c...

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Main Authors: T. I. Eliseeva, S. V. Krasilnikova, N. A. Geppe, S. Yu. Babaev, E. V. Tush, O. V. Khaletskaya, D. Yu. Ovsyannikov, I. I. Balabolkin, S. K. Ignatov, N. I. Kubysheva
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2018/4835823
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author T. I. Eliseeva
S. V. Krasilnikova
N. A. Geppe
S. Yu. Babaev
E. V. Tush
O. V. Khaletskaya
D. Yu. Ovsyannikov
I. I. Balabolkin
S. K. Ignatov
N. I. Kubysheva
author_facet T. I. Eliseeva
S. V. Krasilnikova
N. A. Geppe
S. Yu. Babaev
E. V. Tush
O. V. Khaletskaya
D. Yu. Ovsyannikov
I. I. Balabolkin
S. K. Ignatov
N. I. Kubysheva
author_sort T. I. Eliseeva
collection DOAJ
description Allergic rhinitis (AR) and allergic rhinosinusitis (ARS) are typical upper airway pathologies (UAP) in children with bronchial asthma (BA) frequently accompanied with nasal obstructive diseases (NOD). In order to establish the effect of NOD on correlations between nasal and synonasal symptoms with clinical assessments of asthma control, 82 children, 9.8 [8.9; 10.7] years old, with atopic BA were assessed using ACQ-5 for the BA control level, TNSS for nasal symptoms, and SNOT-20 for synonasal quality of life in combination with rhinovideoendoscopy for NOD. All patients had AR/ARS; in 76.3% (63/82) of children, UAP had a multimorbid character with the presence of NOD. Significant correlations were found between ACQ-5 and TNSS (R=0.40,  p<0.0001) and ACQ-5 and SNOT-20 (R=0.42,  p<0.0001). Correlations between TNSS/ACQ-5 and SNOT-20/ACQ-5 were higher in patients who do not have a combination of AR/ARS with NOD (R=0.67,  p=0.0012; R=0.50,  p=0.022, resp.) than in patients who have AR/ARS combined with NOD (R=0.30,  p=0.015;  R=0.26,  p=0.04, resp.). Thus, the association of BA control level with the expression of nasal and synonasal symptoms is higher in children who do not have multimorbid UAP.
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spelling doaj-art-6117e80abef14890965ff899adbdf1ed2025-02-03T06:46:17ZengWileyCanadian Respiratory Journal1198-22411916-72452018-01-01201810.1155/2018/48358234835823Effect of Nasal Obstructive Disorders on Sinonasal Symptoms in Children with Different Levels of Bronchial Asthma ControlT. I. Eliseeva0S. V. Krasilnikova1N. A. Geppe2S. Yu. Babaev3E. V. Tush4O. V. Khaletskaya5D. Yu. Ovsyannikov6I. I. Balabolkin7S. K. Ignatov8N. I. Kubysheva9Department of Hospital Pediatrics and Department of ENT Diseases, Nizhny Novgorod State Medical Academy, 10/1 Minin and Pozharsky Square, Nizhny Novgorod 603005, RussiaDepartment of Hospital Pediatrics and Department of ENT Diseases, Nizhny Novgorod State Medical Academy, 10/1 Minin and Pozharsky Square, Nizhny Novgorod 603005, RussiaDepartment of Children Diseases, I.M. Sechenov First Moscow State Medical University, 8 Bld. 2 Trubetskaya St., Moscow 119991, RussiaDepartment of Hospital Pediatrics and Department of ENT Diseases, Nizhny Novgorod State Medical Academy, 10/1 Minin and Pozharsky Square, Nizhny Novgorod 603005, RussiaDepartment of Hospital Pediatrics and Department of ENT Diseases, Nizhny Novgorod State Medical Academy, 10/1 Minin and Pozharsky Square, Nizhny Novgorod 603005, RussiaDepartment of Hospital Pediatrics and Department of ENT Diseases, Nizhny Novgorod State Medical Academy, 10/1 Minin and Pozharsky Square, Nizhny Novgorod 603005, RussiaDepartment of Pediatrics, Medical Institute, Peoples’ Friendship University of Russia (RUDN University), 6 Miklukho-Maklaya St., Moscow 117198, RussiaRussian Academy of Sciences, Department of Pulmonology and Allergology, National Scientific and Practical Centre of Children’s Health, Lomonosovsky Avenue, Moscow 119991, RussiaDepartment of Chemistry, Lobachevsky State University of Nizhny Novgorod, 23 Gagarin Avenue, Nizhny Novgorod 603950, RussiaMedical Informatics Research Laboratory of the Higher School of Information Technologies and Information Systems, Kazan Federal University, 18 Kremlyovskaya St., Kazan, Republic of Tatarstan 420008, RussiaAllergic rhinitis (AR) and allergic rhinosinusitis (ARS) are typical upper airway pathologies (UAP) in children with bronchial asthma (BA) frequently accompanied with nasal obstructive diseases (NOD). In order to establish the effect of NOD on correlations between nasal and synonasal symptoms with clinical assessments of asthma control, 82 children, 9.8 [8.9; 10.7] years old, with atopic BA were assessed using ACQ-5 for the BA control level, TNSS for nasal symptoms, and SNOT-20 for synonasal quality of life in combination with rhinovideoendoscopy for NOD. All patients had AR/ARS; in 76.3% (63/82) of children, UAP had a multimorbid character with the presence of NOD. Significant correlations were found between ACQ-5 and TNSS (R=0.40,  p<0.0001) and ACQ-5 and SNOT-20 (R=0.42,  p<0.0001). Correlations between TNSS/ACQ-5 and SNOT-20/ACQ-5 were higher in patients who do not have a combination of AR/ARS with NOD (R=0.67,  p=0.0012; R=0.50,  p=0.022, resp.) than in patients who have AR/ARS combined with NOD (R=0.30,  p=0.015;  R=0.26,  p=0.04, resp.). Thus, the association of BA control level with the expression of nasal and synonasal symptoms is higher in children who do not have multimorbid UAP.http://dx.doi.org/10.1155/2018/4835823
spellingShingle T. I. Eliseeva
S. V. Krasilnikova
N. A. Geppe
S. Yu. Babaev
E. V. Tush
O. V. Khaletskaya
D. Yu. Ovsyannikov
I. I. Balabolkin
S. K. Ignatov
N. I. Kubysheva
Effect of Nasal Obstructive Disorders on Sinonasal Symptoms in Children with Different Levels of Bronchial Asthma Control
Canadian Respiratory Journal
title Effect of Nasal Obstructive Disorders on Sinonasal Symptoms in Children with Different Levels of Bronchial Asthma Control
title_full Effect of Nasal Obstructive Disorders on Sinonasal Symptoms in Children with Different Levels of Bronchial Asthma Control
title_fullStr Effect of Nasal Obstructive Disorders on Sinonasal Symptoms in Children with Different Levels of Bronchial Asthma Control
title_full_unstemmed Effect of Nasal Obstructive Disorders on Sinonasal Symptoms in Children with Different Levels of Bronchial Asthma Control
title_short Effect of Nasal Obstructive Disorders on Sinonasal Symptoms in Children with Different Levels of Bronchial Asthma Control
title_sort effect of nasal obstructive disorders on sinonasal symptoms in children with different levels of bronchial asthma control
url http://dx.doi.org/10.1155/2018/4835823
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