Fatores de risco para visitas à emergência por exacerbações de asma em pacientes de um programa de controle da asma e rinite alérgica em Feira de Santana, BA

Brandão, Hugo Neves; Cruz, Constança Sampaio; Pinheiro, Murilo Cerqueira; Costa, Edgar Adolfo; Guimarães, Armênio Costa; Souza‐Machado, Adelmir; Cruz, Álvaro Augusto

doi:10.1590/s1806-37132009001200002

Cited by 13 publications

(9 citation statements)

References 17 publications

(19 reference statements)

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“…In comparison with the patients with merely asthma, the patients with both asthma and concomitant allergic rhinitis recruit more medical surveillance and expenses that are estimated to be 2 fold. Therefore, evaluation of rhinitis symptoms would be done for amelioration of asthma [18,19]. This might be due to the lower resolution of airway obstruction [20][21][22].…”

Section: Discussionmentioning

confidence: 99%

Effects of Persistent Allergic Rhinitis on Spirometric Parameters

Jafari¹

2016

J Allergy Ther

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Background: Allergic rhinitis (AR) is an inflammatory process due to allergens. The relation between AR and inflammation of lower airways is documented. However, AR is considered as the strong risk factor for the onset of asthma in adults. Methods: This prospective cross sectional study carried out on 126 patients with perennial allergic rhinitis (PAR). Clinical examination, skin prick test and spirometry maneuver were performed in all patients. Results: Our results showed that there is a significant difference between forced expiratory flow at 25% and 75% of the pulmonary volume (FEF 25.75). <80% of the predicted for PAR (P=0.003). There were no significant differences among patients with forced vital capacity (FVC)<80% of predicted and forced expiratory volume in the first second(FEV1)<80% of the predicted, for PAR respectively (P>0.05, P=0.08). Furthermore, in patients who were sensitive to indoor allergens, FEF25-75<80% of the predicted was more impaired (P=0.003). There was a negative correlation between FEF25-75 and the duration of disease (r=-0.13). Conclusion: This study highlights some risk factors such as the duration of PAR, age, indoor allergens and FEF25-75 as a marker of early bronchial involvement in patients with moderate-to severe and PAR alone.

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Section: Discussionmentioning

confidence: 99%

Effects of Persistent Allergic Rhinitis on Spirometric Parameters

Jafari¹

2016

J Allergy Ther

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“…It results in a lower resolution of airway obstruction [12], increased frequency of asthma exacerbations and/or severity of asthma disease [26], higher probability of severe asthma [27] and uncontrolled asthma [12], increased school absence [28], increased visits to emergency rooms [12, 27, 29], more frequent hospitalization [29, 30], lower quality of life [17], higher healthcare cost [25, 29], and higher demand for health services [29]. …”

Section: Discussionmentioning

confidence: 99%

Association between Allergic Rhinitis and Asthma Control in Peruvian School Children: A Cross-Sectional Study

Padilla

Uceda

Ziegler

et al. 2013

BioMed Research International

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Background. Asthma and allergic rhinitis are highly prevalent conditions that cause major illness worldwide. This study aimed to assess the association between allergic rhinitis and asthma control in Peruvian school children. Methods. A cross-sectional study was conducted among 256 children with asthma recruited in 5 schools from Lima and Callao cities. The outcome was asthma control assessed by the asthma control test. A score test for trend of odds was used to evaluate the association between allergic rhinitis severity and the prevalence of inadequate asthma control. A generalized linear regression model was used to estimate the adjusted prevalence ratios of inadequate asthma control. Results. Allergic rhinitis was present in 66.4% of the population with asthma. The trend analysis showed a positive association between allergic rhinitis and the probability of inadequate asthma control (P < 0.001). It was associated with an increased prevalence of inadequate asthma control, with adjusted prevalence ratios of 1.53 (95% confidence interval: 1.19−1.98). Conclusion. This study indicates that allergic rhinitis is associated with an inadequate level of asthma control, giving support to the recommendation of evaluating rhinitis to improve asthma control in children.

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“…In a program for asthma and AR control, Brandão et al observed that a low education level, chronic rhinitis, and more severe asthma were risk factors for hospitalizations38 and emergency room visits due to increased asthma severity 37. Treatment for rhinitis was associated with a reduction in asthma severity.…”

Section: Discussionmentioning

confidence: 99%

Is allergic rhinitis a trivial disease?

Solé

Camelo-Nunes

Wandalsen

et al. 2011

Clinics

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BACKGROUND:Asthma and rhinitis often coexist, which potentially increases the disease severity and can negatively impact a patients' quality of life. However, there are few reports based on data obtained from the International Study of Asthma and Allergies in Childhood examining asthma severity in combination with rhinitis-related symptoms.OBJECTIVE:To demonstrate whether current rhinitis and current rhinoconjunctivitis are associated with the development of asthma or its increasing severity in Brazilian adolescents.METHODS:The prevalence of current asthma was correlated with the prevalence of current rhinitis and current rhinoconjunctivitis in adolescents (13 to 14 year olds) from 16 Brazilian centers (based on Spearman's rank correlation index). The influence of current rhinitis and current rhinoconjunctivitis on asthma presentation was also evaluated using the chi-squared test and was expressed as odds ratios with 95% confidence intervals (95%CI).RESULTS:A significant positive correlation was observed between the prevalence of current asthma and current rhinitis (rs = 0.82; 95%CI: 0.60–0.93, p<0.0001) and between the prevalence of current asthma and current rhinoconjunctivitis (rs = 0.75; 95%CI: 0.47–0.89, p<0.0001). Current rhinitis was associated with a significantly increased risk of current asthma and of more severe asthma. Similar results were observed for current rhinoconjunctivitis.CONCLUSION:In this epidemiologic study of Brazilian adolescents, the presence of current rhinitis and current rhinoconjunctivitis was associated with a high risk of developing asthma and increased asthma severity. The mutual evaluation of rhinitis and asthma is necessary to establish an adequate treatment plan.

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Fatores de risco para visitas à emergência por exacerbações de asma em pacientes de um programa de controle da asma e rinite alérgica em Feira de Santana, BA

Cited by 13 publications

References 17 publications

Effects of Persistent Allergic Rhinitis on Spirometric Parameters

Effects of Persistent Allergic Rhinitis on Spirometric Parameters

Association between Allergic Rhinitis and Asthma Control in Peruvian School Children: A Cross-Sectional Study

Is allergic rhinitis a trivial disease?

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