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ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2021

Chronic rhinosinusitis disease burden is associated with asthma-related emergency department usage.

Claire Gleadhill, Marlene M Speth, Isabelle Gengler, Katie M Phillips, Lloyd P Hoehle, David S Caradonna, Stacey T Gray, Ahmad R Sedaghat

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In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. ATP functions as a primary alarmin in allergen-induced type 2 immunity.American journal of physiology. Cell physiology · 2023
    Review
  5. Article
  6. Review
  7. Frequency and causes of self-medication in patients with chronic rhinosinusitis, North of Iran, 2018-2019.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Article
  8. Article
  9. Is overreliance on short-acting βERJ open research · 2022
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Claire GleadhillDepartment of Otolaryngology, University of Arizona College of Medicine, Tucson, AZ, USA.
Marlene M SpethKlinik für Hals-, Nasen-, Ohren- Krankheiten, Hals-und Gesichtschirurgie, Kantonsspital Aarau, Aarau, Switzerland.
Isabelle GenglerDepartment of Otolaryngology-Head and Neck Surgery, Medical Sciences Building, University of Cincinnati College of Medicine, Room 6410, 231 Albert Sabin Way, Cincinnati, OH, 45267-0528, USA.
Katie M PhillipsDepartment of Otolaryngology-Head and Neck Surgery, Medical Sciences Building, University of Cincinnati College of Medicine, Room 6410, 231 Albert Sabin Way, Cincinnati, OH, 45267-0528, USA.
Lloyd P HoehleEdward Via College of Osteopathic Medicine-Carolinas, Spartanburg, USA.
David S CaradonnaDepartment of Otolaryngology, Harvard Medical School, Boston, MA, USA.
Stacey T GrayDepartment of Otolaryngology, Harvard Medical School, Boston, MA, USA.
Ahmad R SedaghatDepartment of Otolaryngology-Head and Neck Surgery, Medical Sciences Building, University of Cincinnati College of Medicine, Room 6410, 231 Albert Sabin Way, Cincinnati, OH, 45267-0528, USA. ahmad.sedaghat@uc.edu.ORCID http://orcid.org/0000-0001-6331-2325

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic rhinosinusitis (CRS) disease burden is associated with pulmonary status in asthmatic CRS patients. Asthma-related emergency department (ED) usage is a predictor of asthma-related mortality. We sought to determine whether measures of CRS disease burden are associated with asthma-related ED usage.

methodsWe prospectively recruited 263 asthmatic CRS patients for this cross-sectional study. CRS burden was measured using the 22-item Sinonasal Outcome Test (SNOT-22), and patient-reported CRS-related antibiotic usage and CRS-related oral corticosteroids usage over the preceding year. Asthma-related ED visits over the prior year were also assessed.

resultsOf all participants, 18.6% had at least 1 asthma-related ED visit (mean 0.3 ED visits for the whole cohort). Asthma-related ED usage was associated with SNOT-22 score [adjusted rate ratio (RR) = 1.02, 95% CI 1.01-1.03, p = 0.040] and CRS-related oral corticosteroids usage in the past year (RR = 1.52, 95% CI 1.26-1.83, p < 0.001). From the SNOT-22 score, asthma-related ED usage was only associated with the nasal subdomain score (RR = 1.08, 95% CI 1.03-1.13, p = 0.001). These measures of CRS disease burden could be used with good sensitivity and specificity to detect patients with asthma-related ED usage in the past year, the majority of whom were undertreated for their asthma.

conclusionsMeasures of CRS disease burden are associated with and can be used to detect, patients having asthma-related ED usage. These results further solidify the connection between CRS and asthma disease courses, and also present an opportunity to use CRS disease burden as a tool for identifying-and implementing greater treatment of-patients at highest risk for asthma-related mortality.

Indexed as

Adrenal Cortex HormonesAdultAnti-Asthmatic AgentsAnti-Bacterial AgentsAsthmaChronic DiseaseCost of IllnessCross-Sectional StudiesEmergency Service, HospitalFemaleHumansMaleMiddle AgedProspective StudiesQuality of LifeRhinitisAdrenal Cortex HormonesAnti-Asthmatic AgentsAnti-Bacterial AgentsAntibioticsAsthmaChronic rhinosinusitisEmergency department usageSNOT-22Steroids

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.