Evidence map›Paper›PMID 33931377›Full record

ArticleThe journal of allergy and clinical immunology. In practice2021

Estimating COVID-19 Infection and Severity Risks in Patients with Chronic Rhinosinusitis: A Korean Nationwide Cohort Study.

Seung Won Lee, So Young Kim, Sung Yong Moon, Jee Myung Yang, Eun Kyo Ha, Hye Mi Jee, Jae Il Shin, Seong Ho Cho, Dong Keon Yon, Dong In Suh

Open access · bronzeAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
10.2field-weighted citation impact, top 1% of its field
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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Residential Greenness and Incident Chronic Rhinosinusitis After SARS-CoV-2 Infection in South Korea: A Nationwide Cohort Study.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Article
  4. Review
  5. The role of virus in nasal inflammation.European journal of medical research · 2025
    Review
  6. Changes in Incidental Paranasal Sinus Abnormalities During the COVID-19 Era: A 5-Year MRI-Based Study.Journal of rhinology : official journal of the Korean Rhinologic Society · 2025
    Article
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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

10 authors at 7 institutions in 2 countries.

Seung Won LeeDepartment of Data Science, Sejong University College of Software Convergence, Seoul, South Korea.
So Young KimDepartment of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, South Korea. Electronic address: sossi81@hanmail.net.
Sung Yong MoonDepartment of Data Science, Sejong University College of Software Convergence, Seoul, South Korea.
Jee Myung YangDepartment of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Eun Kyo HaDepartment of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea.
Hye Mi JeeDepartment of Pediatrics, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, South Korea.
Jae Il ShinDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, South Korea.
Seong Ho ChoDivision of Allergy-Immunology, University of South Florida Morsani College of Medicine, Tampa, Fla.
Dong Keon YonDepartment of Pediatrics, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea. Electronic address: yonkkang@gmail.com.
Dong In SuhDepartment of Pediatrics, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea. Electronic address: dongins0@snu.ac.kr.
CHA University Bundang Medical Center · KRSejong University · KRSeoul National University Hospital · KRHallym University Kangnam Sacred Heart Hospital · KRUlsan College · KRUniversity of South Florida · USYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBasic studies suggest that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can affect chronic rhinosinusitis (CRS), but there is unclear real-world evidence regarding the association of underlying CRS with the risk for SARS-CoV-2 infection and severe coronavirus disease 19 (COVID-19).

objectiveWe aimed to determine whether CRS is associated with increased risk for SARS-CoV-2 infection and severe COVID-19.

methodsAltogether, 219,959 adult patients who tested for SARS-CoV-2 in South Korea from January 1 to May 15, 2020 (excluding self-referral) were identified in this nested case-control study with propensity score matching. Data on SARS-CoV-2 test results and COVID-19 worsened outcomes (ie, the need for oxygen therapy, intensive care, or mechanical ventilation, and death) were obtained from the Health Insurance Review and Assessment Service of Korea.

resultsIn this matched cohort, 380 of 12,217 patients with CRS (3.1%) tested positive for SARS-CoV-2 infection, compared with 310 patients without CRS (2.5%; adjusted odds ratio = 1.22; 95% confidence interval, 1.04-1.42). Moreover, 60 of 286 COVID-19 patients with CRS (21.0%) had severe COVID-19 outcomes, compared with 38 without CRS (13.3%; adjusted odds ratio = 1.71; 95% confidence interval, 1.09-2.71). Subgroup analysis identified that CRS patients with an absence of nasal polyps, prior intranasal corticosteroid use, or nonatopic type had a greater risk for SARS-CoV-2 infection and severe COVID-19 outcomes.

conclusionsIn patients with CRS, prior intranasal corticosteroid use, the absence of nasal polyps, or nonatopic type was associated with increased risk for SARS-CoV-2 infection and severe COVID-19 in the Korean nationwide cohort. Clinicians should be cautious in determining prognosis and care for patients with CRS amid the COVID-19 pandemic.

Indexed as

COVID-19PandemicsAdultCase-Control StudiesCohort StudiesHumansRepublic of KoreaSARS-CoV-2Chronic rhinosinusitisCOVID-19Intranasal corticosteroidsNasal polypSevere acute respiratory syndrome 2

Identifiers

PMID33931377
PMCPMC8079802
OpenAlexW3158397276

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.