Evidence map›Paper›PMID 40766103›Full record

ArticleLaryngoscope investigative otolaryngology2025

Congestion and Sinonasal Illness in Outer Space: A Study on the International Space Station.

Faizaan Khan, Koyal Ansingkar, Roshan Dongre, Zain Mehdi, Aatin K Dhanda, Kayla Powell, Tariq Syed, Samuel E Razmi, Isuru Somawardana, Jeffrey T Vrabec and 3 more

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Faizaan KhanTexas A&M School of Engineering Medicine Houston Texas USA.ORCID https://orcid.org/0009-0007-5507-2916
Koyal AnsingkarTexas A&M School of Engineering Medicine Houston Texas USA.
Roshan DongreTexas A&M School of Engineering Medicine Houston Texas USA.
Zain MehdiDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.ORCID https://orcid.org/0000-0002-8665-2725
Aatin K DhandaDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.ORCID https://orcid.org/0000-0002-8926-7662
Kayla PowellDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.
Tariq SyedDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.
Samuel E RazmiTexas A&M School of Engineering Medicine Houston Texas USA.ORCID https://orcid.org/0000-0002-1873-098X
Isuru SomawardanaTexas A&M School of Engineering Medicine Houston Texas USA.
Jeffrey T VrabecDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.
David HilmersCenter for Space Medicine Baylor College of Medicine Houston Texas USA.
Omar G AhmedDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.
Masayoshi TakashimaDepartment of Otolaryngology - Head and Neck Surgery Houston Methodist Hospital Houston Texas USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aims to characterize quantitative data pertaining to sinonasal symptoms and their related medication use aboard the International Space Station (ISS). A secondary focus involves correlating these findings with mission parameters such as extravehicular activity (EVA) participation and mission duration. Methods: This retrospective cohort study was conducted utilizing data requested from the National Aeronautics and Space Administration (NASA) Lifetime Surveillance of Astronaut Health (LSAH) program. Results: Of 71 de-identified ISS astronauts beginning with Expedition 1 in the year 2000 through 62 in 2019, there were 754 logged medical events; 60 astronauts reported any type of sinonasal medical event (85%), the most common being general nasal congestion in 53 astronauts (75%). Symptoms were attributed to microgravity-induced fluid shifts in 34 astronauts (57%) while 17 (28%) attributed symptoms to ear clearing and barotrauma. Pseudoephedrine was the most used medication, with 95 recorded uses, followed by oxymetazoline spray at 51. Among the 60 astronauts with sinonasal medical events, the 24 with references to extravehicular activity (EVA) participation in their records had on average, 9.19 more records than those without (95% CI: 2.29-17.06). Conclusion: Sinonasal symptoms are a prevalent medical concern among astronauts aboard the ISS. The findings suggest that early spaceflight-associated fluid shifts contribute significantly to these symptoms, often requiring medication use. A correlation between EVA participation and a higher number of medical events highlights an occupational risk factor. Level of Evidence: 3.

Indexed as

astronaut healthmicrogravitysinonasal physiologysinus congestionspaceflight

Identifiers

PMID40766103
PMCPMC12322577

What OpenQuestion holds

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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.