Facteurs prédictifs de sévérité et de non-contrôle de l’asthme en cas de rhinite allergique associée

Snène, H.; Badri, I.; Salah, N. Ben; Toujani, S.; Bejar, D.; Mjid, M.; Slama, Mohamed Riadh Ben; Ouahchi, Y.; Daghfous, J.; Mehiri, N.; Louzir, B.; Chérif, J.; Béji, M.

doi:10.1016/j.rmr.2016.10.089

Cited by 1 publication

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“…More than half (60.1%) of the patients interviewed in this study had a VAS score indicating poor control of AR. This frequency is similar to 60% reported in a multicenter study performed in nonasthmatic patients with AR symptoms in Italy (7) and 62% in another study in Tunisia (8). A higher frequency (71.7%) than ours was previously reported in France (6).…”

Section: Discussionsupporting

confidence: 90%

“…Patients with a score ≥5 on this scale are considered to have uncontrolled AR (UCAR) ( 4 , 5 ). Several studies have reported an increase in UCAR frequency in some countries such as France (71.7%) ( 6 ), Italy (>60%) ( 7 ), Tunisia (62%) ( 8 ), and the Democratic Republic of Congo (DRC) (75.5%) ( 9 ). On average, one-fifth of patients with AR have bothersome symptoms of AR despite adequate medical treatment abiding to the Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

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Determinants of uncontrolled allergic rhinitis in Kinshasa hospitals

Kakobo

Kalala²,

Kelekele³

et al. 2023

Front. Allergy

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ObjectiveTo identify the determinants of uncontrolled allergic rhinitis (UCAR) in a hospital setting in Kinshasa, Democratic Republic of Congo.MethodsHospital-based cross-sectional study of 153 patients with allergic rhinitis (AR). The diagnosis of AR was based on clinical grounds according to the Allergic Rhinitis and its Impact on Asthma (ARIA) criteria. Categorization into controlled AR (CAR) and UCAR was based on the visual analog scale (VAS with cut off point of 5). Binary logistic regression was used to identify factors associated with UCAR.ResultsPatients with UCAR (60.1%) proportionally outnumbered those with CAR (39.9%). There were significantly more patients younger than 30 years of age among patients with UCAR. Factors significantly associated with UCAR were age below 30 years (OR = 3.31; 95% CI: 1.49–7.36; p = 0.003), low serum vitamin D level (OR = 3.86; 95% CI: 1.72–8.68; p = 0.001), persistent form (OR = 3.11; 95% CI: 1.39–6.98; p = 0.006) and moderate to severe form of AR (OR = 4.31; 95% CI: 1.77–10.49; p = 0.001).ConclusionsFactors associated with UCAR in this study population were younger age less than 30 years, low vitamin D level, and persistent as well as moderate to severe AR. Further studies are needed to elucidate the underlying mechanisms favoring the occurrence of these factors.

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Section: Discussionsupporting

confidence: 90%