Sinus Aspirates and Radiographic Abnormalities in Severe Attacks of Asthma

Rossi, O; Pirilä, Tapio; Laitinen, J; Huhti, E

doi:10.1159/000236629

Cited by 32 publications

(12 citation statements)

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“…Median age was 40 years (quartiles 29-50), 80% were women, and 20% were current smokers with a mean smoking history of 8.8 pack-years. The median duration of pain before entering the study was six days (quartiles 5-8), and the median duration of pain after entering the study was seven days (quartiles [6][7][8][9][10][11][12][13][14]. The median pain intensity before entering the study was 4 (quartiles 3-4).…”

Section: Resultsmentioning

confidence: 99%

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The effect of acute rhinosinusitis on pulmonary function in adults

Hansen

2009

Primary Care Respiratory Journal

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Objective: To evaluate the influence of acute rhinosinusitis on lung function as measured by spirometry.Method: An observational study in Danish general practice on 25 adult patients with a clinical diagnosis of acute rhinosinusitis and without any signs of chronic lung disease or allergy. Patients performed spirometry at the initial acute visit and then eight weeks later when the rhinosinusitis had resolved.Results: Eight weeks after the initial visit there was a significant increase in the maximum mid-expiratory flow (F25-75), and in peak flow.Conclusion: Acute rhinosinusitis in adults without any sign of chronic lung disease or allergy is accompanied by a temporary reduction in maximum mid-expiratory flow and peak flow. This may be caused by subclinical inflammation in the airways during acute rhinosinusitis. Further studies with extended lung function measurements are needed to evaluate and confirm this finding.

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Section: Resultsmentioning

confidence: 99%

“…3 A frequent sequela in patients with existing asthma is a worsening of lower airways disease with acute or chronic sinusitis. [4][5][6][7] However, the influence of acute rhinosinusitis on lower airway function in patients without chronic airway diseases or allergy has not been identified in the literature (see www.pubmed.gov).…”

Section: Introductionmentioning

confidence: 99%

The effect of acute rhinosinusitis on pulmonary function in adults

Hansen

2009

Primary Care Respiratory Journal

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“…The diagnosis of asthma was based on the demonstration o f a revers ible airway obstruction (>20% increase in the FEV, spontaneously or after salbutamol spray) and all subjects met the American Thoracic Society [10] definition o f asthma. Details regarding the patients have been reported previously [8]. Their mean age was 53 years (range 19-83), 57% were women and at least 37% were atopic as judged from two or more positive skin prick test results and a clinical history of atopy.…”

Section: Methodsmentioning

confidence: 99%

Contribution of Chest and Paranasal Sinus Radiographs to the Management of Acute Asthma

Rossi¹,

Lähde

Laitinen

et al. 1994

Int Arch Allergy Immunol

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In order to evaluate the clinical utility of chest and paranasal sinus radiographs on admission in cases of acute asthma, the radiographs of adult patients admitted to our hospital for acute asthma over a period of 1 year were studied. The findings were specified afterwards by a senior diagnostic radiologist and their impact on the management of asthma was evaluated by reviewing the medical records of the patients retrospectively. Abnormalities were detected in 50% of the chest radiographs (55 of 110) and these resulted in management changes in 5% of cases (6 of 100). Abnormalities in any paranasal sinuses were detected in 85% of the sinus radiographs (93 of 100), and maxillary sinus abnormalities in 63% (70 of 100). 29% of the sinus abnormalities (32 of 110) resulted in an immediate alteration in treatment. Hence abnormalities were more common in the paranasal sinus radiographs than in the chest radiographs (p < 0.001), and the impact of the sinus radiographs on the treatment of asthma was also greater (p < 0.001). We recommend that while obtaining a chest radiograph routinely may be adviseable in severe cases of acute asthma, at least when the patient is admitted to hospital, serious thought should be given to routinely obtaining a sinus radiograph in these cases as well.

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“…Rossi et al reported that in 112 adult patients admitted to hospital with acute asthma, 87% had abnormal sinus radiographs. 24 Similarly, a study from the Los Angeles Children's Hospital in 1990 reported that 75% of patients admitted with status asthmaticus had abnormal sinus radiographs. 25 The incidence of abnormal sinus radiographs in these patients is clearly higher than in normal subjects.…”

Section: Imagingmentioning

confidence: 99%