Tobacco use increases the risk of chronic rhinosinusitis among patients undergoing endoscopic sinus surgery

被引:3
|
作者
Gill, Amarbir. S. [1 ,2 ,7 ]
Meeks, Huong [3 ]
Curtin, Karen [3 ,4 ]
Kelly, Kerry [5 ,6 ]
Alt, Jeremiah. A. [1 ]
机构
[1] Univ Utah, Dept Surg, Div Otolaryngol Head & Neck Surg, Salt Lake City, UT USA
[2] Univ Michigan, Dept Otolaryngol Head & Neck Surg, Ann Arbor, MI USA
[3] Univ Utah, Huntsman Canc Inst, Pedigree & Populat Resource, Salt Lake City, UT USA
[4] Univ Utah, Dept Internal Med, Salt Lake City, UT USA
[5] Univ Utah, Dept Chem Engn, Salt Lake City, UT USA
[6] Univ Utah, Nano Inst Utah, Utah Ctr Nanomed, Salt Lake City, UT USA
[7] Univ Michigan, Dept Otolaryngol Head & Neck Surg, 1500 Med Ctr Dr, 1904 TC, SPC 5312, Ann Arbor, MI 48109 USA
关键词
chronic rhinosinusitis; endoscopic sinus surgery; smoking; tobacco; KOREAN NATIONAL-HEALTH; EPIDEMIOLOGY; PREVALENCE; ASSOCIATION; SMOKING; IMPACT;
D O I
10.1111/coa.14013
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background: Although it has been postulated that tobacco use, as well as other environmental exposures, may contribute to chronic rhinosinusitis (CRS), the data remain limited. Here, we utilised a large state population database to assess the association between tobacco use and CRS prevalence among patients undergoing endoscopic sinus surgery (ESS).Methods: Employing a case-control study design, the Utah Population Database was queried for patients age > 18 with a diagnosis of CRS and tobacco use who underwent ESS between 1996 and 2018. Smoking status was compared between patients with CRS (n = 34 350) and random population controls matched 5:1 on sex, birth year, birthplace, time residing in Utah, and pedigree (i.e., familial) information (n = 166 020). Conditional logistic regression models were used for comparisons between CRS patients and their matched controls. All analyses were repeated, additionally adjusting for race, ethnicity, tobacco use, asthma history, and interaction between tobacco use and asthma history.Results: A total of 200 370 patients were included in the final analysis. Patients with CRS were significantly more likely to demonstrate a history of tobacco use than controls (19.6% vs. 15.0%; p < .001), with an adjusted odds ratio (aOR) of 1.42, 95% confidence interval 1.37-1.47; p < .001. More patients with CRS and comorbid asthma used tobacco (19.5%) than controls with asthma (15.0%; p < .001).Conclusion: History of tobacco use may portend increased risk for the development of CRS among patients undergoing ESS compared to healthy controls.
引用
收藏
页码:414 / 422
页数:9
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