Discrimination between moderate and severe disease may be used in patients with either treated or untreated allergic rhinitis

被引:30
作者
Valero, A. [13 ]
Ferrer, M. [1 ]
Baro, E. [2 ]
Sastre, J. [3 ]
Navarro, A. M. [4 ]
Marti-Guadano, E. [5 ]
Davila, I. [6 ]
del Cuvillo, A. [7 ]
Colas, C. [8 ]
Antepara, I. [9 ]
Alonso, J. [1 ]
Mola, O. [10 ]
Izquierdo, I. [10 ]
Mullol, J. [11 ,12 ]
机构
[1] Inst Municipal Invest Med IMIM IMAS, Hlth Serv, Res Unit, Barcelona, Spain
[2] 3D Hlth Res, Barcelona, Spain
[3] Fdn Jimenez Diaz, Serv Alergia, E-28040 Madrid, Spain
[4] Hosp El Tomillar, Unidad Alergia, Seville, Spain
[5] Hosp St Pere Claver, Serv Allergia, Barcelona, Spain
[6] Hosp Clin Salamanca, Serv Alergia, Salamanca, Spain
[7] Clin Dr Lobaton, Cadiz, Spain
[8] Hosp Clin Lozano Blesa, Serv Alergia, Zaragoza, Spain
[9] Hosp Basurto, Serv Alergia, Bilbao, Spain
[10] Grp Uriach SA, Unidad Desarrollo Clin, Barcelona, Spain
[11] IDIBAPS, Unitat Rinol, Barcelona, Catalunya, Spain
[12] IDIBAPS, Clin Olfacte, Serv Otorinolaringol, Hosp Clin, Barcelona, Catalunya, Spain
[13] Hosp Clin Barcelona, Unitat Allergia, Serv Pneumol & Allergia Resp, Barcelona 08036, Spain
关键词
allergic rhinitis; ARIA; moderate; quality of life; severe; severity; QUALITY-OF-LIFE; PRIMARY-CARE; ARIA; 2008; IMPACT; CLASSIFICATION; UPDATE; QUESTIONNAIRE; COLLABORATION; INTERMITTENT; ESPRINT-15;
D O I
10.1111/j.1398-9995.2010.02410.x
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Background: Allergic rhinitis (AR) is a common disease with major socioeconomic burden and a significant impact on quality of life. Objective: The aim of this study was to discriminate between moderate and severe AR patients whether receiving treatment or not, using a modified criterion of allergic rhinitis and its impact on asthma (ARIA) classification. Methods: The modified ARIA severity classification (J Allergy Clin Immunol, 120, 2007, 359) categorizes AR as mild (no items affected), moderate (1-3 items affected), and severe (all four items affected). We applied these criteria to 1666 treated and 1058 untreated AR patients and compared their symptoms total four-symptom score (T4SS) and quality of life (ESPRINT-15), according to their clinical severity. Results: Allergic rhinitis clinical status was significantly worse (P < 0.001) in treated than in untreated patients. For both treated and untreated patients, T4SS and ESPRINT-15 Quality of life scores were significantly worse (P < 0.001) in severe than in moderate patients. Conclusions: The modified ARIA severity classification is a useful clinical tool to discriminate moderate from severe AR among both treated and untreated patients.
引用
收藏
页码:1609 / 1613
页数:5
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