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The impact of concomitant allergic rhinitis on asthma control: a cross-sectional nationwide survey in China

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单位: [1]Peking Univ, China Japan Friendship Hosp, Dept Resp Dis, Beijing 100029, Peoples R China [2]Nanjing Med Univ, Affiliated Hosp 1, Dept Resp Dis, Nanjing, Peoples R China [3]Shanghai Jiao Tong Univ, Sch Med, Peoples Hosp 1, Dept Resp Dis, Shanghai 200030, Peoples R China [4]Zhejiang Univ, Sch Med, Affiliated Hosp 2, Dept Resp Dis, Hangzhou 310003, Zhejiang, Peoples R China [5]Shenyang Mil Command, Gen Hosp, Dept Resp Dis, Shenyang, Peoples R China [6]Guangzhou Inst Resp Dis, Guangzhou, Guangdong, Peoples R China [7]Sichuan Univ, West China Hosp, Dept Resp Dis, Chengdu 610064, Peoples R China [8]Fourth Mil Med Univ, Xijing Hosp, Dept Resp Dis, Xian 710032, Peoples R China [9]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Resp Dis, Wuhan 430074, Peoples R China [10]Tianjin Chest Hosp, Dept Resp Dis, Tianjin, Peoples R China
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关键词: Allergic rhinitis asthma asthma control test comorbidity questionnaire

摘要:
Objectives: Understanding the interactions between allergic rhinitis (AR) and asthma is important for asthma management. This study explored the clinical features of AR as a comorbidity in Chinese asthmatic patients and its impact on asthma control. Methods: This cross-sectional survey was conducted among 20 051 patients with asthma in an out-patient setting and covered all of the territories of China. The patients were interviewed face-to-face. A standardized questionnaire was completed by each patient. AR was defined according to the ARIA criteria. The level of asthma control was assessed by the Asthma Control Test. A score <= 19 indicated poorly controlled asthma. Results: AR was present in 69.9% of patients with asthma. Of them, 72.4% had intermittent symptoms, and 93.1% presented with moderate/severe symptoms. Cold air, irritant air and household mites were the most common triggers for AR. A higher percentage of patients with AR experienced poorly controlled asthma compared with those without AR (56.2% versus 51.5%, p50.001). AR was associated with an increased risk of poorly controlled asthma [odds ratio (OR): 1.21, p < 0.001]. Moderate/severe or persistent symptoms were associated with a higher risk of poorly controlled asthma than those with mild or intermittent symptoms (OR: 2.34 and 1.78, respectively, p < 0.001). In contrast, diagnosed AR (OR: 0.84, p < 0.001), being currently treated with medication (OR: 0.91, p = 0.004) and a prior skin prick test (OR: 0.90, p = 0.003) showed a significantly negative association with poorly controlled asthma. Conclusion: This study confirms that concomitant AR and asthma are highly prevalent in China and that AR is associated with poor asthma control.

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出版当年[2013]版:
大类 | 4 区 医学
小类 | 4 区 过敏 4 区 呼吸系统
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 过敏 4 区 呼吸系统
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出版当年[2012]版:
Q3 ALLERGY Q3 RESPIRATORY SYSTEM
最新[2023]版:
Q3 ALLERGY Q3 RESPIRATORY SYSTEM

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2012版] 出版当年五年平均[2008-2012] 出版前一年[2011版] 出版后一年[2013版]

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第一作者单位: [1]Peking Univ, China Japan Friendship Hosp, Dept Resp Dis, Beijing 100029, Peoples R China
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