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Relationship between chronic rhinosinusitis exacerbation frequency and asthma control.

Raphael G Banoub1,2,3, Katie M Phillips2,3, Lloyd P Hoehle2,3

  • 1Wayne State University School of Medicine, Detroit, Michigan, U.S.A.

The Laryngoscope
|October 1, 2017
PubMed
Summary

Acute exacerbations of chronic rhinosinusitis (AECRS) are linked to poorer asthma control in patients with both conditions. Routine assessment of AECRS is recommended for managing asthma control in these individuals.

Keywords:
22-item Sinonasal Outcome TestChronic rhinosinusitisacute exacerbationsantibioticsasthma controloral corticosteroids

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Area of Science:

  • Otolaryngology
  • Pulmonology
  • Allergy and Immunology

Background:

  • Asthma and chronic rhinosinusitis (CRS) frequently coexist, impacting patient quality of life.
  • Understanding the relationship between asthma control and CRS exacerbations is crucial for effective management.

Purpose of the Study:

  • To investigate the association between the frequency of acute exacerbations of chronic rhinosinusitis (AECRS) and the level of asthma control in patients with both conditions.

Main Methods:

  • A cross-sectional study involving 108 asthmatic CRS patients.
  • Asthma control was measured using the Asthma Control Test (ACT).
  • AECRS frequency was assessed via patient-reported sinus infections, and use of CRS-related antibiotics and oral corticosteroids in the past 3 months, controlling for CRS symptom severity (SNOT-22).

Main Results:

  • Lower ACT scores (indicating poorer asthma control) were significantly associated with a higher frequency of AECRS.
  • This negative association persisted even after adjusting for CRS symptom severity.
  • Specific metrics like sinus infections, antibiotic use, and oral corticosteroid use in the prior 3 months correlated with poor asthma control.

Conclusions:

  • AECRS frequency is negatively associated with asthma control in patients with asthmatic CRS.
  • AECRS represents a distinct clinical aspect of CRS that warrants regular evaluation in affected patients.
  • These findings emphasize the importance of monitoring AECRS for optimizing asthma management.