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Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber
Published on: March 3, 2023
An Indian Cross-Sectional Study to Evaluate In-Clinic Allergic Rhinitis Prevalence in Patients Having Nasal Symptoms
Carlton David Periera1, Vijay Warad2, J P Rodrigues3
1Department of ENT, Wadia Children Hospital Parel, Mumbai, Maharashtra, India.
Allergic rhinitis (AR) affects over half of Indian patients with nasal symptoms. The Score for Allergic Rhinitis (SFAR) questionnaire effectively identifies AR, linked to family history and indoor dust exposure.
Area of Science:
- Allergy and Immunology
- Public Health
- Epidemiology
Background:
- Allergic rhinitis (AR) is a widespread respiratory condition triggered by allergen exposure, posing a significant global health challenge.
- Estimating the prevalence of AR in clinical settings is crucial for effective management and public health strategies.
Purpose of the Study:
- To determine the prevalence of Allergic Rhinitis (AR) among patients presenting with nasal symptoms in Indian healthcare facilities.
- To evaluate the utility of the Score for Allergic Rhinitis (SFAR) questionnaire as an in-clinic diagnostic tool for AR.
Main Methods:
- A multicenter, cross-sectional study involving 40,001 patients across 19 Indian states from September 2022 to April 2023.
- The Score for Allergic Rhinitis (SFAR) questionnaire was administered, and scores were digitally calculated using the Kribado™ device (≥7 indicating AR).
- Data collected included demographics, symptom patterns, allergen exposure, family history, and physician-diagnosed allergies.
Main Results:
- The study found a high in-clinic prevalence of AR, with 53.7% of patients scoring ≥7 on the SFAR questionnaire.
- Sneezing was the most frequent symptom (69.1%), and house dust mites were the most common allergen (73.8%).
- AR was significantly associated with a positive family history, indoor dust exposure, nasal symptoms, seasonal peaks from October to January, and female gender.
Conclusions:
- The Score for Allergic Rhinitis (SFAR) questionnaire demonstrates significant utility as an in-clinic screening tool for identifying AR in Indian patients.
- Early diagnosis and management of AR are supported by the SFAR tool, particularly in high-risk populations identified in the study.
- Findings highlight the substantial burden of AR in India and underscore the need for targeted interventions.
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