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Sinusitis in status asthmaticus
C G Fuller1, J J Schoettler, V Gilsanz
1Department of Pediatrics, UCLA Medical Center.
Clinical Pediatrics
|December 1, 1994
Summary
Sinusitis is often linked to severe asthma attacks (status asthmaticus) in children. Abnormal sinus X-rays were found in 27% of children with status asthmaticus, with risk factors including frequent asthma admissions and ear infections.
Area of Science:
- Pediatric Pulmonology
- Otolaryngology
- Radiology
Background:
- The connection between sinusitis and severe asthma attacks (status asthmaticus) in children is not well understood.
- Identifying sinusitis prevalence and risk factors in children with status asthmaticus is crucial for effective management.
Purpose of the Study:
- To determine the prevalence of abnormal sinus radiographs (SXRs) in children admitted with status asthmaticus.
- To investigate potential risk factors associated with abnormal SXRs in this patient group.
Main Methods:
- Eighty-eight children (age 2-16) admitted with status asthmaticus were studied.
- Patients were assessed for physical and historical parameters by a blinded investigator.
- Sinus radiographs were interpreted by blinded radiologists.
Main Results:
- Twenty-seven percent of patients exhibited abnormal SXRs (≥2/3 sinus opacification).
- No significant differences in age, sex, or race were observed between groups.
- Frequent status asthmaticus admissions, chronic otitis media history (in under-5s), and current otitis media were linked to abnormal SXRs.
Conclusions:
- Abnormal sinus radiographs are common in children with status asthmaticus.
- History of frequent asthma exacerbations and otitis media are associated with abnormal sinus findings in pediatric patients with status asthmaticus.
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