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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
PubMed
Summary
This summary is machine-generated.

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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.

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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.