Avaliações objetiva e subjetiva da obstrução nasal em crianças e adolescentes com rinite alérgica

Detalhes bibliográficos
Autor(a) principal: Mendes, Aline Inês [UNIFESP]
Data de Publicação: 2012
Outros Autores: Wandalsen, Gustavo Falbo [UNIFESP], Solé, Dirceu [UNIFESP]
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
dARK ID: ark:/48912/0013000010h8q
Texto Completo: http://dx.doi.org/10.2223/JPED.2213
http://repositorio.unifesp.br/handle/11600/7343
Resumo: OBJECTIVE: To correlate objective assessment of nasal obstruction, as measured by acoustic rhinometry (volume of the first 5 cm of the nasal cavity) and active anterior rhinomanometry (total nasal airway resistance), with its subjective evaluation (obstruction scores). METHOD: Thirty patients, aged 7 to 18 years, with persistent allergic rhinitis and thirty controls were enrolled. The obstruction score was reported for the whole nasal cavity and for each nostril separately. The three variables were measured at baseline and after induction of nasal obstruction. RESULTS: There were significant and negative correlations between resistance and nasal volume in all groups and scenarios, except for the most obstructed nostril, in the control group, post-obstruction. For the whole nasal cavity, there was no significant correlation between objective and subjective variables except between score and total nasal cavity volume in the control group, post-obstruction. Regarding the most obstructed nostril, we found a significant negative correlation between score and resistance and a significant positive correlation between score and volume for the total group at baseline. There were no clear differences in the correlation coefficients found in patients and controls. The correlation coefficients did not change after induction of nasal obstruction. CONCLUSIONS: Objective assessment of nasal obstruction did not correlate significantly with subjective evaluation for the nasal cavity as a whole, but there was a correlation for unilateral assessments. There was correlation between the objective evaluations. Allergic rhinitis and acute induction of nasal obstruction did not affect the correlation between objective and subjective assessments of nasal obstruction. Addition of an objective method for evaluation of nasal obstruction could be useful in the research setting; if no such method can be used, each nostril should be evaluated separately.
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spelling Avaliações objetiva e subjetiva da obstrução nasal em crianças e adolescentes com rinite alérgicaObjective and subjective assessments of nasal obstruction in children and adolescents with allergic rhinitisPerennial allergic rhinitissymptom scorenasal obstructionRinite alérgica pereneescore de sintomasobstrução nasalOBJECTIVE: To correlate objective assessment of nasal obstruction, as measured by acoustic rhinometry (volume of the first 5 cm of the nasal cavity) and active anterior rhinomanometry (total nasal airway resistance), with its subjective evaluation (obstruction scores). METHOD: Thirty patients, aged 7 to 18 years, with persistent allergic rhinitis and thirty controls were enrolled. The obstruction score was reported for the whole nasal cavity and for each nostril separately. The three variables were measured at baseline and after induction of nasal obstruction. RESULTS: There were significant and negative correlations between resistance and nasal volume in all groups and scenarios, except for the most obstructed nostril, in the control group, post-obstruction. For the whole nasal cavity, there was no significant correlation between objective and subjective variables except between score and total nasal cavity volume in the control group, post-obstruction. Regarding the most obstructed nostril, we found a significant negative correlation between score and resistance and a significant positive correlation between score and volume for the total group at baseline. There were no clear differences in the correlation coefficients found in patients and controls. The correlation coefficients did not change after induction of nasal obstruction. CONCLUSIONS: Objective assessment of nasal obstruction did not correlate significantly with subjective evaluation for the nasal cavity as a whole, but there was a correlation for unilateral assessments. There was correlation between the objective evaluations. Allergic rhinitis and acute induction of nasal obstruction did not affect the correlation between objective and subjective assessments of nasal obstruction. Addition of an objective method for evaluation of nasal obstruction could be useful in the research setting; if no such method can be used, each nostril should be evaluated separately.OBJETIVO: Relacionar a avaliação objetiva da obstrução nasal por rinometria acústica (volume dos cinco primeiros centímetros da cavidade nasal) e rinomanometria anterior ativa (resistência nasal total) com a avaliação subjetiva (escore de obstrução). MÉTODO: Participaram do estudo 30 pacientes (7 a 18 anos) com rinite alérgica persistente e 30 controles. O escore foi referido para cavidade nasal total e narinas em separado. As três variáveis foram mensuradas nos momentos basal e após indução de obstrução nasal. RESULTADOS: Houve correlações significantes e negativas entre resistência e volume nasal em todos os grupos e situações de avaliação, exceto para narina mais obstruída, grupo controle, pós-obstrução. Para a cavidade nasal total, não houve correlação significante entre as variáveis objetivas e subjetiva, exceto entre escore e volume na cavidade nasal total no grupo controle pós-obstrução. Na narina mais obstruída, houve correlação significante e negativa para escore e resistência e significante e positiva para escore e volume nasal no grupo total, momento basal. Não houve diferença nítida nos coeficientes de correlação entre pacientes e controles, e estes não se alteraram após a indução de obstrução nasal. CONCLUSÕES: Avaliação objetiva da obstrução nasal não apresentou correlação significativa com a avaliação subjetiva na cavidade nasal total, mas sim na avaliação unilateral. Houve correlação entre avaliações objetivas. Rinite alérgica ou obstrução nasal aguda não interferiram na correlação entre as avaliações objetiva e subjetiva da obstrução nasal. Sugere-se utilidade no acréscimo de métodos objetivos para avaliação da obstrução nasal em pesquisas e, na sua impossibilidade, avaliação das narinas em separado.UNIFESP-EPMUNIFESP-EPM Departamento de PediatriaUNIFESP, EPM, Depto. de PediatriaSciELOSociedade Brasileira de PediatriaUniversidade Federal de São Paulo (UNIFESP)Mendes, Aline Inês [UNIFESP]Wandalsen, Gustavo Falbo [UNIFESP]Solé, Dirceu [UNIFESP]2015-06-14T13:44:59Z2015-06-14T13:44:59Z2012-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion389-395application/pdfhttp://dx.doi.org/10.2223/JPED.2213Jornal de Pediatria. Sociedade Brasileira de Pediatria, v. 88, n. 5, p. 389-395, 2012.10.2223/JPED.2213S0021-75572012000500006.pdf0021-7557S0021-75572012000500006http://repositorio.unifesp.br/handle/11600/7343WOS:000310970500006ark:/48912/0013000010h8qporJornal de Pediatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-05T18:22:52Zoai:repositorio.unifesp.br/:11600/7343Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T20:47:34.649443Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Avaliações objetiva e subjetiva da obstrução nasal em crianças e adolescentes com rinite alérgica
Objective and subjective assessments of nasal obstruction in children and adolescents with allergic rhinitis
title Avaliações objetiva e subjetiva da obstrução nasal em crianças e adolescentes com rinite alérgica
spellingShingle Avaliações objetiva e subjetiva da obstrução nasal em crianças e adolescentes com rinite alérgica
Mendes, Aline Inês [UNIFESP]
Perennial allergic rhinitis
symptom score
nasal obstruction
Rinite alérgica perene
escore de sintomas
obstrução nasal
title_short Avaliações objetiva e subjetiva da obstrução nasal em crianças e adolescentes com rinite alérgica
title_full Avaliações objetiva e subjetiva da obstrução nasal em crianças e adolescentes com rinite alérgica
title_fullStr Avaliações objetiva e subjetiva da obstrução nasal em crianças e adolescentes com rinite alérgica
title_full_unstemmed Avaliações objetiva e subjetiva da obstrução nasal em crianças e adolescentes com rinite alérgica
title_sort Avaliações objetiva e subjetiva da obstrução nasal em crianças e adolescentes com rinite alérgica
author Mendes, Aline Inês [UNIFESP]
author_facet Mendes, Aline Inês [UNIFESP]
Wandalsen, Gustavo Falbo [UNIFESP]
Solé, Dirceu [UNIFESP]
author_role author
author2 Wandalsen, Gustavo Falbo [UNIFESP]
Solé, Dirceu [UNIFESP]
author2_role author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Mendes, Aline Inês [UNIFESP]
Wandalsen, Gustavo Falbo [UNIFESP]
Solé, Dirceu [UNIFESP]
dc.subject.por.fl_str_mv Perennial allergic rhinitis
symptom score
nasal obstruction
Rinite alérgica perene
escore de sintomas
obstrução nasal
topic Perennial allergic rhinitis
symptom score
nasal obstruction
Rinite alérgica perene
escore de sintomas
obstrução nasal
description OBJECTIVE: To correlate objective assessment of nasal obstruction, as measured by acoustic rhinometry (volume of the first 5 cm of the nasal cavity) and active anterior rhinomanometry (total nasal airway resistance), with its subjective evaluation (obstruction scores). METHOD: Thirty patients, aged 7 to 18 years, with persistent allergic rhinitis and thirty controls were enrolled. The obstruction score was reported for the whole nasal cavity and for each nostril separately. The three variables were measured at baseline and after induction of nasal obstruction. RESULTS: There were significant and negative correlations between resistance and nasal volume in all groups and scenarios, except for the most obstructed nostril, in the control group, post-obstruction. For the whole nasal cavity, there was no significant correlation between objective and subjective variables except between score and total nasal cavity volume in the control group, post-obstruction. Regarding the most obstructed nostril, we found a significant negative correlation between score and resistance and a significant positive correlation between score and volume for the total group at baseline. There were no clear differences in the correlation coefficients found in patients and controls. The correlation coefficients did not change after induction of nasal obstruction. CONCLUSIONS: Objective assessment of nasal obstruction did not correlate significantly with subjective evaluation for the nasal cavity as a whole, but there was a correlation for unilateral assessments. There was correlation between the objective evaluations. Allergic rhinitis and acute induction of nasal obstruction did not affect the correlation between objective and subjective assessments of nasal obstruction. Addition of an objective method for evaluation of nasal obstruction could be useful in the research setting; if no such method can be used, each nostril should be evaluated separately.
publishDate 2012
dc.date.none.fl_str_mv 2012-10-01
2015-06-14T13:44:59Z
2015-06-14T13:44:59Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.2223/JPED.2213
Jornal de Pediatria. Sociedade Brasileira de Pediatria, v. 88, n. 5, p. 389-395, 2012.
10.2223/JPED.2213
S0021-75572012000500006.pdf
0021-7557
S0021-75572012000500006
http://repositorio.unifesp.br/handle/11600/7343
WOS:000310970500006
dc.identifier.dark.fl_str_mv ark:/48912/0013000010h8q
url http://dx.doi.org/10.2223/JPED.2213
http://repositorio.unifesp.br/handle/11600/7343
identifier_str_mv Jornal de Pediatria. Sociedade Brasileira de Pediatria, v. 88, n. 5, p. 389-395, 2012.
10.2223/JPED.2213
S0021-75572012000500006.pdf
0021-7557
S0021-75572012000500006
WOS:000310970500006
ark:/48912/0013000010h8q
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Jornal de Pediatria
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 389-395
application/pdf
dc.publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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