Avaliações objetiva e subjetiva da obstrução nasal em crianças e adolescentes com rinite alérgica
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , |
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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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 |
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Universidade Federal de São Paulo (UNIFESP) |
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UNIFESP |
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UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1818602545307713536 |