An Indian Cross-Sectional Study to Evaluate In-Clinic Allergic Rhinitis Prevalence in Patients Having Nasal Symptoms Using the SFAR Questionnaire.

IF 3 3区 医学 Q2 ALLERGY
Journal of Asthma and Allergy Pub Date : 2025-09-04 eCollection Date: 2025-01-01 DOI:10.2147/JAA.S516448
Carlton David Periera, Vijay Warad, J P Rodrigues, Gayatri Subray Pandit, Vaishali Gupte, Gurmeet Kaur Thakur, Ashish Upadhyaya, Jaideep Gogtay
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Abstract

Purpose: Allergic rhinitis (AR) is a global health concern caused by allergen exposure. This Indian study utilized the Score for Allergic Rhinitis (SFAR) questionnaire to estimate the prevalence of AR among patients with nasal symptoms visiting doctors' clinics/hospitals.

Patients and methods: This multicenter, cross-sectional study assessed AR using the SFAR questionnaire in patients with nasal symptoms visiting doctors' clinics/hospitals. It included patients aged ≥11 years across 19 states/union territories of India from September 2022 to April 2023. The score was digitally calculated using the KribadoTM device, with a score of ≥7 indicating the presence of AR. Patient-reported data covered demographics, seasonal patterns, symptoms, allergens/triggers, and prevalence. Associations among various risk factors were analyzed.

Results: This study involved 3358 doctors, including ENT surgeons and chest physicians, and 40,001 patients across India. Among all patients, 53.7% (n=21,480) had SFAR scores ≥7. Sneezing was the most common symptom, reported by 69.1% of patients overall and 86.8% in the AR+ subgroup. House dust mites were the most prevalent allergens, affecting 73.8% of patients. Nose-related issues peaked from October to January. Half of the patients had a family history of asthma, eczema, or AR. In the AR+ subgroup, only 46% were diagnosed with allergies by a doctor, and 31.5% underwent allergy testing. After adjusting for variables, AR was significantly linked to nasal symptoms, including itchy and watery eyes, and a history of doctor-diagnosed allergies.

Conclusion: The in-clinic prevalence of AR in patients with nasal symptoms, as indicated by the SFAR questionnaire, is substantially high in India. A positive family history, indoor dust exposure, nasal symptoms, the months of October to January, and females were strongly linked to AR in Indian patients. The SFAR score is an effective in-clinic screening tool to support early AR diagnosis and management in India.

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一项使用SFAR问卷评估有鼻症状患者临床变应性鼻炎患病率的印度横断面研究
目的:变应性鼻炎(AR)是由过敏原暴露引起的全球性健康问题。这项印度研究使用变应性鼻炎评分(SFAR)问卷来估计就诊于医生诊所/医院的有鼻症状的患者中AR的患病率。患者和方法:这项多中心、横断面研究使用SFAR问卷对就诊于医生诊所/医院的有鼻症状的患者进行AR评估。该研究包括2022年9月至2023年4月期间印度19个邦/联邦领土年龄≥11岁的患者。使用KribadoTM设备进行数字计算得分,得分≥7表示存在AR。患者报告的数据包括人口统计、季节模式、症状、过敏原/触发因素和患病率。分析各种危险因素之间的关系。结果:这项研究涉及印度3358名医生,包括耳鼻喉外科医生和胸科医生,以及40001名患者。在所有患者中,53.7% (n=21,480)的SFAR评分≥7。打喷嚏是最常见的症状,69.1%的患者和86.8%的AR+亚组报告了这一症状。屋尘螨是最常见的过敏原,影响73.8%的患者。与鼻子有关的问题在10月至1月达到高峰。一半的患者有哮喘、湿疹或AR家族史。在AR+亚组中,只有46%的患者被医生诊断为过敏,31.5%的患者接受了过敏测试。在调整变量后,AR与鼻部症状(包括眼睛发痒和流泪)以及医生诊断的过敏史显著相关。结论:SFAR问卷显示,在印度,有鼻症状的患者中AR的临床患病率相当高。阳性家族史、室内粉尘暴露、鼻腔症状、10月至1月以及女性与印度患者的AR密切相关。在印度,SFAR评分是一种有效的临床筛查工具,可支持早期AR诊断和管理。
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来源期刊
Journal of Asthma and Allergy
Journal of Asthma and Allergy Medicine-Immunology and Allergy
CiteScore
5.30
自引率
6.20%
发文量
185
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed journal publishing original research, reports, editorials and commentaries on the following topics: Asthma; Pulmonary physiology; Asthma related clinical health; Clinical immunology and the immunological basis of disease; Pharmacological interventions and new therapies. Although the main focus of the journal will be to publish research and clinical results in humans, preclinical, animal and in vitro studies will be published where they shed light on disease processes and potential new therapies.
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