个别支气管症状与鼻炎患者哮喘诊断和控制的相关性:MASK-air 研究。

IF 4.6 2区 医学 Q2 ALLERGY
Bernardo Sousa-Pinto, Gilles Louis, Rafael J. Vieira, Wienczyslawa Czarlewski, Josep M. Anto, Rita Amaral, Ana Sá-Sousa, Luisa Brussino, G. Walter Canonica, Claudia Chaves Loureiro, Alvaro A. Cruz, Bilun Gemicioglu, Tari Haahtela, Maciej Kupczyk, Violeta Kvedariene, Desirée E. Larenas-Linnemann, Nhân Pham-Thi, Francesca Puggioni, Frederico S. Regateiro, Jan Romantowski, Joaquin Sastre, Nicola Scichilone, Luis Taborda-Barata, Maria Teresa Ventura, Ioana Agache, Anna Bedbrook, Alida Benfante, Karl C. Bergmann, Sinthia Bosnic-Anticevich, Matteo Bonini, Louis-Philippe Boulet, Guy Brusselle, Roland Buhl, Lorenzo Cecchi, Denis Charpin, Elisio M. Costa, Stefano Del Giacco, Marek Jutel, Ludger Klimek, Piotr Kuna, Daniel Laune, Mika Makela, Mario Morais-Almeida, Rachel Nadif, Marek Niedoszytko, Nikolaos G. Papadopoulos, Alberto Papi, Oliver Pfaar, Daniela Rivero-Yeverino, Nicolas Roche, Boleslaw Samolinski, Mohamed H. Shamji, Aziz Sheikh, Charlotte Suppli Ulrik, Omar S. Usmani, Arunas Valiulis, Arzu Yorgancioglu, Torsten Zuberbier, Joao A. Fonseca, Benoit Pétré, Renaud Louis, Jean Bousquet, MASK-air think tank
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引用次数: 0

摘要

理由:目前尚不清楚每种哮喘症状与哮喘诊断或控制的关系:评估单个哮喘症状在识别哮喘患者方面的表现及其与哮喘控制的关系:在这项横断面研究中,我们使用 MASK-air® 应用程序评估了真实世界的数据。我们比较了五种哮喘症状(呼吸困难、喘息、胸闷、疲劳和夜间症状,由过敏性鼻炎和哮喘控制测试 [CARAT] 问卷评估)在可能患有哮喘、可能患有哮喘或没有哮喘的患者中的出现频率。我们计算了每种症状的敏感性、特异性和预测值,并评估了每种症状与哮喘控制(使用 e-DASTHMA 评分)之间的关联。结果在医生确诊为哮喘的患者样本中得到了验证:我们纳入了 951 名患者(2153 次 CARAT 评估),其中 468 人可能患有哮喘,166 人可能患有哮喘,317 人无哮喘证据。喘息的特异性(90.5%)和阳性预测值(90.8%)最高。在疑似哮喘患者中,与其他症状相比,呼吸困难和胸闷与哮喘控制的关系更为密切。呼吸困难是灵敏度最高(76.1%)的症状,也是与 e-DASTHMA 评估的哮喘控制持续相关的症状。在对医生诊断为哮喘的患者进行评估时,也观察到了一致的结果:结论:喘息和胸闷是诊断哮喘特异性最高的哮喘症状,而呼吸困难的灵敏度最高,与哮喘控制的关联性最强。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Relevance of individual bronchial symptoms for asthma diagnosis and control in patients with rhinitis: A MASK-air study

Relevance of individual bronchial symptoms for asthma diagnosis and control in patients with rhinitis: A MASK-air study

Rationale

It is unclear how each individual asthma symptom is associated with asthma diagnosis or control.

Objectives

To assess the performance of individual asthma symptoms in the identification of patients with asthma and their association with asthma control.

Methods

In this cross-sectional study, we assessed real-world data using the MASK-air® app. We compared the frequency of occurrence of five asthma symptoms (dyspnea, wheezing, chest tightness, fatigue and night symptoms, as assessed by the Control of Allergic Rhinitis and Asthma Test [CARAT] questionnaire) in patients with probable, possible or no current asthma. We calculated the sensitivity, specificity and predictive values of each symptom, and assessed the association between each symptom and asthma control (measured using the e-DASTHMA score). Results were validated in a sample of patients with a physician-established diagnosis of asthma.

Measurement and Main Results

We included 951 patients (2153 CARAT assessments), with 468 having probable asthma, 166 possible asthma and 317 no evidence of asthma. Wheezing displayed the highest specificity (90.5%) and positive predictive value (90.8%). In patients with probable asthma, dyspnea and chest tightness were more strongly associated with asthma control than other symptoms. Dyspnea was the symptom with the highest sensitivity (76.1%) and the one consistently associated with the control of asthma as assessed by e-DASTHMA. Consistent results were observed when assessing patients with a physician-made diagnosis of asthma.

Conclusions

Wheezing and chest tightness were the asthma symptoms with the highest specificity for asthma diagnosis, while dyspnea displayed the highest sensitivity and strongest association with asthma control.

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来源期刊
Clinical and Translational Allergy
Clinical and Translational Allergy Immunology and Microbiology-Immunology
CiteScore
7.50
自引率
4.50%
发文量
117
审稿时长
12 weeks
期刊介绍: Clinical and Translational Allergy, one of several journals in the portfolio of the European Academy of Allergy and Clinical Immunology, provides a platform for the dissemination of allergy research and reviews, as well as EAACI position papers, task force reports and guidelines, amongst an international scientific audience. Clinical and Translational Allergy accepts clinical and translational research in the following areas and other related topics: asthma, rhinitis, rhinosinusitis, drug hypersensitivity, allergic conjunctivitis, allergic skin diseases, atopic eczema, urticaria, angioedema, venom hypersensitivity, anaphylaxis, food allergy, immunotherapy, immune modulators and biologics, animal models of allergic disease, immune mechanisms, or any other topic related to allergic disease.
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