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Rhinosinusitis symptoms, smoking and COPD : Prevalence and associations
Author(s) -
Caminha Guilherme Pilla,
Pizzichini Emilio,
Lubianca Neto José Faibes,
Hopkins Claire,
Moreira José da Silva,
Pizzichini Marcia Margaret Menezes
Publication year - 2018
Publication title -
clinical otolaryngology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.914
H-Index - 68
eISSN - 1749-4486
pISSN - 1749-4478
DOI - 10.1111/coa.13215
Subject(s) - medicine , copd , spirometry , chronic rhinosinusitis , population , sinusitis , depression (economics) , multivariate analysis , physical therapy , asthma , surgery , environmental health , economics , macroeconomics
Objective (s) To estimate the prevalence and associations among rhinosinusitis symptoms, smoking and chronic obstructive pulmonary disease ( COPD ). Design Cross‐sectional study. Setting Population‐based. Participants All adults aged 40 years or more living in the selected households in the city of Florianópolis (Florianópolis, Santa Catarina, Brazil). Main outcome measures Assessment instruments comprised household interviews, anthropometric measurements and spirometry. Rhinosinusitis symptoms were based on the responses to the 22‐item Sinonasal Outcome Test ( SNOT ‐22) questionnaire; smoking status was defined by the criteria of the CDC , and the functional diagnosis of COPD was done by spirometry. Results The prevalence (n = 1056) of rhinosinusitis symptoms, smoking and COPD was 14.7%, 17.9% and 8.7%, respectively. Multivariate analysis showed that, with the exception of COPD , all other clinical variables (smoking, previous diagnosis of rhinitis, previous diagnosis of gastritis/ulcer/gastroesophageal reflux, and symptoms of depression) remained associated with higher prevalence of rhinosinusitis symptoms. Conclusions Rhinosinusitis symptoms were common both in smokers and in patients with COPD . However, only tobacco was significantly associated with rhinosinusitis symptoms and can act as a cofounder in the association between COPD and rhinosinusitis symptoms.