Relationship between chronic rhinosinusitis and risk of obstructive sleep apnea

IF 3.8 2区综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Scientific Reports Pub Date : 2024-09-13 DOI:10.1038/s41598-024-71923-0

Hyunkyung Cha, DoHyeon Kim, Hyeon Woo Lee, Yeongrok Lee, Byoung-Joon Baek, Jae Yong Lee, Ji Ho Choi

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Abstract

The relationship between obstructive sleep apnea (OSA) and chronic rhinosinusitis (CRS) has not yet been fully elucidated. Therefore, the objective of this study was to evaluate the connection between OSA risk and CRS by investigating associations between the STOP-Bang questionnaire and presence of CRS in a nationwide, population-based study. This is a cross-sectional study based on the Korean National Health and Nutrition Examination Survey (KNHANES). We evaluated 10,081 subjects who completed both the STOP-Bang and CRS-related questionnaires. Among the total subjects, 390 (3.9%) were CRS patients. The median STOP-Bang score was 3.0 [2.0; 4.0] in CRS patients, compared to 2.0 [1.0; 3.0] in subjects without CRS. In a low-risk group according to the STOP-Bang questionnaire, 3.1% of subjects were CRS patients. However, a gradual increase was observed among different risk groups. In the higher risk group, CRS patients accounted for 5.3% (P < 0.001). Among the four main symptoms of CRS (nasal obstruction, nasal discharge, facial pain/pressure, and decreased sense of smell), nasal obstruction (4.1 to 7.3%) and a decreased sense of smell (1.9 to 3.3%) increased with higher STOP-Bang scores. This study found that the proportion of patients with CRS was significantly higher in the group at a higher STOP-Bang score in the general population. Among symptoms of CRS, nasal obstruction and anosmia were found to be associated with an increased STOP-Bang score.

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慢性鼻窦炎与阻塞性睡眠呼吸暂停风险之间的关系

阻塞性睡眠呼吸暂停（OSA）与慢性鼻窦炎（CRS）之间的关系尚未完全阐明。因此，本研究的目的是在一项全国性的人群研究中，通过调查 STOP-Bang 问卷与 CRS 存在之间的关联，评估 OSA 风险与 CRS 之间的联系。这是一项基于韩国国民健康与营养调查（KNHANES）的横断面研究。我们对 10081 名同时填写了 STOP-Bang 和 CRS 相关问卷的受试者进行了评估。在所有受试者中，有 390 人（3.9%）是 CRS 患者。CRS患者的STOP-Bang得分中位数为3.0 [2.0; 4.0]，而无CRS患者的STOP-Bang得分中位数为2.0 [1.0; 3.0]。在根据 STOP-Bang 问卷得出的低风险组中，3.1% 的受试者为 CRS 患者。然而，在不同的风险组别中，CRS 患者的比例逐渐增加。在高风险组中，CRS 患者占 5.3%（P < 0.001）。在 CRS 的四个主要症状（鼻塞、流鼻涕、面部疼痛/压迫感和嗅觉减退）中，鼻塞（4.1% 至 7.3%）和嗅觉减退（1.9% 至 3.3%）随着 STOP-Bang 评分的升高而增加。这项研究发现，在普通人群中，STOP-Bang 评分越高的人群中 CRS 患者的比例明显越高。在 CRS 的症状中，鼻阻塞和嗅觉障碍与 STOP-Bang 评分的升高有关。

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来源期刊

Scientific Reports Natural Science Disciplines-

CiteScore

7.50

自引率

4.30%

发文量

19567

审稿时长

3.9 months

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