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Therapeutic advances in allergy and rhinology最新文献

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COVID-19 Incidence and Disease Course Among Patients at an Allergy Department. 某过敏科患者COVID-19发病率及病程
0 OTORHINOLARYNGOLOGY Pub Date : 2023-01-01 DOI: 10.1177/27534030231172391
Louise E van der Aa, Inge S van Egmond, Martijn van der Sluijs, A A Sophie den Otter, Nadie H M Bosmans, Sabine E van Beek, Angela Hartman, Niels A D Guchelaar, Paul L A van Daele, Maurits S van Maaren, P Martin van Hagen, Maud A W Hermans, Saskia M Rombach

Background: Since the coronavirus pandemic in 2020, there is not much reported about the disease course of COVID-19 in patients with allergic diseases.

Objectives: The aim of this study was to investigate the cumulative incidence and severity of COVID-19 among patients from the allergy department compared with the general Dutch population and people from their household.

Design: We conducted a comparative longitudinal cohort study.

Methods: In this study patients of the allergy department were included with their household members as a control group. Data from the beginning of the pandemic were systematically obtained through questionnaires by telephonic interviews and retrieved from electronic patient files between October 15, 2020 and January 29, 2021. Main outcomes were confirmed SARS-CoV-2 infection, disease duration, hospitalization, intensive care admission, and mortality. Questions regarding applied social distancing measures were inventoried as well.

Results: Three hundred and eighty nine patients (median age 39.1 (18.7-84.7) years, 69.9% female) and 441 household members (median age 42.0 (18.0-91.5), 44.1% female) were included. The cumulative COVID-19 incidence in patients was higher compared with the general population (10.5% vs 5.6%, P < .001). In total, 41 (10.5%) patients attending the allergy clinic compared to 38 (8.6%) household members were infected with SARS-CoV-2 (P = .407). Median disease duration was 11.0 (0.0-61.0) days in patients compared to 10.5(1.0-232.0) days in household members (P = .996).

Conclusion: The cumulative COVID-19 incidence in patients from the allergy cohort was higher compared with the general Dutch population, but similar compared with household members. There was no difference in symptoms, disease duration, or hospitalization rate between the allergy cohort and their household members.

背景:自2020年冠状病毒大流行以来,关于过敏性疾病患者COVID-19病程的报道不多。目的:本研究的目的是调查过敏科患者中COVID-19的累积发病率和严重程度,并与荷兰普通人群及其家庭成员进行比较。设计:我们进行了一项比较纵向队列研究。方法:本研究将过敏科患者及其家庭成员作为对照组。在2020年10月15日至2021年1月29日期间,通过电话访谈和问卷调查系统地获取了大流行开始时的数据,并从患者电子档案中检索了数据。主要结局为确诊SARS-CoV-2感染、病程、住院、重症监护住院和死亡率。还列出了有关适用社会距离措施的问题。结果:纳入389例患者(中位年龄39.1(18.7 ~ 84.7)岁,女性占69.9%)和441例家庭成员(中位年龄42.0(18.0 ~ 91.5),女性占44.1%)。患者的COVID-19累积发病率高于普通人群(10.5% vs 5.6%, P P = .407)。患者的中位病程为11.0(0.0-61.0)天,而家庭成员的中位病程为10.5(1.0-232.0)天(P = 0.996)。结论:过敏队列患者的COVID-19累积发病率高于荷兰普通人群,但与家庭成员相似。过敏队列及其家庭成员在症状、疾病持续时间或住院率方面没有差异。
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引用次数: 0
Nasal Cavity Length or Analyzed Nasal Segment of Acoustic Rhinometry in Thai Adults. 泰国成人鼻腔长度或鼻段声学测量分析。
0 OTORHINOLARYNGOLOGY Pub Date : 2023-01-01 DOI: 10.1177/27534030231171089
Paraya Assanasen, Triphoom Suwanwech, Bannapuch Pinkaew, Anupa Khongsri, Phawin Keskool

Background: Nasal cavity length (NCL) is important for determining analyzed nasal segment (ANS) of acoustic rhinometry (AR). AR is a technique for nasal airway assessment which nasal cross-sectional areas and nasal volume (NV) are obtained. NCL or ANS is the important parameter to determine NV measured by AR. The ANS used to calculate NV in previous literatures vary from 4 to 8 cm. However, there has not been any study regarding NCL of Asians which is probably different from that of Western countries.

Objectives: To measure NCL in Thai adults using nasal telescope and compared NCL between left and right sides as well as male and female as well as among age groups.

Design: Prospective study.

Methods: This study was performed on patients, aged 18-95 years, who underwent nasal telescopy under local anesthesia at the Department of Otorhinolaryngology, Siriraj Hospital. Baseline characteristics (sex and age) of patients were collected. NCL (from anterior nasal spine to posterior edge of nasal septum) of both nasal cavities was measured using rigid nasal telescope of 0 degree. Mean NCL length of both nasal cavities was calculated.

Results: There were 1277 patients, with 498 (39%) male and 779 (61%) female. The mean ± standard deviation (SD) of NCL of male was 6 ± 0.6 cm whereas that of female was 5.7 ± 0.5 cm. There were no significant differences in NCL between left and right sides as well as among age groups in each gender (p > 0.05 all). However, male had significantly longer NCL compared with that of female (p < 0.001). The mean ± SD of NCL of total population was 5.9 ± 0.6 cm.

Conclusion: The NCL of Thais was approximately 6 cm. These data are useful to determine ANS used to calculate NV when AR is performed.

Plain language summaries: The length of nasal cavity (LNC) is important variable for acoustic rhinometry (AR) which is the instrument to measure nasal volume (NV). We use AR in clinical researches to diagnose and monitor the results of treatment of nose and sinus diseasesThe LNC used to calculate NV in previous studies vary from 4 to 8 cm. However, there has not been any study of LNC of Asians which is probably different from that of Western countriesWe measured LNC in 1277 Thai adults, aged 18-95 years, with 498 (39%) male and 779 (61%) female using nasal rigid endoscope and compared LNC between male and female.The average of LNC was 5.9 cm. Male had longer LNC compared with that female. The LNC of Thais was approximately 6 cm. These data are useful for AR to calculate NV.

背景:鼻腔长度(NCL)是确定声学鼻测量(AR)分析鼻段(ANS)的重要指标。AR是一种通过测量鼻横截面积和鼻容积来评估鼻气道的技术。NCL或ANS是确定AR测量NV的重要参数,以往文献中用于计算NV的ANS在4 ~ 8 cm之间。然而,目前还没有关于亚洲人NCL的研究,这可能与西方国家有所不同。目的:使用鼻望远镜测量泰国成年人的NCL,并比较左右两侧、男性和女性以及不同年龄组的NCL。设计:前瞻性研究。方法:年龄18-95岁,在Siriraj医院耳鼻喉科局部麻醉下行鼻部缩窄术的患者。收集患者的基线特征(性别和年龄)。采用0度刚性鼻望远镜测量两鼻腔NCL(鼻前棘至鼻中隔后缘)。计算两个鼻腔NCL的平均长度。结果:1277例患者中,男性498例(39%),女性779例(61%)。男性NCL的平均±标准差为6±0.6 cm,女性为5.7±0.5 cm。NCL在左右两侧、各性别年龄组间差异均无统计学意义(p > 0.05)。结论:泰国人的NCL约为6 cm。当进行AR时,这些数据对于确定用于计算NV的ANS是有用的。鼻腔长度(LNC)是测量鼻体积(NV)的声学鼻测量仪(AR)的重要变量。我们在临床研究中使用AR来诊断和监测鼻窦疾病的治疗结果。在以往的研究中,用于计算NV的LNC从4到8 cm不等。然而,没有任何关于亚洲人LNC的研究,这可能与西方国家不同。我们使用鼻刚性内窥镜测量了1277名年龄在18-95岁的泰国成年人的LNC,其中498名(39%)男性和779名(61%)女性,并比较了男性和女性的LNC。LNC平均5.9 cm。男性的LNC比女性长。泰国人的LNC约为6厘米。这些数据对AR计算NV很有帮助。
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引用次数: 1
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Therapeutic advances in allergy and rhinology
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