Han Chen, Lin Wang, Jisheng Zhang, Xudong Yan, Longgang Yu, Yan Jiang
{"title":"体弱是慢性鼻窦炎的风险因素：一项全国性横断面调查的启示。","authors":"Han Chen, Lin Wang, Jisheng Zhang, Xudong Yan, Longgang Yu, Yan Jiang","doi":"10.1002/lary.31924","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the connection between frailty and chronic rhinosinusitis (CRS) using a representative sample from the Korean population.</p><p><strong>Methods: </strong>This cross-sectional study included 24,269 participants initially, with data sourced from the Korean National Health and Nutrition Examination Survey (KNHANES) database. Frailty was assessed using the modified frailty phenotype (FP) and frailty index (FI), with criteria tailored for the KNHANES dataset. CRS was identified based on the self-reported medical history of participants. Univariate and multivariate logistic regression analyses were employed to examine the correlation between CRS and frailty.</p><p><strong>Results: </strong>The prevalence of CRS among frail individuals was higher than that in the non-frail group. Frailty status (assessed by FP) (odds ratio [OR] = 1.484, 95% confidence interval [CI]: 1.217, 1.809) and frailty status (assessed by FI) (OR = 1.571, 95% CI: 1.107, 2,230) were associated with an elevated risk of CRS, particularly in individuals aged 40-60 years (OR = 1.826, 95% CI: 1.245, 2.680) and ≥61 years (OR = 1.549, 95% CI: 1.067, 2.249), as well as those with an education level below high school (OR = 1.717, 95% CI: 1.124, 2.624). The heightened risk of CRS associated with frailty may be attributed to increased levels of slowness (OR = 1.606, 95% CI: 1.255, 2.054) and emotional exhaustion (OR = 1.363, 95% CI: 1.158, 1.604).</p><p><strong>Conclusion: </strong>This study supported a link between frailty and CRS, potentially induced by slowness and emotional exhaustion, suggesting that effective interventions for preventing frailty should be developed to manage CRS incidence.</p><p><strong>Level of evidence: </strong>Level 3 Laryngoscope, 2024.</p>","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Frailty as a Risk Factor for Chronic Sinusitis: Insights from a Nationwide Cross-sectional Survey.\",\"authors\":\"Han Chen, Lin Wang, Jisheng Zhang, Xudong Yan, Longgang Yu, Yan Jiang\",\"doi\":\"10.1002/lary.31924\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aimed to investigate the connection between frailty and chronic rhinosinusitis (CRS) using a representative sample from the Korean population.</p><p><strong>Methods: </strong>This cross-sectional study included 24,269 participants initially, with data sourced from the Korean National Health and Nutrition Examination Survey (KNHANES) database. Frailty was assessed using the modified frailty phenotype (FP) and frailty index (FI), with criteria tailored for the KNHANES dataset. CRS was identified based on the self-reported medical history of participants. Univariate and multivariate logistic regression analyses were employed to examine the correlation between CRS and frailty.</p><p><strong>Results: </strong>The prevalence of CRS among frail individuals was higher than that in the non-frail group. Frailty status (assessed by FP) (odds ratio [OR] = 1.484, 95% confidence interval [CI]: 1.217, 1.809) and frailty status (assessed by FI) (OR = 1.571, 95% CI: 1.107, 2,230) were associated with an elevated risk of CRS, particularly in individuals aged 40-60 years (OR = 1.826, 95% CI: 1.245, 2.680) and ≥61 years (OR = 1.549, 95% CI: 1.067, 2.249), as well as those with an education level below high school (OR = 1.717, 95% CI: 1.124, 2.624). The heightened risk of CRS associated with frailty may be attributed to increased levels of slowness (OR = 1.606, 95% CI: 1.255, 2.054) and emotional exhaustion (OR = 1.363, 95% CI: 1.158, 1.604).</p><p><strong>Conclusion: </strong>This study supported a link between frailty and CRS, potentially induced by slowness and emotional exhaustion, suggesting that effective interventions for preventing frailty should be developed to manage CRS incidence.</p><p><strong>Level of evidence: </strong>Level 3 Laryngoscope, 2024.</p>\",\"PeriodicalId\":49921,\"journal\":{\"name\":\"Laryngoscope\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-11-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Laryngoscope\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/lary.31924\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Laryngoscope","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/lary.31924","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
Frailty as a Risk Factor for Chronic Sinusitis: Insights from a Nationwide Cross-sectional Survey.
Objective: This study aimed to investigate the connection between frailty and chronic rhinosinusitis (CRS) using a representative sample from the Korean population.
Methods: This cross-sectional study included 24,269 participants initially, with data sourced from the Korean National Health and Nutrition Examination Survey (KNHANES) database. Frailty was assessed using the modified frailty phenotype (FP) and frailty index (FI), with criteria tailored for the KNHANES dataset. CRS was identified based on the self-reported medical history of participants. Univariate and multivariate logistic regression analyses were employed to examine the correlation between CRS and frailty.
Results: The prevalence of CRS among frail individuals was higher than that in the non-frail group. Frailty status (assessed by FP) (odds ratio [OR] = 1.484, 95% confidence interval [CI]: 1.217, 1.809) and frailty status (assessed by FI) (OR = 1.571, 95% CI: 1.107, 2,230) were associated with an elevated risk of CRS, particularly in individuals aged 40-60 years (OR = 1.826, 95% CI: 1.245, 2.680) and ≥61 years (OR = 1.549, 95% CI: 1.067, 2.249), as well as those with an education level below high school (OR = 1.717, 95% CI: 1.124, 2.624). The heightened risk of CRS associated with frailty may be attributed to increased levels of slowness (OR = 1.606, 95% CI: 1.255, 2.054) and emotional exhaustion (OR = 1.363, 95% CI: 1.158, 1.604).
Conclusion: This study supported a link between frailty and CRS, potentially induced by slowness and emotional exhaustion, suggesting that effective interventions for preventing frailty should be developed to manage CRS incidence.
期刊介绍：
The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope.
• Broncho-esophagology
• Communicative disorders
• Head and neck surgery
• Plastic and reconstructive facial surgery
• Oncology
• Speech and hearing defects
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