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Decongestion Test (decongestion + test)
Kinds of Decongestion Test Selected AbstractsRelationship Between Rhinitis Duration and Response to Nasal Decongestion Test,THE LARYNGOSCOPE, Issue 7 2008Giorgio Ciprandi MD Abstract Objectives/Hypothesis: Nasal obstruction depends on allergic inflammation. Decongestion tests evaluate the reversibility of nasal airflow limitation. It has been previously reported that duration of persistent allergic rhinitis (PER) may involve important functional consequences. The purpose of the study was to evaluate the impact of the duration of rhinitis on the response to nasal decongestion test in a cohort of patients with PER. Methods: A total of 312 patients with moderate-severe PER were prospectively and consecutively evaluated: 234 males and 78 females, mean age 23.6 years. A detailed clinical history was taken and complete physical examination, nasal endoscopy, skin prick test, rhinomanometry, and nasal decongestion test were performed for all patients. Results: A strong inverse correlation was observed (Pearson's r = ,0.81) between rhinitis duration (years) and posttest percentage change of nasal airflow values. Conclusions: The duration of PER may induce a progressive impairment of the response to nasal decongestion test. [source] Clinical assessment of nasal decongestion test by VAS in adolescentsPEDIATRIC ALLERGY AND IMMUNOLOGY, Issue 2 2009Gian Luigi Marseglia Nasal airflow, as measured by rhinomanometry, is frequently impaired in allergic rhinitis (AR). The decongestion test evaluates whether the application of an intranasal vasoconstrictor drug increases nasal airflow. The aim of this study was to verify the suitability of the use of the visual analogue scales (VAS) as a surrogate for rhinomanometry in the decongestion test assessment in adolescents with atopic rhinitis. Forty adolescents [16 males and 24 females, mean age 15 (s.d. 2) yr] with AR were studied. Nasal symptoms, VAS, rhinomanometry, and nasal decongestion test were assessed in all patients. A significant association was observed between VAS and nasal airflow after performing the decongestion test (Spearman's r is ,51.7%, p < 0.001). The associated sensitivity and specificity were 84.8 (95% confidence interval, CI 68.1,94.8) and 85.7 (95% CI 42.2,97.6), respectively. The corresponding area under the receiver operating characteristic (ROC) curve of 0.83 (95% CI 0.67,0.93) indicated a good discriminating ability for the decongestion measured on the VAS scale. In conclusion, the use of VAS appears as clinically relevant, in that it allows, with a fair reliability, to perform the decongestion test in the absence of rhinomanometry. [source] Relationship Between Rhinitis Duration and Response to Nasal Decongestion Test,THE LARYNGOSCOPE, Issue 7 2008Giorgio Ciprandi MD Abstract Objectives/Hypothesis: Nasal obstruction depends on allergic inflammation. Decongestion tests evaluate the reversibility of nasal airflow limitation. It has been previously reported that duration of persistent allergic rhinitis (PER) may involve important functional consequences. The purpose of the study was to evaluate the impact of the duration of rhinitis on the response to nasal decongestion test in a cohort of patients with PER. Methods: A total of 312 patients with moderate-severe PER were prospectively and consecutively evaluated: 234 males and 78 females, mean age 23.6 years. A detailed clinical history was taken and complete physical examination, nasal endoscopy, skin prick test, rhinomanometry, and nasal decongestion test were performed for all patients. Results: A strong inverse correlation was observed (Pearson's r = ,0.81) between rhinitis duration (years) and posttest percentage change of nasal airflow values. Conclusions: The duration of PER may induce a progressive impairment of the response to nasal decongestion test. [source] Persistent Allergic Rhinitis Includes Different Pathophysiologic TypesTHE LARYNGOSCOPE, Issue 3 2008Giorgio Ciprandi MD Abstract Background: Allergy rhinitis is typically classified as seasonal allergy rhinitis (SAR) and perennial allergy rhinitis (PAR). More recently, the Allergic Rhinitis and its Impact on Asthma document proposed the intermittent (ITR) and persistent forms (PER). However, it has been previously reported that each single allergen may induce different clinical and pathophysiologic features. Objective: The aim of the study was to test the hypothesis that the type of causal allergen might characterize pathophysiologic differences in a cohort of patients with PER. Methods: Three hundred nineteen patients, sailors of the Italian Navy, with moderate-severe PER were prospectively and consecutively evaluated with clinical evaluation, skin prick test, rhinomanometry, and nasal decongestion test. Results: Patients with pollen allergy showed significantly more severe symptoms, lower nasal airflow, and higher response to decongestion test than patients with allergy to perennial allergens (P < .0001). Conclusion: This study provides evidence that patients with PER may show different pathophysiologic patterns depending on the type of causal allergen. [source] |