May 15, 2014

A cross sectional assessment of allergic rhinitis and asthma control at an immunoallergology outpatient hospital setting using CARAT10 questionnaire


Abstract

Introduction
The most recent guidelines on asthma and rhinitis management recommend the optimal control of both diseases as the primary goal of treatment. CARAT10 is a recently developed and validated Portuguese questionnaire, which permits the simultaneous assessment of allergic rhinitis and asthma (ARA) control. There is no published data about the use of this tool.
Aims
To assess ARA control using CARAT10 in an Immunoallergology hospital setting.
Methods
Patients with diagnosis of allergic rhinitis with or without asthma (positive aeroallergens prick-tests and/or positive specific IgE) were sequentially enrolled and asked to fill in CARAT10 questionnaire at their first appointment.
Results
Two hundred patients were included, mostly female (n = 142) with an average age of 33.6 ± 12.3 years. ARA was present in 86 patients while 114 had isolated allergic rhinitis. In ARA group, 86% scored CARATtotal - 24, meaning poor control. Subscores revealed that 83% had poorly controlled rhinitis (CARATr ≤8) and 74% had poorly controlled asthma (CARATa -16). There were no age or gender related differences in ARA control. In allergic rhinitis group (n = 114), 89% were poorly controlled.
Conclusions
Only 14% of patients presenting rhinitis and asthma had both diseases controlled.
Keywords: Allergic rhinitis. Asthma. Assessment. Control. Questionnaire. Control of Allergic Rhinitis and Asthma Test 10.

No comments:

Post a Comment