A New Scoring System for Assessing the Severity of Adult Acute Rhinosinusitis
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- Yamanaka Noboru
- Department of Otolaryngology-Head and Neck Surgery, Wakayama Medical University
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- Hotomi Muneki
- Department of Otolaryngology-Head and Neck Surgery, Wakayama Medical University
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- Togawa Akihisa
- Department of Otolaryngology-Head and Neck Surgery, Wakayama Medical University
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- Ikeda Yorihiko
- Department of Otolaryngology-Head and Neck Surgery, Wakayama Medical University
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- Tamura Shinji
- Department of Otolaryngology-Head and Neck Surgery, Wakayama Medical University
Bibliographic Information
- Other Title
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- 成人急性鼻副鼻腔炎のスコアリングシステムと重症度分類の検討
- セイジン キュウセイ ハナ フクビコウエン ノ スコアリング システム ト ジュウショウド ブンルイ ノ ケントウ
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Description
Treating acute rhinosinusitis requires assessing severity and selecting appropriate antimicrobial agents. In 2006, we developed clinical scoring system for diagnosing and treating acute rhinosinusitis based on three clinical symptoms of rhinorrhea, fever, and facial pain and three nasal findings of characteristics and nasal discharge amount, nasal mucosal swelling and nasal mucosal redness. To verify and update scoring, we studied score-based diagnosis of adult acute rhinosinusitis severity. Prevalence of symptoms such as fever and serous nasal discharge in 95 subjects was low as 8.4% and 3% indicating less useful as evaluation items on the diagnosis. Mucopurulent nasal discharge (r=0.67), facial pain (r=0.51), rhinorrhea (r=0.47), and swelling (r=0.45) correlated significantly with severity evaluated by attending otolaryngological specialists. Nasal mucosal swelling caused discrepancy between clinical scoring and specialists' assessment. Evaluated by multivaliate analysis, factors affecting severity assessment were mucopurulent nasal discharge, facial pain, and rhinorrhea (p<0.0001), but not swelling (p=0.49). We concluded that mucopurulent nasal discharge scored 0, 2, or 4, facial pain scored 0, 1, or 2, and rhinorrhea scored 0, 1, or 2 should be used in evaluation in new clinical scoring, classified by severity as mild scored 1-3, moderate scored 4-6, and severe scored 7-8 by evaluating consistency with specialist assessment.
Journal
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- Nippon Jibiinkoka Gakkai Kaiho
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Nippon Jibiinkoka Gakkai Kaiho 113 (8), 687-698, 2010
Japanese Society of Otorhinolaryngology-Head and neck surgery
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Details 詳細情報について
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- CRID
- 1390001205011193088
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- NII Article ID
- 10027692641
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- NII Book ID
- AN00191551
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- COI
- 1:STN:280:DC%2BC3cfivFOhtw%3D%3D
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- ISSN
- 18830854
- 00306622
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- NDL BIB ID
- 10813587
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed