Acta Scientific Paediatrics (ISSN: 2581-883X)

Research Article Volume 5 Issue 8

Does the Treatment of Asthma and Allergic Rhinitis Decrease the Likelihood of an Obstructive Sleep Apnea Work-up and Treatment?

Pushpom James*, Steven Daoud, Seleshi Demissie, Raisa Saab and Philip Roth

Department of Pediatrics, Staten Island University Hospital Northwell Health, Staten Island, New York, USA

*Corresponding Author: Pushpom James, Department of Pediatrics, Staten Island University Hospital Northwell Health, Staten Island, New York, USA.

Received: June 15, 2022; Published: July 27, 2022

Abstract

Introduction: Introduction: Obstructive sleep apnea hypopnea syndrome (OSAHS) is an independent risk factor for asthma exacerbations [1]. Since there is an overlap in symptoms between OSAHS and bronchial asthma, with good control of a patient’s asthma and allergic/non-allergic rhinitis, there should be fewer patients warranting work-up and treatment of obstructive sleep apnea.

Methodology: The goal was to determine the change on the sleep related breathing disorder scale (SRBD) once a patient’s asthma and allergic/non-allergic rhinitis had been controlled [2]. Two questionnaires were administered on patient’s first visit, the SRBD scale and depending on age, the Asthma Control Test (ACT) or Childhood ACT. These questionnaires were readministered on a subsequent visit once their asthma and allergic rhinitis were controlled [3].

Results: A total of 68 patients were recruited. 40 completed 2 visits according to protocol. Of these, 28, that is 70% of patients showed improvement on the SRBD scale once their asthma and allergic/non-allergic rhinitis were controlled.

Conclusion: By controlling a patient’s asthma and allergic/non-allergic rhinitis, we can increase the specificity of the SRBD scale in asthmatics. This may improve screening for pediatric obstructive sleep apnea in children with asthma with more appropriate usage of diagnostic tools such as polysomnography and perhaps decrease the use of unnecessary treatments and surgeries, such as, tonsillectomy and adenoidectomy.

Keywords: Asthma; Pediatric Pulmonology; Obstructive Sleep Apnea Hypopnea Syndrome; Pediatric Sleep Questionnaire; Asthma Control Test; Otolaryngology

References

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Citation

Citation: Pushpom James., et al. “Does the Treatment of Asthma and Allergic Rhinitis Decrease the Likelihood of an Obstructive Sleep Apnea Work-up and Treatment?". Acta Scientific Paediatrics 5.8 (2022): 15-22.

Copyright

Copyright: © 2022 Pushpom James., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Impact Factor1.197

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