The effects of dust storms on quality of life of allergic patients with or without asthma

Year 2016, Volume: 26 Issue: 1, 19 - 27, 07.02.2016

Fatih Kemal Soy Haşmet Yazıcı Erkan Kulduk Rıza Dündar Şule Taş Gülen Sedat Doğan İlknur Haberal Can

Abstract

Objectives: This study aims to investigate the quality of life of allergic patients with or without asthma during dust storms. Patients and Methods: A total of 148 allergic patients 66 males, 82 females; mean age 35.7±15.5 years; range 18 to 65 years were classified as those with group 1, n=80 or without group 2, n=68 concomitant asthma between January 2012 and January 2013. The quality of life [Short Form-36 SF-36 ] scores, Rhinoconjunctivitis Quality of Life Questionnaire RQLQ , nasal symptom and visual analog scale VAS scores at the time of diagnosis were obtained. The particulate matter PM10 and sulfur dioxide SO2 values of that day from the General Directorate of Meteorology were recorded. The day of dust storm and PM10 and SO2 measurements along with SF-36, RQLQ, nasal symptom and VAS scores were recorded again. Results: The absolute change in the RQLQ subparameters including eye and nasal symptoms, practical problems and global scores was statistically significant p=0.022, p=0.036, p=0.026 and p=0.032, respectively . There were statistically significant changes in the SF-36 subgroups of general health, physical functioning, vitality, and mental health p=0.026, p=0.042, p=0.008 and p=0.026, respectively . In the multivariate logistic regression model, specific and general quality of life was 4.6 times worse in RQLQ and 3.8 times in SF-36 after the dust storm in patients with asthma, while 2.1 times worse in RQLQ and 1.9 times in SF-36 in patients with pure allergic rhinitis. The attributable risk of asthma was found to be 2.5 times higher in RQLQ and 1.9 times higher in SF-36. Conclusion: Dust storms may deteriorate the quality of life of patients with allergic rhinitis and asthma and lead to related personal and societal problems.

Keywords

Allergic rhinitis, asthma, dust storm, particulate matter, quality of life

Kum fırtınalarının astımı olan veya olmayan alerjik hastaların yaşam kalitesi üzerindeki etkileri

Abstract

Amaç: Bu çalışmada kum fırtınaları sırasında astımı olan veya olmayan alerji hastalarının yaşam kalitesi araştırıldı.Hastalar ve Yöntemler: Ocak 2012 - Ocak 2013 tarihleri arasında toplam 148 alerjik hasta 66 erkek, 82 kadın; ort. yaş: 35.7±15.5 yıl; dağılım 18-65 yıl , eşlik eden astımı olan grup 1, n=80 veya olmayanlar grup 2, n=68 olarak sınıflandırıldı. Tanı esnasında yaşam kalitesi [Kısa Form-36 KF-36 ] skorları, rinokonjonktivit yaşam kalitesi anketi RQLQ , nazal semptom ve görsel analog ölçeği GAÖ skorları hesaplandı. Meteoroloji Genel Müdürlüğü’nden o güne ait parçacıklı madde PM10 ve sülfür dioksit SO2 değerleri kaydedildi. O güne ait kum fırtınası ve PM10 ve SO2 ölçümleri, KF-36, RQLQ, nazal semptom ve GAÖ skorları ile birlikte tekrar kaydedildi.Bulgular: Göz ve burun semptomları, uygulama sorunları ve global skorlar dahil RQLQ’nin alt parametrelerinde görülen mutlak değişiklik istatistiksel olarak anlamlı idi sırasıyla p=0.022, p=0.036, p=0.026 ve p=0.032 . Kısa Form-36’nın genel sağlık, fiziksel fonksiyon, canlılık ve mental sağlık alt gruplarında istatistiksel olarak anlamlı değişiklikler vardı sırasıyla p=0.026, p=0.042, p=0.008 ve p=0.026 . Çok değişkenli lojistik regresyon modelinde, kum fırtınası sonrasında astım hastalarının spesifik ve genel yaşam kalitesi RQLQ’de 4.6 kat ve KF-36’da 3.8 kat daha kötü iken, sadece alerjik riniti olan hastalarda RQLQ’de 2.1 ve KF-36’da 1.9 kat daha kötü idi. Atfedilebilir astım riski, RQLQ’de 2.5 kat, KF-36’da 1.9 kat daha yüksek bulundu.Sonuç: Kum fırtınaları alerjik rinit ve astım hastalarının yaşam kalitesini kötüleştirebilir ve ilişkili kişisel ve toplumsal sorunlar yaratabilir

Keywords

Alerjik rinit, astım, kum fırtınası, parçacıklı madde, yaşam kalitesi

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