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PROFILE OF PATIENTS WITH ALLERGIC RHINITIS: A TOTAL NASAL SYMPTOM SCORE AND EPWORTH SLEEPINESS SCALE BASED STUDY AT RSUD DR. SOETOMO HOSPITAL, SURABAYA, INDONESIA
DEP. OF OTORHINOLARYNGOLOGY - HEAD AND NECK SURGERY, FACULTY OF MEDICINE AIRLANGGA UNIV. DR SOETOMO GENERAL ACADEMIC HOSP.
ALVINA CHARISTA RUSLI, ALVINA C. RUSLI, DWI RENO PAWARTI
¸ñÀû: Allergic rhinitis (AR) is a chronic inflammatory disease mediated by immunoglobulin (Ig) E in the nasal mucosa and stimulated by allergen exposure. Our objective was to identify the demographic and clinical profile of patients with allergic rhinitis in an adult outpatient clinic, based specifically on the Total Nasal Symptom Score (TNSS) and Epworth Sleepiness Scale (ESS). Through ESS, we can evaluate sleep quality, while TNSS assesses the specific combinations of nasal symptoms affecting AR patients. ¹æ¹ý:In this retrospective study, we analyzed records of patients referred to the Allergy- Immunology division of the Otolaryngology outpatient clinic of RSUD Dr. Soetomo Hospital in Surabaya from January 2019 to December 2021. Data such as the TNSS scores, ESS score, age, gender, job, and level of education were collected and analyzed. °á°ú:A total of 188 patient files were analyzed, with 116 (61.7%) subjects fulfilling the inclusion and exclusion criteria. Out of which, 71 (61.21%) subjects were female, compared to 45 (38,79%) male. The age demographic was between the ages of 64 (oldest) and 18 (youngest), which gives an average age in this study to be 32.44 years old, with the biggest age group found with AR being between 20 and 29(50%). Most subjects have a normal BMI (40,52%), a job as an entrepreneur (31,03%), and a university or equivalent level of education (48,28%). Subjects with a combination of symptoms (99,14%) were much higher than those with only one symptom. Most have mild nasal symptoms (44,83%), with sneezing being the most common. The largest group has a normal ESS (63,79%) with 'sitting quitely after lunch without alcohol consumption' being the predominant manifestation of excessive daytime somnolence found in 109 (93,97%) subjects. Rarely do we find subjects complaining of sleepiness when 'riding in a car as a passenger for 1 hour without rest' (53,45%). °á·Ð:This study showed that although the biggest ESS group is normal, most patients have symptoms of excessive daytime somnolence, while the TNSS is mostly mild. Hence, it opens up possibilities for further studies in analyzing the effects of AR on sleep quality.


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