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Validation of the modified allergic rhinitis and its impact on asthma (ARIA) severity classification in allergic rhinitis children: the PEDRIAL study.
- Source :
-
Allergy [Allergy] 2012 Nov; Vol. 67 (11), pp. 1437-42. Date of Electronic Publication: 2012 Sep 18. - Publication Year :
- 2012
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Abstract
- Background: A modified allergic rhinitis and its impact on asthma (ARIA) (m-ARIA) criterion to classify the severity of allergic rhinitis (AR) has recently been validated in both treated and untreated adult patients; however, such information in children is lacking. The aim of this study was to validate this m-ARIA severity criterion, which allows for discrimination between moderate and severe AR, in a large pediatric patient sample population.<br />Methods: The m-ARIA classification categorizes AR severity into mild (no affected items), moderate (1-3 affected items), and severe (all four affected items). We applied this modified criterion to untreated AR pediatric patients aged 6-12 years, through an observational, cross-sectional, and multicenter study. AR symptoms were assessed using the Total Four Symptom Score (T4SS), and the severity was evaluated by both ARIA severity items and visual analogue scale (VAS).<br />Results: Allergic rhinitis pediatric patients (N = 1269) from 271 centers were included. Among them, 59.5% had intermittent and 40.5% persistent disease; 89.9% had moderate/severe AR using the original ARIA (o-ARIA) classification and 59.5% had moderate, while 30.5% had severe AR using the m-ARIA criterion. Using the m-ARIA, significantly higher T4SS and VAS scores were obtained when comparing severe with moderate AR.<br />Conclusions: The m-ARIA severity classification is a useful clinical tool to discriminate moderate from severe AR among untreated pediatric patients.<br /> (© 2012 John Wiley & Sons A/S.)
Details
- Language :
- English
- ISSN :
- 1398-9995
- Volume :
- 67
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Allergy
- Publication Type :
- Academic Journal
- Accession number :
- 22985483
- Full Text :
- https://doi.org/10.1111/all.12011