Accuracy of peak nasal flow to determine nasal obstruction in patients with allergic rhinitis.

Journal article


de Oliveira, G.M.M., Correia Júnior, M. A.de V., Costa, E.C., Lira, G. V. de A. G., Rizzo, J. Â., Hunter, S., Gaoua, N. and Sarinho, E.S. C. (2022). Accuracy of peak nasal flow to determine nasal obstruction in patients with allergic rhinitis. Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale. 42 (2), pp. 155-161. https://doi.org/10.14639/0392-100X-N1617
Authorsde Oliveira, G.M.M., Correia Júnior, M. A.de V., Costa, E.C., Lira, G. V. de A. G., Rizzo, J. Â., Hunter, S., Gaoua, N. and Sarinho, E.S. C.
AbstractThe aim of this study was to investigate the ability of Peak Nasal Inspiratory Flow (PNIF) and Peak Nasal Expiratory Flow (PNEF) measures to predict symptoms of nasal obstruction. This is a cross-sectional study, carried out in 131 individuals (64 with symptomatic allergic rhinitis and 67 asymptomatic) aged between 16 and 50 years. PNIF and PNEF were higher among non-rhinitis. In the curve analysis (receiver operating characteristic), a value of 115 was found for PNIF with a sensitivity of 98.4% and specificity of 87.5% (AUC = 0.99, p < 0.001) and 165 in PNEF with a sensitivity of 65.7% and specificity of 85.1% (AUC = 0.92, p < 0.001). PNIF and PNEF values were lower in patients with AR compared to asymptomatic cases. Our findings present reference values of PNIF and PNEF in the evaluation of nasal obstruction symptoms and reinforce the importance to complement more refined assessment of patients' symptoms. PNEF can be a valuable tool in screening patients and to complement PNIF measurement. [Abstract copyright: Copyright © 2022 Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy.]
KeywordsRhinitis, Allergic - complications; Humans; Nasal Obstruction - complications - diagnosis; Nose; Adult; nasal obstruction; Young Adult; Adolescent; diagnostic techniques; rhinitis; Middle Aged; Cross-Sectional Studies; Data Collection; respiratory system
Year2022
JournalActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale
Journal citation42 (2), pp. 155-161
PublisherPacini Editore Medicina
ISSN1827-675X
Digital Object Identifier (DOI)https://doi.org/10.14639/0392-100X-N1617
Publication dates
Print16 May 2022
Publication process dates
Deposited09 Mar 2022
Accepted15 Dec 2021
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