Author(s)
Robert A. McQuitty BS
Roger D. Rui BS
Mohamad R. Chaaban MD MSCR MBA
Affiliation(s)
University of Texas Medical Branch
Abstract:
Educational Objective: At the conclusion of this presentation, the participants should be able to understand the association between chronic rhinosinusitis and pneumonia. Objectives: Our objective in this study is to examine the association between chronic sphenoid sinusitis and the development of community acquired pneumonia. Study Design: Retrospective chart review. Methods: Retrospective chart review of chronic rhinosinusitis (CRS) patients that presented to a tertiary rhinology clinic from 2013-2015 was conducted. Patients were excluded if they were not seen for at least 2 years. Patients were categorized into CRS with sphenoid sinusitis (group A) and CRS without sphenoid sinusitis (group B). The latter group was divided into four categories according to their CT scan/endoscopy findings: mucosal thickening, partial opacification, complete opacification and purulent sphenoid drainage. Charts were then reviewed on whether the patients developed pneumonia within 2 years of their visit to the rhinologist. Results: 647 of 1,061 patients were included in the analysis. There were 178 (27.51%) patients in group A and 469 (72.49%) patients in group B. There were 41 total cases of pneumonia with 28 (68.29%) cases having chronic sphenoid sinusitis. Patients with sphenoid sinusitis were 7.08 (95% CI, 3.52-14.24) times more likely to have pneumonia. Patients with partial/complete opacification of the sphenoid sinus were 20.71 (95% CI, 9.25-46.38) times more likely to have pneumonia. Patients with only mucosal thickening of the sphenoid sinus did not have significantly increased odds of having pneumonia. Conclusions: Patients with chronic sphenoid sinusitis had a significantly increased risk of having pneumonia. Partial/complete opacification had the highest association with pneumonia.