EVALUATING DIAGNOSTIC VALUE OF CLINICAL SYMPTOMS AND SIGNS FOR SINUSITIS BY CT SCAN AT MILAD HOSPITAL

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SAFAVI NAEINI ALI; ZANGI M.; SAFAVI NAEINI P.; HAJ FATHALI A.R.

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Journal: Annals of Military and Health Sciences Research Year:2007 | Volume:5 | Issue:2 (SERIAL NUMBER18) Page(s): 1245-1249

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Title

EVALUATING DIAGNOSTIC VALUE OF CLINICAL SYMPTOMS AND SIGNS FOR SINUSITIS BY CT SCAN AT MILAD HOSPITAL

Author(s)

SAFAVI NAEINI ALI | ZANGI M. | SAFAVI NAEINI P. | HAJ FATHALI A.R. | Issue Writer Certificate

Keywords

DIAGNOSTIC VALUEQ4

SINUS CT SCANQ3

SINUSITISQ3

Abstract

Background: chronic SINUSITIS is defined by the presence of a characteristic group of symptoms, with no radiologic imaging as part of the diagnosis. Nevertheless, many clinicians currently use the SINUS CT SCAN for two important clinical purposes: (1) as a diagnostic test confirming the presence of chronic SINUSITIS and (2) as an indicator of disease severity. In the present study, we examined radiologic correlates of the patients symptoms for rhino SINUSITIS.Materials and methods: two hundreds consecutive patients undergoing computed tomography (CT) scans of the sinuses were studied at Milad hospital. University Patients were evaluated prospectively with a questionnaire based on their symptoms, and their CT scans were graded according to the Lund-Mackay scoring system.Results: Of the 198 patients, 111(56.1%) had positive scans (Lund-McKay score, >1). The most sensitive and specific symptoms were nasal congestion (78.4%) and recurrent cough (69%) respectively. The Kappa coefficient for nasal discharge and nasal congestion were 0.171 and 0.181 indicating poor agreement between them and CT positivity. The patients suffering from nasal congestion and recurrent cough significantly had more severe SINUSITIS according to their Lund- McKay score than who didn't.Conclusion: Based on this study, it appears that the specificity and predictive value of nasal discharge, nasal congestion and recurrent cough are more significant than others. Additional validating data may provide guidance for improving the sensitivity and specificity of symptom-based diagnostic instruments for SINUSITIS.

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APA: Copy

SAFAVI NAEINI, ALI, ZANGI, M., SAFAVI NAEINI, P., & HAJ FATHALI, A.R.. (2007). EVALUATING DIAGNOSTIC VALUE OF CLINICAL SYMPTOMS AND SIGNS FOR SINUSITIS BY CT SCAN AT MILAD HOSPITAL. ANNALS OF MILITARY AND HEALTH SCIENCES RESEARCH, 5(2 (SERIAL NUMBER18)), 1245-1249. SID. https://sid.ir/paper/96541/en

Vancouver: Copy

SAFAVI NAEINI ALI, ZANGI M., SAFAVI NAEINI P., HAJ FATHALI A.R.. EVALUATING DIAGNOSTIC VALUE OF CLINICAL SYMPTOMS AND SIGNS FOR SINUSITIS BY CT SCAN AT MILAD HOSPITAL. ANNALS OF MILITARY AND HEALTH SCIENCES RESEARCH[Internet]. 2007;5(2 (SERIAL NUMBER18)):1245-1249. Available from: https://sid.ir/paper/96541/en

IEEE: Copy

ALI SAFAVI NAEINI, M. ZANGI, P. SAFAVI NAEINI, and A.R. HAJ FATHALI, “EVALUATING DIAGNOSTIC VALUE OF CLINICAL SYMPTOMS AND SIGNS FOR SINUSITIS BY CT SCAN AT MILAD HOSPITAL,” ANNALS OF MILITARY AND HEALTH SCIENCES RESEARCH, vol. 5, no. 2 (SERIAL NUMBER18), pp. 1245–1249, 2007, [Online]. Available: https://sid.ir/paper/96541/en

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