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Sleep and psychological disorders seriously affect the quality of life of chronic rhinosinusitis patients

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

Chronic rhinosinusitis (CRS) is a common disease that affects patients’ quality of life (QoL). We aim to explore which symptoms bothered the patient most.

Methods

This is a cross-sectional study of CRS patients 2 years after endoscopic sinus surgery (ESS). The main observation indicators were SNOT-22 and visual analog scale (VAS) scores. The patients were grouped according to clinical control standard of EPOS 2020. Patients’ symptom scores and postoperative medication were used for analysis.

Results

A total of 276 patients were included, among them, uncontrolled patients accounted for 23.9%, sense of taste/smell, fatigue, lacking of a good night’s sleep, reduced concentration and reduced productivity were the most serious symptoms that troubled them. VAS and SNOT-22 scores were significantly different among all groups (P = 0.000), and had clinical significance for the diagnosis of clinical uncontrolled patients (both P < 0.0001). Furthermore, the duration of corticosteroids use and nasal saline irrigation in uncontrolled patients was significantly longer than that in other patients (P < 0.05).

Conclusion

There are significant differences in the QoL of CRS patients with different clinical control, sleep and psychological disorders are main symptoms that affect the QoL of CRS patients, and more targeted management of sleep/psychological issues may be needed especially for uncontrolled patients.

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Data availability

Data available on request from the authors.

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Acknowledgements

The authors thank all medical staff and graduate students of the department of otorhinolaryngology, head and neck surgery, Beijing Anzhen Hospital.

Funding

This study was supported by Capital Health Research and Development of Special Fund [2018-2-2065] and Beijing Hospitals Authority Clinical Medicine Development of Special Funding [No. XMLX202110].

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Author notes

  1. Chan Wu

    Present address: Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Road, Chaoyang District, Beijing, 100029, China

Authors and Affiliations

  1. Capital Institute of Pediatrics, 2 Yabao Road, Chaoyang District, Beijing, 100045, China

    Xiaojun Zhan

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  1. Chan Wu
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Corresponding author

Correspondence to Xiaojun Zhan.

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Conflict of interest

No potential conflict of interest was reported by the authors.

Ethical approval

This study was approved by Beijing Anzhen Medical Ethics Committee (2018059X).

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Wu, C., Zhan, X. Sleep and psychological disorders seriously affect the quality of life of chronic rhinosinusitis patients. Eur Arch Otorhinolaryngol 281, 3615–3623 (2024). https://doi.org/10.1007/s00405-024-08505-3

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  • DOI: https://doi.org/10.1007/s00405-024-08505-3

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