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The importance of smell in patients with bronchiectasis
Summary Background The aim of the study was to evaluate the sense of smell in patients with bronchiectasis. Methods Prospective controlled study was performed on 91 patients with bronchiectasis. Bronchiectasis patients were sub-classified depending on: the presence of chronic rhinosinusitis, with or...
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| Published in: | Respiratory medicine 2011-01, Vol.105 (1), p.44-49 |
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| creator | Guilemany, José Maria Mariño-Sánchez, Franklin Santiago Angrill, Joaquim Alobid, Isam Centellas, Silvia Pujols, Laura Berenguer, Joan Bernal-Sprekelsen, Manuel Picado, César Mullol, Joaquim |
| description | Summary Background The aim of the study was to evaluate the sense of smell in patients with bronchiectasis. Methods Prospective controlled study was performed on 91 patients with bronchiectasis. Bronchiectasis patients were sub-classified depending on: the presence of chronic rhinosinusitis, with or without nasal polyps, and the bronchiectasis ethiology. Olfactory function was evaluated by means of the Barcelona Smell Test (BAST-24) olfactometry for detection, identification, and forced choice for the first and fifth cranial nerve dependent odours in comparison to a group of 120 healthy volunteers. Results Most patients with bronchiectasis (80.2%) satisfied EP3 OS criteria of chronic rhinosinusitis (CRS), and 26.4% presented nasal polyps (NP). Smell detection, identification, and forced choice tests were significantly ( p |
| doi_str_mv | 10.1016/j.rmed.2010.10.019 |
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Methods Prospective controlled study was performed on 91 patients with bronchiectasis. Bronchiectasis patients were sub-classified depending on: the presence of chronic rhinosinusitis, with or without nasal polyps, and the bronchiectasis ethiology. Olfactory function was evaluated by means of the Barcelona Smell Test (BAST-24) olfactometry for detection, identification, and forced choice for the first and fifth cranial nerve dependent odours in comparison to a group of 120 healthy volunteers. Results Most patients with bronchiectasis (80.2%) satisfied EP3 OS criteria of chronic rhinosinusitis (CRS), and 26.4% presented nasal polyps (NP). Smell detection, identification, and forced choice tests were significantly ( p < 0.001) worse in bronchiectasis patients than healthy controls for both the 1st and 5th CN. Among subgroups, patients with CRS presented a significant ( p < 0.05) reduction in smell detection compared to both healthy controls and patients without CRS. Patients with both CRS and NP presented a significant ( p < 0.01) reduction in both smell detection and forced choice compared to patients with CRS and without NP. Patients with bronchiectasis and primary humoral immunodeficiency had a poorer smell detection ( p < 0.001) and forced choice ( p < 0.001) compared with post-infective and idiopathic bronchiectasis patients. Conclusions Patients with bronchiectasis have a moderate loss of smell with a higher impairment in patients with CRS, being maximal in patients with NP. Patients with immunodeficiency bronchiectasis showed high prevalence of CRS, and therefore marked impairment on the sense of smell. The mechanism could be explained through a mixed ethiology (obstruction/inflammation).</description><identifier>ISSN: 0954-6111</identifier><identifier>EISSN: 1532-3064</identifier><identifier>DOI: 10.1016/j.rmed.2010.10.019</identifier><identifier>PMID: 21111591</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Bronchiectasis ; Bronchiectasis - complications ; Bronchiectasis - epidemiology ; Bronchiectasis - physiopathology ; Chronic Disease ; Chronic rhinosinusitis ; Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction ; Disease ; Female ; Humans ; Hyposmia ; Likert scale ; Male ; Medical imaging ; Medical research ; Medical sciences ; Middle Aged ; Nasal polyposis ; Nasal Polyps - complications ; Nasal Polyps - physiopathology ; Nervous system (semeiology, syndromes) ; Neurology ; Nitric oxide ; Non tumoral diseases ; Nose ; Odorants ; Olfaction ; Olfaction Disorders - epidemiology ; Olfaction Disorders - etiology ; Olfaction Disorders - physiopathology ; Otorhinolaryngology (head neck, general aspects and miscellaneous) ; Otorhinolaryngology. Stomatology ; Physicians ; Pneumology ; Prospective Studies ; Pulmonary/Respiratory ; Respiratory system : syndromes and miscellaneous diseases ; Rhinitis, Allergic, Perennial - physiopathology ; Single-Blind Method ; Smell - physiology ; Smell disorders ; Spain - epidemiology ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology ; Young Adult</subject><ispartof>Respiratory medicine, 2011-01, Vol.105 (1), p.44-49</ispartof><rights>Elsevier Ltd</rights><rights>2010 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2010 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c545t-da3f9657024fa5fb091048db7e08c410b3c79a26c9843849c7b9ba5372b7cf4e3</citedby><cites>FETCH-LOGICAL-c545t-da3f9657024fa5fb091048db7e08c410b3c79a26c9843849c7b9ba5372b7cf4e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23725224$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21111591$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guilemany, José Maria</creatorcontrib><creatorcontrib>Mariño-Sánchez, Franklin Santiago</creatorcontrib><creatorcontrib>Angrill, Joaquim</creatorcontrib><creatorcontrib>Alobid, Isam</creatorcontrib><creatorcontrib>Centellas, Silvia</creatorcontrib><creatorcontrib>Pujols, Laura</creatorcontrib><creatorcontrib>Berenguer, Joan</creatorcontrib><creatorcontrib>Bernal-Sprekelsen, Manuel</creatorcontrib><creatorcontrib>Picado, César</creatorcontrib><creatorcontrib>Mullol, Joaquim</creatorcontrib><title>The importance of smell in patients with bronchiectasis</title><title>Respiratory medicine</title><addtitle>Respir Med</addtitle><description>Summary Background The aim of the study was to evaluate the sense of smell in patients with bronchiectasis. Methods Prospective controlled study was performed on 91 patients with bronchiectasis. Bronchiectasis patients were sub-classified depending on: the presence of chronic rhinosinusitis, with or without nasal polyps, and the bronchiectasis ethiology. Olfactory function was evaluated by means of the Barcelona Smell Test (BAST-24) olfactometry for detection, identification, and forced choice for the first and fifth cranial nerve dependent odours in comparison to a group of 120 healthy volunteers. Results Most patients with bronchiectasis (80.2%) satisfied EP3 OS criteria of chronic rhinosinusitis (CRS), and 26.4% presented nasal polyps (NP). Smell detection, identification, and forced choice tests were significantly ( p < 0.001) worse in bronchiectasis patients than healthy controls for both the 1st and 5th CN. Among subgroups, patients with CRS presented a significant ( p < 0.05) reduction in smell detection compared to both healthy controls and patients without CRS. Patients with both CRS and NP presented a significant ( p < 0.01) reduction in both smell detection and forced choice compared to patients with CRS and without NP. Patients with bronchiectasis and primary humoral immunodeficiency had a poorer smell detection ( p < 0.001) and forced choice ( p < 0.001) compared with post-infective and idiopathic bronchiectasis patients. Conclusions Patients with bronchiectasis have a moderate loss of smell with a higher impairment in patients with CRS, being maximal in patients with NP. Patients with immunodeficiency bronchiectasis showed high prevalence of CRS, and therefore marked impairment on the sense of smell. The mechanism could be explained through a mixed ethiology (obstruction/inflammation).</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Bronchiectasis</subject><subject>Bronchiectasis - complications</subject><subject>Bronchiectasis - epidemiology</subject><subject>Bronchiectasis - physiopathology</subject><subject>Chronic Disease</subject><subject>Chronic rhinosinusitis</subject><subject>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</subject><subject>Disease</subject><subject>Female</subject><subject>Humans</subject><subject>Hyposmia</subject><subject>Likert scale</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nasal polyposis</subject><subject>Nasal Polyps - complications</subject><subject>Nasal Polyps - physiopathology</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Nitric oxide</subject><subject>Non tumoral diseases</subject><subject>Nose</subject><subject>Odorants</subject><subject>Olfaction</subject><subject>Olfaction Disorders - epidemiology</subject><subject>Olfaction Disorders - etiology</subject><subject>Olfaction Disorders - physiopathology</subject><subject>Otorhinolaryngology (head neck, general aspects and miscellaneous)</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Physicians</subject><subject>Pneumology</subject><subject>Prospective Studies</subject><subject>Pulmonary/Respiratory</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Rhinitis, Allergic, Perennial - physiopathology</subject><subject>Single-Blind Method</subject><subject>Smell - physiology</subject><subject>Smell disorders</subject><subject>Spain - epidemiology</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><subject>Young Adult</subject><issn>0954-6111</issn><issn>1532-3064</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNp9kktr3DAQx0VpabZpv0APxVBCe_F2Rg_LglAooY9AIIemZyHLMqutH1vJ25Bv33F3QyCHnASj3zz-8x_G3iKsEbD6tF2nIbRrDv8Da0DzjK1QCV4KqORztgKjZFkh4gl7lfMWAIyU8JKdcIqhMrhi-mYTijjspjS70Ydi6oo8hL4v4ljs3BzDOOfiNs6boknT6Dcx-NnlmF-zF53rc3hzfE_Zr29fby5-lFfX3y8vvlyVXkk1l60TnamUBi47p7oGDIKs20YHqL1EaITXxvHKm1qKWhqvG9M4JTRvtO9kEKfsw6HuLk1_9iHPdojZ04BuDNM-25qTDmm0IPLjkyQJRuAGK0Po-0fodtqnkXRYBKFQCORLQX6gfJpyTqGzuxQHl-4IsosBdmsXA-xiwBIjAyjp3bH0vln-7lPuN07A2RFw2bu-S7T2mB84kq44l8SdH7hA2_0bQ7LZkxs-tDGRB7ad4tNzfH6U7vs4Rur4O9yF_KDXZm7B_lxOZbkUpCORlUbxDzHqtaQ</recordid><startdate>20110101</startdate><enddate>20110101</enddate><creator>Guilemany, José Maria</creator><creator>Mariño-Sánchez, Franklin Santiago</creator><creator>Angrill, Joaquim</creator><creator>Alobid, Isam</creator><creator>Centellas, Silvia</creator><creator>Pujols, Laura</creator><creator>Berenguer, Joan</creator><creator>Bernal-Sprekelsen, Manuel</creator><creator>Picado, César</creator><creator>Mullol, Joaquim</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>ASE</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20110101</creationdate><title>The importance of smell in patients with bronchiectasis</title><author>Guilemany, José Maria ; Mariño-Sánchez, Franklin Santiago ; Angrill, Joaquim ; Alobid, Isam ; Centellas, Silvia ; Pujols, Laura ; Berenguer, Joan ; Bernal-Sprekelsen, Manuel ; Picado, César ; Mullol, Joaquim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c545t-da3f9657024fa5fb091048db7e08c410b3c79a26c9843849c7b9ba5372b7cf4e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Bronchiectasis</topic><topic>Bronchiectasis - complications</topic><topic>Bronchiectasis - epidemiology</topic><topic>Bronchiectasis - physiopathology</topic><topic>Chronic Disease</topic><topic>Chronic rhinosinusitis</topic><topic>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</topic><topic>Disease</topic><topic>Female</topic><topic>Humans</topic><topic>Hyposmia</topic><topic>Likert scale</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nasal polyposis</topic><topic>Nasal Polyps - complications</topic><topic>Nasal Polyps - physiopathology</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Nitric oxide</topic><topic>Non tumoral diseases</topic><topic>Nose</topic><topic>Odorants</topic><topic>Olfaction</topic><topic>Olfaction Disorders - epidemiology</topic><topic>Olfaction Disorders - etiology</topic><topic>Olfaction Disorders - physiopathology</topic><topic>Otorhinolaryngology (head neck, general aspects and miscellaneous)</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Physicians</topic><topic>Pneumology</topic><topic>Prospective Studies</topic><topic>Pulmonary/Respiratory</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Rhinitis, Allergic, Perennial - physiopathology</topic><topic>Single-Blind Method</topic><topic>Smell - physiology</topic><topic>Smell disorders</topic><topic>Spain - epidemiology</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guilemany, José Maria</creatorcontrib><creatorcontrib>Mariño-Sánchez, Franklin Santiago</creatorcontrib><creatorcontrib>Angrill, Joaquim</creatorcontrib><creatorcontrib>Alobid, Isam</creatorcontrib><creatorcontrib>Centellas, Silvia</creatorcontrib><creatorcontrib>Pujols, Laura</creatorcontrib><creatorcontrib>Berenguer, Joan</creatorcontrib><creatorcontrib>Bernal-Sprekelsen, Manuel</creatorcontrib><creatorcontrib>Picado, César</creatorcontrib><creatorcontrib>Mullol, Joaquim</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Respiratory medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guilemany, José Maria</au><au>Mariño-Sánchez, Franklin Santiago</au><au>Angrill, Joaquim</au><au>Alobid, Isam</au><au>Centellas, Silvia</au><au>Pujols, Laura</au><au>Berenguer, Joan</au><au>Bernal-Sprekelsen, Manuel</au><au>Picado, César</au><au>Mullol, Joaquim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The importance of smell in patients with bronchiectasis</atitle><jtitle>Respiratory medicine</jtitle><addtitle>Respir Med</addtitle><date>2011-01-01</date><risdate>2011</risdate><volume>105</volume><issue>1</issue><spage>44</spage><epage>49</epage><pages>44-49</pages><issn>0954-6111</issn><eissn>1532-3064</eissn><abstract>Summary Background The aim of the study was to evaluate the sense of smell in patients with bronchiectasis. Methods Prospective controlled study was performed on 91 patients with bronchiectasis. Bronchiectasis patients were sub-classified depending on: the presence of chronic rhinosinusitis, with or without nasal polyps, and the bronchiectasis ethiology. Olfactory function was evaluated by means of the Barcelona Smell Test (BAST-24) olfactometry for detection, identification, and forced choice for the first and fifth cranial nerve dependent odours in comparison to a group of 120 healthy volunteers. Results Most patients with bronchiectasis (80.2%) satisfied EP3 OS criteria of chronic rhinosinusitis (CRS), and 26.4% presented nasal polyps (NP). Smell detection, identification, and forced choice tests were significantly ( p < 0.001) worse in bronchiectasis patients than healthy controls for both the 1st and 5th CN. Among subgroups, patients with CRS presented a significant ( p < 0.05) reduction in smell detection compared to both healthy controls and patients without CRS. Patients with both CRS and NP presented a significant ( p < 0.01) reduction in both smell detection and forced choice compared to patients with CRS and without NP. Patients with bronchiectasis and primary humoral immunodeficiency had a poorer smell detection ( p < 0.001) and forced choice ( p < 0.001) compared with post-infective and idiopathic bronchiectasis patients. Conclusions Patients with bronchiectasis have a moderate loss of smell with a higher impairment in patients with CRS, being maximal in patients with NP. Patients with immunodeficiency bronchiectasis showed high prevalence of CRS, and therefore marked impairment on the sense of smell. The mechanism could be explained through a mixed ethiology (obstruction/inflammation).</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>21111591</pmid><doi>10.1016/j.rmed.2010.10.019</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Biological and medical sciences Bronchiectasis Bronchiectasis - complications Bronchiectasis - epidemiology Bronchiectasis - physiopathology Chronic Disease Chronic rhinosinusitis Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction Disease Female Humans Hyposmia Likert scale Male Medical imaging Medical research Medical sciences Middle Aged Nasal polyposis Nasal Polyps - complications Nasal Polyps - physiopathology Nervous system (semeiology, syndromes) Neurology Nitric oxide Non tumoral diseases Nose Odorants Olfaction Olfaction Disorders - epidemiology Olfaction Disorders - etiology Olfaction Disorders - physiopathology Otorhinolaryngology (head neck, general aspects and miscellaneous) Otorhinolaryngology. Stomatology Physicians Pneumology Prospective Studies Pulmonary/Respiratory Respiratory system : syndromes and miscellaneous diseases Rhinitis, Allergic, Perennial - physiopathology Single-Blind Method Smell - physiology Smell disorders Spain - epidemiology Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology Young Adult |
| title | The importance of smell in patients with bronchiectasis |
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