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Is SNOT-22 a Reliable Tool During Periods of High Stress? A Retrospective Cohort Study. | LitMetric

Is SNOT-22 a Reliable Tool During Periods of High Stress? A Retrospective Cohort Study.

Laryngoscope

Department of Otolaryngology - Head and Neck Surgery, Hadassah Medical Center, Jerusalem, Israel.

Published: October 2024

AI Article Synopsis

  • The study aimed to analyze how the October 7, 2023 terror attack affected SNOT-22 scores, particularly in extra-rhinologic areas, by comparing data from patients before and after the event.
  • Conducted at a university hospital, the study involved 159 patients filling out the SNOT-22 questionnaire, revealing a general decline in scores, especially in the Nasal subdomain, though some subdomains showed mixed results.
  • While the study didn't find a clear connection between the attack and specific SNOT-22 subdomains, it suggested that these scores might be less reliable in high-stress situations.

Article Abstract

Objective: To assess the impact of a major crisis, such as the October 7, 2023, terror attack, on SNOT-22 scores, especially the extra-rhinologic subdomains.

Methods: This retrospective cohort study was conducted at the Rhinology Clinic in a Tertiary University Hospital. Patients who visit our Rhinology Clinic routinely complete the SNOT-22, a widely employed questionnaire designed for evaluating health-related quality of life in individuals with rhinologic conditions. Patients were divided into two groups: 5 weeks before the October 7 terror attack and 5 weeks after. Primary outcomes for analyses included the Sedaghat Subdomain model of the SNOT-22. Descriptive analysis and Welch's t-test were used to compare SNOT-22 subdomain scores between groups.

Results: A total of 159 patients completed the SNOT-22 questionnaire, with 60 before and 99 after October 7, 2023. A general decrease in average scores was observed across all subdomains, with a significant decrease in the Nasal subdomain (p = 0.0388). Subgroup analysis showed an increase in the Ear/Facial subdomain in Arabic and the Sleep and Function subdomains in English, though not statistically significant. In sex-based sub-analysis, female patients showed a significant decrease in the Emotions subdomain.

Conclusion: Our study was unable to establish a direct link between the terror attack and specific SNOT-22 subdomains. However, the observed trends suggest that SNOT-22 may display variability or unreliability when used during periods of high stress.

Level Of Evidence: III Laryngoscope, 2024.

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Source
http://dx.doi.org/10.1002/lary.31879DOI Listing

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