The Correlation Between SNOT-22 and Visual Analogue Scale in the Assessment of Symptom Severity in Chronic Rhinosinusitis

O. J. Idugboe, A. Adeyemo, E. Totyen
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Abstract

Chronic rhinosinusitis is an inflammatory process involving the sinonasal mucosa, lasting 12 weeks or longer. It is often characterized by a complex of debilitating symptoms usually classified into minor and major symptoms. Estimating symptom/ disease severity using structured questionnaires can be challenging. This is especially so in rural areas where a combination of low literacy levels and language barrier may present communication difficulties. In view of the aforementioned challenges, it has become imperative to explore the correlation between the 22- item sino-nasal outcome test (SNOT-22) and a simpler means of evaluating symptom severity in chronic rhinosinusitis; hence this study. To determine the correlation between SNOT-22 and visual analogue scale (VAS) questionnaire scoring of symptom severity in chronic rhinosinusitis. This was a twelve month prospective cross sectional study of fifty- two consecutive newly diagnosed adult patients with chronic rhinosinusitis. Age of patients ranged from 19 – 91 years. Male to female ratio was 1: 1.26. There was a significant positive correlation between VAS and SNOT-22 in moderate and high symptom severity in patients with CRS. This study found a positive correlation between SNOT-22 and VAS scoring of disease severity in moderate and severe diseases and an insignificant correlation between these two instruments in mild disease. VAS can be used as a guide to symptom severity in the pre-treatment patients with CRS.
SNOT-22与视觉模拟量表评价慢性鼻窦炎症状严重程度的相关性
慢性鼻窦炎是一种累及鼻粘膜的炎症过程,持续12周或更长时间。它的特点是复杂的衰弱症状,通常分为轻微症状和严重症状。使用结构化问卷评估症状/疾病严重程度可能具有挑战性。这在农村地区尤其如此,那里的识字率低加上语言障碍可能造成交流困难。鉴于上述挑战,探索22项鼻结果试验(SNOT-22)与一种更简单的慢性鼻窦炎症状严重程度评估方法之间的相关性已成为当务之急;因此进行了这项研究。探讨SNOT-22评分与视觉模拟量表(VAS)评定慢性鼻窦炎症状严重程度的相关性。这是一项为期12个月的前瞻性横断面研究,研究对象为52名连续新诊断的慢性鼻窦炎成年患者。患者年龄在19 - 91岁之间。男女比例为1:1 .26。CRS患者中高症状严重程度VAS与SNOT-22评分有显著正相关。本研究发现,在中重度疾病中,SNOT-22与VAS评分的疾病严重程度呈正相关,在轻度疾病中,两者的相关性不显著。VAS可作为治疗前CRS患者症状严重程度的指导。
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