Marambaia Pablo Pinillos, Lima Manuela Garcia, Guimarães Marina Barbosa, Gomes Amaury de Machado, Marambaia Melina Pinillos, Santos Otávio Marambaia Dos, Gomes Leonardo Marques
Escola Bahiana de Medicina e Saúde Pública (Bahiana), Programa de Pós-graduação, Salvador, BA, Brazil.
Escola Bahiana de Medicina e Saúde Pública (Bahiana), Programa de Pós-graduação, Salvador, BA, Brazil; Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.
Braz J Otorhinolaryngol. 2017 Jul-Aug;83(4):451-456. doi: 10.1016/j.bjorl.2016.05.010. Epub 2016 Jun 24.
Chronic rhinosinusitis is a prevalent disease that has a negative impact on the lives of sufferers. SNOT-22 is considered the most appropriate questionnaire for assessing the quality of life of these patients and a very effective method of evaluating therapeutic interventions; however it is not used as a tool for decision-making.
To test the hypothesis that the SNOT-22 score can predict the outcome of surgical treatment.
A retrospective, longitudinal and analytical study. We evaluated the medical records of patients with chronic rhinosinusitis that completed the SNOT-22 at the time of diagnosis. All the patients were consecutively receiving care at an otolaryngology service in Salvador, Bahia from August 2011 to June 2012. The outcomes of the surgical treatment of these patients were obtained from their medical records. The initial score was compared to a group of patients who were not referred for surgery. All the patients completed and signed a consent form.
Of the 88 patients with chronic rhinosinusitis, 26 had evolved to surgery over the last 3 years. The groups were homogeneous regarding gender and respiratory and medication allergies. The patients of the surgical group were 44.8+13.8 years old and the patients of the clinical group were 38.2+12.5 years old (p=0.517). The average SNOT-22 score of the case group was 49+19 and the average score of the control group was 49+27 (p=0.927).
The SNOT-22 was unable to predict the outcome of surgical patients with chronic rhinosinusitis.
慢性鼻-鼻窦炎是一种常见疾病，对患者生活产生负面影响。SNOT-22被认为是评估这些患者生活质量的最合适问卷，也是评估治疗干预措施的非常有效的方法；然而，它并未被用作决策工具。
检验SNOT-22评分能否预测手术治疗结果这一假设。
一项回顾性、纵向分析研究。我们评估了在诊断时完成SNOT-22问卷的慢性鼻-鼻窦炎患者的病历。2011年8月至2012年6月期间，所有患者均在巴伊亚州萨尔瓦多的耳鼻喉科连续接受治疗。这些患者的手术治疗结果从其病历中获取。将初始评分与一组未被转诊进行手术的患者进行比较。所有患者均填写并签署了知情同意书。
在88例慢性鼻-鼻窦炎患者中，过去3年中有26例接受了手术治疗。两组在性别、呼吸道和药物过敏方面具有同质性。手术组患者年龄为44.8±13.8岁，临床组患者年龄为38.2±12.5岁（p = 0.517）。病例组的平均SNOT-22评分为49±19，对照组的平均评分为49±27（p = 0.927）。
SNOT-22无法预测慢性鼻-鼻窦炎手术患者的治疗结果。
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