Department of Otorhinolaryngology - Head and Neck Surgery, Rush University Medical Center, Chicago, IL, USA.
Department of Otorhinolaryngology - Head and Neck Surgery, Rush University Medical Center, Chicago, IL, USA.
Am J Otolaryngol. 2023 Mar-Apr;44(2):103737. doi: 10.1016/j.amjoto.2022.103737. Epub 2023 Jan 16.
In the wake of the novel coronavirus disease (COVID-19), patients with subglottic stenosis (SGS) have a new, seemingly ubiquitous, respiratory disease to contend with. Whether real or perceived, it is likely that patients with SGS will feel exposed during the current pandemic. This study seeks to determine whether patients with SGS have increased rates of anxiety during the COVID-19 pandemic relative to healthy controls, as well as how much of an impact the pandemic itself plays in the mental health of this population.
Retrospective review of 10 patients with a confirmed SGS diagnosis and 21 control patients were surveyed via telephone. Patients of all ages that had an in-person or virtual visit within 3 months of the survey start date were included.
A total of 30 patients were surveyed in this study, of whom 67.8 % were in the control group and 32.2 % were comprised of patients diagnosed with SGS. SGS patients reported a significantly higher level of anxiety on the GAD-7 scale with severe anxiety in 20 % of patients, moderate anxiety in 50 % of patients, mild anxiety in 20 %, and 10 % reporting no anxiety. Overall, the average reported GAD-7 score of the SGS patients and control patients were 10.8 ± 4.96 and 6.67 ± 2.96 respectively (p < 0.05).
This study is the first of its kind to analyze the rates and causes of anxiety within the context of the COVID-19 pandemic on patients diagnosed with subglottic stenosis. SGS patients were found to have a significantly higher anxiety based on the GAD-7 survey in comparison to patients without SGS.
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在新型冠状病毒病（COVID-19）之后，患有声门下狭窄（SGS）的患者出现了一种新的、看似普遍存在的呼吸道疾病。无论是否真实存在，患有 SGS 的患者在当前大流行期间可能会感到暴露。本研究旨在确定患有 SGS 的患者在 COVID-19 大流行期间是否比健康对照组有更高的焦虑率，以及大流行本身对这一人群的心理健康有多大影响。
通过电话对 10 例确诊为 SGS 的患者和 21 例对照患者进行回顾性调查。所有年龄的患者在调查开始日期后的 3 个月内进行了面对面或虚拟就诊。
本研究共调查了 30 例患者，其中 67.8%为对照组，32.2%为 SGS 患者。SGS 患者在 GAD-7 量表上报告的焦虑水平明显更高，20%的患者有严重焦虑，50%的患者有中度焦虑，20%的患者有轻度焦虑，10%的患者没有焦虑。总体而言，SGS 患者和对照组患者的平均 GAD-7 评分分别为 10.8±4.96 和 6.67±2.96（p<0.05）。
这是第一项分析 COVID-19 大流行背景下声门下狭窄患者焦虑发生率和原因的研究。与无 SGS 的患者相比，SGS 患者根据 GAD-7 调查发现焦虑程度明显更高。
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