Book Reut, Lazutkin Anna, Book Aviad, Eliashar Ron
Department of Otolaryngology - Head and Neck Surgery, Hadassah Medical Center, Jerusalem, Israel.
Faculty of Medicine, Hadassah-Hebrew University of Jerusalem, Jerusalem, Israel.
Laryngoscope. 2025 Apr;135(4):1309-1314. doi: 10.1002/lary.31879. Epub 2024 Oct 28.
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.
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.
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.
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.
3 Laryngoscope, 135:1309-1314, 2025.
评估重大危机事件（如2023年10月7日的恐怖袭击）对鼻-鼻窦结局测试-22（SNOT-22）评分的影响，特别是鼻外子域。
这项回顾性队列研究在一所三级大学医院的鼻科诊所进行。定期到我们鼻科诊所就诊的患者会完成SNOT-22问卷，这是一份广泛用于评估鼻科疾病患者健康相关生活质量的问卷。患者被分为两组：2023年10月7日恐怖袭击前5周和袭击后5周。分析的主要结局包括SNOT-22的Sedaghat子域模型。采用描述性分析和韦尔奇t检验比较两组之间的SNOT-22子域评分。
共有159名患者完成了SNOT-22问卷，其中2023年10月7日前有60名，之后有99名。所有子域的平均得分普遍下降，其中鼻子域有显著下降（p = 0.0388）。亚组分析显示，阿拉伯语组的耳/面部子域以及英语组的睡眠和功能子域有所增加，尽管无统计学意义。在基于性别的亚分析中，女性患者的情绪子域有显著下降。
我们的研究未能在恐怖袭击与特定的SNOT-22子域之间建立直接联系。然而，观察到的趋势表明，在高压力时期使用SNOT-22时，它可能会表现出变异性或不可靠性。
3 喉镜，135:1309 - 1314，2025年。
