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首页> 外文期刊>International journal of pediatric otorhinolaryngology >A visual analog scale can assess the effect of surgical treatment in children with chronic otitis media with effusion.
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A visual analog scale can assess the effect of surgical treatment in children with chronic otitis media with effusion.

机译：视觉模拟量表可以评估患有积液的慢性中耳炎儿童的手术治疗效果。

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BACKGROUND: The OM-6 survey is a validated and multinationally accepted instrument to measure the treatment effect of otitis media in children. Routine use of the OM-6 in a busy general practice is not always possible and can lead to incomplete returned surveys. A simplified method is favoured when the aim is a continuous process of complete treatment-outcome-data collection. This study tests if a VAS can quantify how much a child suffers from chronic otitis media and how much this changes due to surgical treatment. The change in overall OM-6 scores due to surgical treatment, functions as the gold reference standard. Furthermore, this study tests if the VAS is faster to use than the OM-6 and if it leads to an improvement in complete data collection. METHODS: Prospective cohort follow-up study of 175 consecutive children with chronic otitis media in a paediatric otolaryngology practice in a metropolitan area. Data collected included patient's age, gender, clinical presentation, type of surgical procedure performed, overall OM-6 score and VAS score (at initial presentation and at follow-up), time needed to complete an OM-6 survey and VAS separately and number of incorrect OM-6 surveys and VAS questions returned. RESULTS: The VAS scores and overall OM-6 scores show a good, positive correlation at baseline (Spearman's rho=0.71). This correlation improves at follow-up, one and 6 months after intervention (rho=0.73 and rho=0.80, respectively). The change in VAS scores and overall OM-6 scores, interpreted as change due to surgical intervention, show a good positive correlation at follow-up (rho=0.70 and rho=0.77, respectively). The VAS is almost three times faster than the OM-6 (28s versus 81s). More than 13% of OM-6 surveys were returned incomplete. All VAS questions were returned correct. CONCLUSIONS: The VAS can be used as a simplified method for routine surgical treatment effect analysis in children with chronic otitis media.
机译：背景：OM-6调查是一种经过验证并已被国际认可的仪器，用于测量儿童中耳炎的治疗效果。并非总是可以在繁忙的常规操作中常规使用OM-6，这可能会导致返回的调查不完整。当目标是完整的治疗结果数据收集的连续过程时，倾向于使用简化方法。这项研究测试了VAS是否可以量化儿童罹患慢性中耳炎的人数以及由于手术治疗而导致的变化。由于手术治疗而导致的总体OM-6得分的变化是金参考标准。此外，本研究测试了VAS是否比OM-6更快使用，以及它是否导致完整数据收集的改善。方法：在大城市地区的小儿耳鼻喉科实践中，对连续175名患有慢性中耳炎的连续儿童进行前瞻性队列研究。收集的数据包括患者的年龄，性别，临床表现，所进行的外科手术类型，总体OM-6评分和VAS评分（在初次就诊和随访时），分别完成OM-6调查和VAS所需的时间以及数量错误的OM-6调查和返回的VAS问题。结果：VAS评分和总体OM-6评分在基线时表现出良好的正相关（Spearman的rho = 0.71）。干预后，干预后1个月和6个月，这种相关性得到改善（rho = 0.73和rho = 0.80）。 VAS评分和总体OM-6评分的变化（被解释为由于手术干预引起的变化）在随访时显示出良好的正相关性（分别为rho = 0.70和rho = 0.77）。 VAS几乎比OM-6快三倍（28s对81s）。超过13％的OM-6调查未完成返回。所有增值服务问题均已正确返回。结论：VAS可作为一种简单的方法，用于慢性中耳炎儿童的常规手术治疗效果分析。

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