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The development of a snoring symptoms inventory

Lookup NU author(s): Mohamed Elbadawey, Dr Michael DrinnanORCiD, Professor John MatthewsORCiD, Emeritus Professor John Gibson, Emerita Professor Janet WilsonORCiD


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OBJECTIVE: To develop a patient-derived snoring questionnaire, the Snoring Symptoms Inventory (SSI), and explore its structure and relationship to the Epworth Sleepiness Scale (ESS); and to assess the sensitivity of the SSI to change. STUDY DESIGN AND SETTING: The SSI was developed from an open-ended questionnaire given to 120 habitual snorers. The 25 symptoms reported compose the SSI. This study examines 261 subsequent snorers assessed between April 1998 and August 2002, who completed both the SSI and the ESS. Fifty-five of them underwent laser uvulopalatoplasty and their preoperative and postoperative SSI results were compared. RESULTS: The total SSI score is the key outcome derived. Principal component analysis identified two further dimensions, one contrasting family/social with work-related problems and another comparing physical problems with embarrassment. The total score correlated weakly with the ESS. Laser uvulopalatoplasty significantly reduced patients' overall symptom severity and family and socially related problems. CONCLUSION: The SSI is a comprehensive and sensitive measure for assessing snoring, making it a useful clinical outcome tool for snoring treatment. SIGNIFICANCE: The SSI is a new, useful snoring questionnaire. EBM rating: B-2b. © 2006 American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc. All rights reserved.

Publication metadata

Author(s): Douglas SA, Webster S, El Badawey MR, Drinnan M, Matthews JNS, Gibson GJ, Wilson JA

Publication type: Article

Publication status: Published

Journal: Otolaryngology - Head and Neck Surgery

Year: 2006

Volume: 134

Issue: 1

Pages: 56-62

ISSN (print): 0194-5998

ISSN (electronic): 1097-6817

Publisher: Mosby, Inc.


DOI: 10.1016/j.otohns.2005.09.006

PubMed id: 16399181

Notes: Presented at The British Association of Otolaryngology–Head and Neck Surgery, May 2002 and at the Annual Meeting of the American Academy of Otolaryngology–Head and Neck Surgery, Orlando, FL, September 21-24, 2003


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