Page 39 - Portuguese Journal - SPORL - Vol 61. Nº1

Adaptation and validation of Portuguese

version of Tonsil Adenoid Health Status

Instrument (TAHSI)

Original Article

Authors Abstract

Objective: Validation and cross-cultural adaptation of
André Sousa-Machado the Tonsil and Adenoid Health Status Instrument,
Centro Hospitalar Universitário do Porto, Portugal in Portuguese.
Methods: A prospective study was carried out
Francisco Sousa to evaluate and to compare 51 consecutive
Centro Hospitalar Universitário do Porto, Portugal patients who underwent tonsillectomy or

Sara Azevedo adenotonsillectomy operation (pre-operative and
Centro Hospitalar Universitário do Porto, Portugal 6 months post-operative) and 49 asymptomatic
controls.
Ana Silva Results: The Mann-Whitney test showed a
Centro Hospitalar Universitário do Porto, Portugal statistically significant difference in the mean
score between the patients and the control group
Luís Meireles denoting good clinical validity. The Cronbach’s
Centro Hospitalar Universitário do Porto, Portugal coefficient value for the EP-TAHSI for 50 cases was
0.946, demonstrating good internal consistency.
The Wilcoxon signed-rank test showed a marked
improvement in the patients’ scores 6 months
post-operatively. Spearman’s rank and Pearson’s
correlations were used to correlate the level of the
resemblance of the mean score of the EP-TAHSI,
which showed statistically significant results.
Conclusions: EP-TAHSI is a valid instrument for
evaluating the subjective effect of tonsillectomy
on the health and quality of life and hence is
recommended to be used in tonsillectomy
research and daily practice. It adds value in the
follow-up after surgery and in legal issues that can
arise in that line.
Keywords: Tonsillectomy; Questionnaire; Validation;
Adaptation; Pediatrics; Portuguese; Patient reported
outcome

Introdution
Tonsillectomy and adenoidectomy are two
of the most common surgical procedures
performed all over the world. The commonest
surgical indications in children are chronic
Correspondência: 1
André Sousa-Machado tonsillitis or obstructive sleep apnea. Objective
sousamachado.andre@gmail.com evaluation of the results of adenoidectomy or
tonsillectomy and patient reported outcome

Article received on July 3, 2022. measurements (PROMs) needs a careful
Accepted for publication on November 21, 2022. study with objective tools, in order to know its

Volume 61 . Nº1 . March 2023 39