Fast Screening of Olfactory Function Using the Q-Sticks Test

ORL J Otorhinolaryngol Relat Spec. 2019;81(5-6):245-251. doi: 10.1159/000500559. Epub 2019 Jun 28.

Abstract

Objectives: Classical, longer olfactory tests are associated with difficulties in everyday practice. The aim of this study was to investigate the clinical utility of the Q-Sticks test within the context of a multicenter study.

Methods: A total of 333 subjects, aged between 12 and 88 years, completed a 3-item Q-Sticks test and a longer Sniffin' Sticks identification test. We analyzed the sensitivity and specificity of the test results for different cutoffs for anosmia and hyposmia.

Results: Our study showed that the test can be used on subjects aged 12 years and older, regardless of their sex. The data indicated a test sensitivity and specificity of 91.8 and 92%, respectively, with a score of 2 taken as a cutoff for olfactory dysfunction. Conversely, normal olfactory function can be declared with high probability with a score of 3 in the Q-Sticks test.

Conclusion: We reconfirmed that the Q-Sticks test is a good screening tool for everyday medical practice and in laboratory settings, although it has to be kept in mind that the test can produce false-negative results at a score of 3. The test was relatively sensitive to anosmia and differences between normosmic and hyposmic/anosmic patients.

Keywords: Anosmia; Normosmia; Olfaction; Olfactory disorders; Q-Sticks test; Testing.

Publication types

  • Multicenter Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Female
  • Humans
  • Male
  • Middle Aged
  • Odorants
  • Olfaction Disorders / diagnosis*
  • Sensitivity and Specificity
  • Sensory Thresholds