uDISE model: a universal drug-induced sedation endoscopy classification system-part 1

Area of Science:

• Sleep Medicine
• Otolaryngology
• Medical Informatics

Background:

• Drug-induced sedation endoscopy (DISE) classification systems are crucial for clinical analysis, treatment planning, and outcome assessment.
• A significant challenge in the field is the lack of a universally agreed-upon DISE classification system, leading to variability in assessments and outcomes.

Purpose of the Study:

• To propose the universal Drug-Induced Sedation Endoscopy (uDISE) model, a novel classification system designed to standardize DISE findings.
• To establish a common framework for assessing anatomical structures, obstruction severity, and configuration, thereby improving consistency in clinical practice.

Main Methods:

• Development of the uDISE model using set theory and relational mapping.
• Incorporation of seven anatomical sites, three degrees of obstructive severity, and three configurations of obstruction.
• Mapping the uDISE model against four established DISE classification systems: Pringle and Croft, VOTE, NOHL, and P-T-L-Tb-E.

Main Results:

• The uDISE model provides a standardized methodology for classifying DISE findings across diverse anatomical locations and obstruction patterns.
• Relational mapping demonstrated the uDISE model's capability to translate findings from existing systems into a unified format.
• The proposed system offers a framework for comparing DISE assessments, treatment plans, and outcomes irrespective of the classification system used.

Conclusions:

• The uDISE model offers a universal approach to classifying Drug-Induced Sedation Endoscopy findings, addressing the current lack of standardization.
• This standardization facilitates more reliable comparisons of treatment plans and outcomes in sleep medicine and related fields.
• Further research is needed to fully establish relational mapping with all existing DISE classification systems.