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Validation of the Modena bleeding score in endoscopic sinus surgery
Matteo Alicandri-Ciufelli1, Luca Pingani2, Francesco Maccarrone1
1University Hospital of Modena, Otolaryngology-Head and Neck Surgery Department, Modena, Italy.
Brazilian Journal of Otorhinolaryngology
|December 6, 2020
Summary
The Modena bleeding score effectively assesses bleeding in endoscopic sinus surgery. This validated tool aids in evaluating surgical techniques and materials for bleeding control.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Medical Device Evaluation
Background:
- The Modena bleeding score is a validated tool for assessing surgical field bleeding during endoscopic procedures.
- It categorizes bleeding into five grades, from no bleeding to severe impairment.
Purpose of the Study:
- To validate the Modena bleeding score specifically for endoscopic sinus surgery (ESS).
Main Methods:
- 15 ESS videos with bleeding events were reviewed by 15 specialists using the Modena bleeding score.
- Intra-rater and inter-rater reliability were assessed.
- Clinical validity was determined against a referent standard.
Main Results:
- High intra-rater reliability (0.6336–0.861) and inter-rater reliability (0.676–0.844) were observed.
- Clinical validity demonstrated substantial agreement (α = 0.70; 95% CI: 0.64–0.75).
Conclusions:
- The Modena bleeding score is effective for quantifying bleeding during ESS.
- It can standardize the assessment of interventions aimed at controlling bleeding in ESS research.
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