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Published on: December 1, 2023
Voice Handicap Index-10 for Distinguishing Vocal Fold Mobility Status After Cardiovascular Surgery.
Lauren Michelle1, Jacqueline Tardif1, Steven J Maristela1
1Aerodigestive Research Core Laboratory, The Ohio State University, Columbus, Ohio; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University Wexner Medical Center.
Summary
Approximately one in four adults experience vocal fold mobility impairment (VFMI) after invasive cardiovascular surgery. The Voice Handicap Index-10 (VHI-10) shows moderate ability to detect this condition.
Area of Science:
- Otolaryngology
- Cardiovascular Surgery
- Voice Science
Background:
- Invasive cardiovascular surgery can lead to vocal fold mobility impairment (VFMI).
- Assessing patient-perceived voice quality is crucial for understanding the impact of VFMI.
- The Voice Handicap Index-10 (VHI-10) is a potential tool for screening VFMI.
Purpose of the Study:
- To determine the prevalence of VFMI in adults post-invasive cardiovascular surgery.
- To evaluate the correlation between patient-reported voice quality and VFMI.
- To assess the VHI-10's ability to identify VFMI.
Main Methods:
- Prospective, single-center cohort study.
- Flexible fiberoptic laryngoscopy for VFMI assessment.
- Administration of the VHI-10 questionnaire.
Main Results:
- A total of 541 patients were studied.
- VFMI was present in 24.1% of patients (17.3% partial, 6.8% complete).
- VHI-10 scores significantly correlated with VFMI severity (P < 0.0001).
- A VHI-10 score > 11 increased the odds of any VFMI by 4.0 and complete VFMI by 6.0 (P < 0.05).
Conclusions:
- Nearly a quarter of patients develop VFMI after invasive cardiovascular surgery.
- VHI-10 scores reflect VFMI severity.
- The VHI-10 demonstrates moderate discriminant ability for VFMI detection.
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