喉评分和迷你喉评分的前性评估和验证
Camille Clarysse1, Jeroen Meulemans1,2, Charlotte van Lierde1,2
1Otorhinolaryngology-Head and Neck Surgery, University Hospitals Leuven, Leuven, Belgium.
The Laryngoscope
|September 29, 2023
概括
喉评分和迷你喉评分有效地预测了困难的喉暴露. 一个新的三参数工具显示,喉手术的预测准确度有所提高,需要进一步验证.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 麻醉学 麻醉学
背景情况:
- 喉评分 (Laryngoscore) 是一个术前工具,用于预测跨口外科手术期间的难以喉暴露 (DLE).
- 迷你Laryngoscore是一个简化的版本,变量较少.
- 需要对这些工具进行外部验证和优化.
研究的目的:
- 批判性地评估和外部验证喉评分和迷你喉评分.
- 如果可能的话,优化这些预测工具.
- 为DLE.LE开发一个改进的预测模型.
主要方法:
- 预计将103名接受微喉腔镜检查的患者纳入.
- 使用15个参数进行手术前评估,并在手术前评分前部指针视觉.
- 对现有工具的一致性,区分能力和有效性的分析,然后对修改后的预测工具进行评估.
主要成果:
- 17.5%的患者经历了DLE.
- 拉林戈斯科尔 (C指数=0.727) 和迷你拉林戈斯科尔 (C指数=0.714) 都显示出良好的预测能力.
- 一种新型的三参数工具 (切口间隙,上牙状况,先前的治疗) 显示出优异的区分能力 (C指数=0.835).
结论:
- 喉评分和迷你喉评分在预测DLE方面是有效的.
- 某些参数可以从Laryngoscore中省略,而不会影响预测准确度.
- 通过连续使用选定变量和加权总和,可以实现更准确的预测模型.
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