描述使用VASES来得出消化-FEES等级的有效性
James A Curtis1, Lauren Tabor Gray2, Loni Arrese3
1Aerodigestive Innovations Research Lab (AIR), Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medical College, Cornell University, New York, New York, USA.
概括
这项研究发现,吞效率和安全的视觉分析 (VASES) 和用于柔性内镜评估吞毒性的动态成像等级 (DIGEST-FEES) 分级方法之间存在实质性的一致性. 使用VASES来获得DIGEST-FEES等级,可以保持构造有效性,提高透明度和标准化.
科学领域:
- 对吞障碍的临床评估
- 吞的灵活内镜评估 (FEES)
- 消化不良的诊断 消化不良诊断
背景情况:
- 吞效率和安全的视觉分析 (VASES) 和用于柔性内镜评估吞毒性的动态成像度 (DIGEST-FEES) 是FEES评估的补充方法.
- VASES专注于试验级评级 (残留,透,吸收),而DIGEST-FEES提供协议级损害等级 (安全,效率).
- 这项研究旨在验证使用VASES来获得DIGEST-FEES损坏等级的有效性.
研究的目的:
- 通过使用VASES方法评估DIGEST-FEES减值等级的有效性.
- 为了确定原始DIGEST-FEES等级和VASES衍生的DIGEST-FEES等级之间的一致程度.
- 评估VASES衍生的DIGEST-FEES等级是否保持已建立的构造有效性.
主要方法:
- 分析了50种吞灵活内镜评估 (FEES) 程序.
- DIGEST-FEES等级最初使用原始方法确定,随后通过盲目分析师使用VASES方法推导.
- 用权重卡帕 (κw) 和绝对一致来比较分级方法;斯皮尔曼的相关性评估了构造有效性.
主要成果:
- 在原始和VASES衍生的DIGEST-FEES等级之间发现了实质性的一致性 (κw = 0.76-0.83).
- 准确的等级匹配发生在60-62%的案例中,其中92-100%在一个年级差距内发生.
- 与原始等级 (r = 0.34-0.83) 相比,来自VASES的DIGEST-FEES等级显示了类似的构造有效性相关性 (r = 0.34-0.78).
结论:
- 原始DIGEST-FEES等级与使用VASES获得的等级之间存在显著的一致性.
- 使用VASES来获得DIGEST-FEES等级,可以保持该方法的构造有效性.
- 在临床实践和研究中,VASES为提高DIGEST-FEES评级的透明度和标准化提供了一个潜在的工具.
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