修订后流症症状指数 (R-RSI):发展,内部和外部验证研究.
Andrea Nacci1, Nicola de Bortoli2, Silvia Capobianco1
1ENT, Audiology and Phoniatrics Unit, University of Pisa, Pisa, Italy.
概括
修订后的反流症状指数 (R-RSI) 有效地选喉回流疾病 (LPRD). 这种可靠的,自我管理的问卷,截止18项,有助于LPRD的诊断和监测.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 诊断工具 诊断工具
背景情况:
- 喉回流性疾病 (LPRD) 的诊断可能具有挑战性.
- 反流症状指数 (RSI) 是一种常见的诊断工具.
- 一个修订后的版本,R-RSI,是为了改善LPRD的怀疑而开发的.
研究的目的:
- 将反流症状指数 (RSI) 修订和验证为R-RSI.
- 评估R-RSI的可靠性和内部一致性.
- 在诊断LPRD时确定R-RSI的查特性和最佳切断值.
主要方法:
- 内部验证包括213名参与者 (160名没有LPRD,53名自我报告的LPRD/GERD).
- 测试重复测试可靠性和内部一致性 (Cronbach的alpha) 被计算出来.
- 在56名患者的外部验证中,使用24小时MII-pH作为确定R-RSI切线的黄金标准.
主要成果:
- R-RSI表现出高的测试复试可靠性 (ICC:0.970) 和出色的内部一致性 (克朗巴赫的α:0.910).
- 之前被诊断为LPRD/GERD的参与者得分明显高于没有LPRD/GERD的参与者.
- 一个R-RSI切线≥18显示84.5%的灵敏度和81.8%的特异性LPRD检测.
结论:
- R-RSI是一个可靠和有效的自我管理问卷,用于怀疑LPRD.
- 在R-RSI表现出高选性质LPRD,与或没有同时存在的GERD.
- 在R-RSI上的切线分数≥18可以帮助诊断和监测LPRD.
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