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开发和验证四项简洁的老龄化成年人嗅觉测试,以选老年人嗅觉功能障碍
Zachary M Soler1, Mathew J Gregoski2, Preeti Kohli1
1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
International forum of allergy & rhinology
|October 27, 2024
概括
一个新的4项简洁的老年人嗅觉测试 (4-CAST) 有效地选老年人嗅觉功能障碍 (OD). 该工具有助于识别可能需要进一步的嗅觉测试的老年人,原因是常见的,但往往未被识别的嗅觉损失.
科学领域:
- 老年学是一门学科.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经科学是一个神经科学.
背景情况:
- 嗅觉功能障碍 (OD) 在老年人中很普遍,通常与并发症有关,并且经常被诊断不足.
- 早期识别OD对于管理相关的健康风险和改善生活质量至关重要.
研究的目的:
- 开发和验证一个简短的查仪器,以广泛检测老年人嗅觉功能障碍.
- 确定主要的人口统计和自我报告的因素,预测人口老龄化中的嗅觉损失.
主要方法:
- 使用焦点组和发展队列 (N=210) 来确定四项简洁老化成年人嗅觉测试 (4-CAST) 的关键变量.
- 在一个独立的验证队列 (N=147) 中,对标准的嗅觉测试 (嗅棒和SIT40) 进行了评估,以评估4-CAST对OD的预测准确性.
主要成果:
- 嗅觉损失的主要预测因素包括年龄,II型糖尿病和自我报告的嗅觉感知和安全影响 (视觉模拟量表).
- 4-CAST表现出强大的预测性能,在开发队列中实现曲线下的面积 (AUC) 为0.805,在验证队列中为0.789.
- 该仪器准确地分类了89.4%的阿诺斯米亚受试者.
结论:
- 4-CAST是一种快速有效的工具,用于预测老年人嗅觉功能障碍.
- 它在不同的嗅觉测试中经过验证的性能使其成为初级保健医生的实用工具.
- 4-CAST有助于及时转诊进行全面的嗅觉评估,解决老年人中未被识别的OD的高患病率.
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