对于儿科喉裂的耳间评估协议的多机构验证
Jennifer M Siu1,2, Shaunak Amin2,3, Evan J Propst1
1Division of Pediatric Otolaryngology - Head & Neck Surgery, The Hospital for Sick Children, Toronto, Ontario, U.S.A.
The Laryngoscope
|November 14, 2024
概括
关节间粘膜评估协议 (IAAP) 显示在评估关节间粘膜高度 (IAMH) 中具有很强的可靠性. 这种标准化的方法可能会改善未来的儿科食障碍结果研究.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 医学诊断 医学诊断 医学诊断
背景情况:
- 目前评估关节间解剖学的方法是不一致的.
- 区分正常的解剖学,深深的口或小裂对于外科决定至关重要.
- 间关节评估协议 (IAAP) 是为标准化评估而开发的.
研究的目的:
- 验证IAAP的可靠性,以评估关节粘膜高度 (IAMH).
- 建立一个标准化的方法,对儿科患者的耳间解剖学评估.
主要方法:
- 来自不同机构的10名儿科耳鼻喉科医生评估了30个未识别的内镜视频.
- 评估是在两个单独的时间点进行的,间隔2个月.
- 通过使用类内相关系数 (ICC) 来计算评价者之间的和评价者内部的可靠性.
主要成果:
- 评价者之间的可靠性很强,在第一次评估时为0.74,在第二次评估时为0.75.
- 总体上,评价者内可靠性 (测试-重新测试) 也很强,为0.75.
- 近一半的评级者 (46.6%) 在一个分类级别内达成一致.
结论:
- 多机构的验证证实了IAAP在IAMH评估中通过图形分析的强大inter-和intra-rater可靠性.
- 标准化解剖评估可以提高儿科喉功能障碍研究结果的可靠性.
- IAAP提供了一个可靠的工具,用于对儿科喉解剖学的一致评估.
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