耳鼻喉科医生在儿童气道炎症评估方面达成的协议很低
Sweeya V Raj1, Olivia L Prosak1, Kaitlin July O'Brien2
1Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
The Laryngoscope
|November 23, 2024
概括
在微喉腔镜和支气管镜 (MLB) 期间对呼吸道炎症的内镜评估在外科医生中显示出不高可靠性. 这强调了需要改进的方法,以确保准确的诊断和治疗儿科气道疾病.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 气道炎症评估的评估
- 内镜诊断诊断 在内镜诊断诊断
背景情况:
- 微喉腔镜和支气管镜 (MLB) 对于评估气道炎症至关重要.
- 对呼吸道炎症的主观内镜评估的诊断准确性尚未得到充分证实.
研究的目的:
- 为了评估外科医生在内镜评估气道炎症时的间隔评分器可靠性.
- 为了确定影响炎症评估的关键内镜因素.
主要方法:
- 这是一项对24名接受MLB治疗的儿科患者的横截面研究.
- 外科医生从内镜图像中评估了呼吸道炎症.
- 使用Fleiss' Kappa量化了Interrater的可靠性.
主要成果:
- 在所有外科医生 (Kappa=0.111) 和经验丰富的外科医生 (Kappa=0.117) 之间观察到较差的interrater可靠性.
- 外科医生如何优先考虑炎症评估的视觉特征存在显著差异.
结论:
- 在MLB期间对气道炎症的主观内镜评估表明,interrater的可靠性很低.
- 需要进行进一步的研究,以提高诊断准确度,并指导儿科呼吸道干预的治疗决策.
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