药物诱导睡眠内镜不同评分系统的可靠性
Dimitrios Mitsikas1, Benedikt Jakob1, Vlado Janjic1
1Department of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital Baselland, Liestal, Switzerland.
Sleep & breathing = Schlaf & Atmung
|November 29, 2024
概括
在阻塞性睡眠呼吸暂停综合征 (OSAS) 中,药物诱导睡眠内镜 (DISE) 的观察者间可靠性显示出对VOTE和PTLTbE分类的相当或中等一致. 需要进一步的研究来客观量化气道崩.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 医疗成像医学成像
背景情况:
- 阻塞性睡眠呼吸暂停综合征 (OSAS) 是一种常见的疾病.
- 药物诱导睡眠内镜 (DISE) 是OSAS的一个关键诊断工具.
- 标准化分类系统对于可靠的DISE解释至关重要.
研究的目的:
- 评估两个DISE分类系统的观察者间可靠性:VOTE和PTLTbE.
- 为了比较VOTE与PTLTbE在OSAS患者上呼吸道阻塞的分级方面的可靠性.
主要方法:
- 123名OSAS患者的数字DISE记录被五名盲人检查员独立审查.
- 使用VOTE和PTLTbE分类来评估阻塞水平.
- 使用弗莱斯的统计数据和加权的卡帕统计数据量化了观察者间的可靠性.
主要成果:
- 对于VOTE的观察者间可靠性在0.32到0.59之间;对于PTLTbE,它在0.23到0.49之间,表明公平到适度的协议.
- 宫腔合的评估给出了0.37.7的加权卡帕.
- 毛皮 (VOTE) 和桃体 (PTLTbE) 显示了最高的观察者间一致性.
结论:
- 无论是VOTE还是PTLTbE分类,都显示出OSAS中DISE的公平到中等的分类者之间的协议.
- 两种分类系统都没有显示出明显的优势.
- 显著的变化凸显了在DISE期间需要客观的上呼吸道崩量化.
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