"支气管切开症严重性指数" (BSI) 和"面对面"成年澳大利亚原住民得分的适用性和有效性
Timothy Howarth1,2, Claire Gibbs3, Asanga Abeyaratne4
1Darwin Respiratory and Sleep Health, Darwin Private Hospital, Darwin, NT, Australia.
International journal of chronic obstructive pulmonary disease
|December 9, 2024
概括
支气管病变严重程度指数 (BSI) 和FACED尺度显示,评估澳大利亚原住民支气管病变严重程度的准确性有限. 一个修改的BSI评分可能是一个可行的选择,直到文化特定的工具被开发出来.
科学领域:
- 肺部医学 肺部医学
- 土著健康土著健康
- 流行病学 流行病学
背景情况:
- 支气管切除症在澳大利亚原住民中比非原住民更为普遍.
- 目前的支气管切除症严重程度评估工具在土著人口中缺乏验证.
- 需要文化上适当的工具来评估土著人民的支气管切除症的严重程度.
研究的目的:
- 评估支气管病重症指数 (BSI) 和FACED尺度在患有支气管病的澳大利亚原住民成年人队列中的有效性和适用性.
- 评估这些工具对4年死亡率的性能.
- 为了探索一个修改后的评分系统对缺少数据的实用性.
主要方法:
- 在北领地 (北领地) 进行了456名成年澳大利亚原住民CT确诊支气管炎患者的回顾性研究 (2011-2020年).
- 使用医院记录评估4年死亡率.
- 计算了BSI和FACED的灵敏度,特异性和曲线下的面积 (AUC),包括对缺失数据的相对评分系统的分析.
主要成果:
- 支气管切开症严重性指数 (BSI) 显示出更好的预测能力 (AUC 0.703) 比FACED尺度 (AUC 0.515) 对4年死亡率.
- 两种工具的灵敏度和特异性各不相同,BSI显示出更高的灵敏度和FACED显示出更高的特异性,用于严重疾病.
- 相对的BSI得分提高了AUC到0.717,尽管数据有限,但表明了潜在的效用.
结论:
- 对于评估澳大利亚原住民的支气管切除症严重程度,BSI和FACED尺度可能并不理想.
- 相对的BSI得分显示,在这个群体中使用它是有前途的.
- 建议开发土著特异性支气管切除症严重性评估工具.
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