儿科药物诱导睡眠内镜分级系统 (PedDISE-8) 的可靠性和有效性
Hussein Jaffal1, Steven W Coutras1, John Dewey1
1Department of Otolaryngology-Head and Neck Surgery, West Virginia University, Morgantown, WV, USA.
The Annals of otology, rhinology, and laryngology
|February 10, 2025
概括
新的PedDISE-8分级系统可靠地评估药物诱导睡眠内镜 (DISE) 期间阻塞性睡眠呼吸暂停 (OSA) 的儿童的上呼吸道阻塞. 该工具证明了有效性,有助于为儿科OSA进行手术规划.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 外科评估的评估.
背景情况:
- 药物诱导睡眠内镜 (DISE) 对于评估儿科阻塞性睡眠呼吸暂停 (OSA) 是至关重要的.
- 精确识别气道阻塞部位对于有效的手术规划至关重要.
- 需要为儿科 DISE 提供标准化的分级系统,以确保一致的评估.
研究的目的:
- 评估小儿DISE的新型PedDISE-8分级系统的可靠性和有效性.
- 为了评估PedDISE-8系统的分级间和分级内可靠性.
- 通过将发现结果与多重睡眠学数据相关联,确定PedDISE-8系统的外部有效性.
主要方法:
- 对86名患有OSA的儿科患者的DISE视频进行了回顾性审查.
- 四位独立评级人员使用PedDISE-8系统两次评估了八个上呼吸道位置.
- 测试者之间的可靠性和测试者内部的可靠性是使用类内相关系数计算的.
- 外部有效性是通过将严重阻塞部位与阻塞性呼吸暂停-呼吸暂停指数 (oAHI) 相关联而评估的.
主要成果:
- 在所有八个评估的气道站点中,PedDISE-8系统显示了中等到良好的分级间可靠性 (ICC 0.67-0.88) 和分级内可靠性 (ICC 0.71-0.87).
- 在严重阻塞的部位数和oAHI (τ=0.119,P=.004) 之间观察到正相关性.
- 该研究包括一个多元化的儿科人口,59.5%的男性和26.7%的肥胖患者,平均年龄为3.5岁.
结论:
- "PedDISE-8"分级系统是一个可靠和有效的工具,用于评估儿童患者接受DISE治疗OSA的上呼吸道阻塞.
- 该系统已证明的可靠性和有效性支持其在临床实践中用于指导手术干预的使用.
- PedDISE-8提供了对儿科DISE的标准化方法,提高了儿童OSA的诊断准确性和治疗计划.
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