低成本内镜远程咨询与标准耳鼻喉科评估的比较诊断一致性
Manuela Restrepo Peláez1, Paola Herrera Noreña1, Tania Margarita Salgado Gómez2
1Resident in Otolaryngology and Head and Neck Surgery, Faculty of Medicine University of Antioquia Medellin Colombia.
OTO open
|March 6, 2025
概括
低成本的内镜在远程耳鼻喉科中显示了耳朵和口腔条件的高诊断准确性. 然而,它对鼻腔评估的有效性是有限的,这凸显了对改进的远程医疗设备的需求.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 远程医疗远程医疗
- 医疗器械 医疗器械
背景情况:
- 远程存在评估为改善获得专业耳鼻喉科护理的机会提供了一个潜在的解决方案.
- 评估低成本内镜设备的诊断准确性对于远程医疗的实施至关重要.
研究的目的:
- 在远程临床评估和常规耳鼻喉科咨询期间,评估低成本内镜的诊断结果之间的诊断一致性.
- 确定远程医疗在耳鼻喉科对各种头部和部疾病的疗效.
主要方法:
- 一项观察性,横截面研究比较了217名成年患者的面对面和远程耳内镜评估.
- 用科恩的卡帕系数和性能指标评估了7种疾病的诊断一致性.
主要成果:
- 对于耳部疾病 (例如, tympanic perforation, κ=1) 和外耳炎 (κ=0.93) 观察到高诊断一致性.
- 对于鼻腔发现,如轮缩 (κ=0.07) 和隔膜偏差 (κ=0.11),发现一致性较低.
- 在低成本设备的图像分辨率和数据捕获能力方面发现了局限性.
结论:
- 低成本的内镜在耳鼻喉科中对耳朵和口腔腔的远程存在评估是有效的,但对鼻腔评估有局限性.
- 耳鼻喉科的远程医疗可以减轻医疗保健接入障碍,特别是在服务不足的地区.
- 进一步开发精确的诊断工具对于推进耳鼻喉远程医疗至关重要.
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