验证了一份调查问卷,用于查慢性阻塞性呼吸道疾病
H-V T Tran1, C T Nguyen1, H T Nguyen1
1General Clinic, Department of Family Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.
概括
一个简单的慢性阻塞性呼吸道疾病查问卷 (CORD-SQ) 有效地识别了需要螺旋计的越南成年人. 这种经过验证的工具有助于初级保健检测呼吸系统疾病风险.
科学领域:
- 肺部医学 肺部医学
- 流行病学 流行病学
- 诊断工具 诊断工具
背景情况:
- 螺旋计是诊断慢性阻塞性呼吸道疾病 (CORD) 的黄金标准.
- 越南初级医疗保健中有限的螺旋计可用性需要替代查方法.
- 简单的查工具的验证对于越南的早期CORD检测至关重要.
研究的目的:
- 为越南人群验证慢性阻塞性呼吸道疾病查问卷 (CORD-SQ).
- 评估CORD-SQ在确定在初级保健机构中需要螺旋计的人的实用性.
- 为了确定越南CORD的CORD-SQ的诊断准确性.
主要方法:
- 一项涉及越南初级医疗保健中589名志愿者的横截面研究.
- 管理CORD-SQ,这是一个四项调查问卷,评估吸烟史,结核病,呼吸困难和喘息.
- 将CORD-SQ结果与螺旋计定义的CORD (FEV1/FVC < LLN) 进行比较,以确定灵敏度,特异性和预测值.
主要成果:
- 在517名非喘患者中,CORD的患病率为10%.
- 科尔德-SQ获得了69%的灵敏度和91%的特异性,截止分数为2.
- 阳性预测值为46%,负预测值为94%,AUC为0.83 (95% CI为0.75-0.90).
结论:
- CORD-SQ是查非喘越南初级医疗保健人口中CORD风险的有效工具.
- 问卷有效地识别了那些可以从螺旋计测试中受益的人.
- 这种经过验证的查工具可以在资源有限的环境中提高CORD诊断的可访问性.
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