视频片段的评分间可靠性,以评估儿童的阻塞性睡眠呼吸暂停
S L Katz1, H Blinder2, N Dussah2
1Children's Hospital of Eastern Ontario, Division of Pediatric Respirology, Department of Pediatrics, Ottawa, Ontario, Canada; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada; Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Sleep medicine
|April 6, 2025
概括
视频录像显示了儿童阻塞性睡眠呼吸暂停 (OSA) 查的高可靠性. 这种方法可以为诊断这种常见的儿童睡眠障碍提供一种更容易获得的多睡眠学替代方案.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 诊断技术 诊断技术 诊断技术
背景情况:
- 儿科阻塞性睡眠呼吸暂停 (OSA) 与显著的神经认知和心血管问题有关.
- 目前的诊断方法,如多睡眠学,资源密集,导致诊断延迟.
- 对于小儿OSA有效的查工具有着至关重要的需求.
研究的目的:
- 评估视频录像的可靠性和预测准确性,以选儿科阻塞性睡眠呼吸暂停 (OSA).
- 用视频数据在儿科患者群体中评估莫纳什评分的表现.
主要方法:
- 一项涉及109名疑似患有OSA的儿童 (3-18岁) 的横截面研究.
- 父母录制了3分钟的孩子睡觉视频.
- 两个失明的儿科睡眠医生使用临床印象和莫纳什得分来评估视频,通过科恩的卡帕评估评审者之间的可靠性,通过ROC分析评估预测准确性.
主要成果:
- 对于莫纳什评分 (kappa 0.94) 和临床医生印象 (kappa 0.84) 的OSA存在和严重程度,观察到高的互评分可靠性.
- 莫纳什评分表现出了优秀的能力来区分OSA的存在 (AUC 0.99).
- 在健康儿童和患有唐氏综合征,肥胖和自闭症等并发症的儿童中,可靠性是一致的.
结论:
- 基于视频的评估,特别是使用莫纳什评分,在儿科OSA查中表现出高的inter-rater可靠性.
- 视频录制显示了作为儿童OSA可访问的查工具的承诺.
- 需要进一步的研究来验证这些发现与临床环境中的多睡眠学相比.
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