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科马克-莱汉分类的可靠性:一个范围审查
Anoohya Arkala1, Maninder Kaur1, Joseph Rauscher2
1Department of Internal Medicine / Emergency Medicine, Lake Erie College of Osteopathic Medicine, Erie, USA.
Cureus
|April 25, 2025
概括
这次审查发现对Cormack-Lehane分类和修改的Cormack-Lehane分类可靠性的证据有限. 评价者之间的可靠性差异很大,表明需要在气道评估中采用标准化的方法.
科学领域:
- 麻醉学 麻醉学
- 航空航道管理的管理.
- 医学教育 医学教育
背景情况:
- 康马克-莱汉分类和修改的康马克-莱汉分类被广泛用于描述喉视图在喉腔镜检查期间.
- 估计这些分类的可靠性对于一致的气道管理和患者安全至关重要.
研究的目的:
- 进行范围审查,以确定和描述估计Cormack-Lehane分类和修改的Cormack-Lehane分类之间的评估者可靠性的研究.
- 分析这些分类的文献中报道的卡帕统计 (κ) 值.
主要方法:
- 从2024年10月到2025年1月,使用PubMed,Google Scholar和Google.com (灰色文献) 进行了全面的范围审查.
- 包括报告卡帕统计数据 (κ) 的科马克-莱汉分数至少两个评级者之间的研究,没有日期或语言限制.
- 在选了825个PubMed记录和1200个灰色文献记录后,共有15篇文章符合纳入标准.
主要成果:
- 审查包括使用静止图像 (n=6) 和视频 (n=8) 来自各种环境 (手术室,模拟,办公室,医院前) 的直接,视频或光纤喉腔镜的研究.
- 研究检查了原始的科尔马克-莱汉分类 (n=10) 和修改后的 (n=6) 分类.
- 通过卡帕统计学 (κ) 测量的评价者之间的可靠性范围广泛,从0.020 (略有一致) 到0.888 (几乎完全一致).
结论:
- 对于科尔马克-莱汉分类和修改的科尔马克-莱汉分类的可靠性的证据基础是有限的.
- 异质的方法和可变的结果凸显了使用标准化方法进行进一步研究的需要.
- 提高呼吸道分类的可靠性对于一致的临床实践和患者安全至关重要.
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