CAPE-V,pVHI和CVA在检测儿童声病理方面的预测效率
Nicholas A Rossi1, Brenda Shen2, Amy S Puckett3
1Department of Otolaryngology, Nationwide Children's Hospital, Columbus, Ohio, USA.
The Laryngoscope
|September 16, 2025
概括
声的共识听觉感知评估 (CAPE-V) 有效地识别了儿科声问题. 将CAPE-V与其他工具相结合,可以提高儿童语音障碍的诊断准确度.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语音语言病理学
- 儿科医学 儿科医学
背景情况:
- 准确诊断儿科语音障碍对于有效治疗至关重要.
- 现有的诊断工具在识别儿童声病理方面的有效性各不相同.
研究的目的:
- 在儿童群体中评估共识听觉感知语音评估 (CAPE-V),儿科语音障碍指数 (pVHI) 和计算机辅助语音分析 (CVA) 的诊断准确性.
- 为了将这些工具与柔性光纤喉腔镜进行比较,这是可视化声结构的黄金标准.
主要方法:
- 进行了一项对116名儿童 (4-18岁) 的回顾性队列研究.
- 分析了CAPE-V,pVHI,CVA (Visipitch) 和当天进行的喉腔镜检查的数据.
- 用接收器操作特征 (ROC) 曲线和曲线下的面积 (AUC) 来评估诊断性能.
主要成果:
- CAPE-V显示了最高的个人诊断准确度 (AUC 0.827).
- 结合CAPE-V,pVHI和CVA显著改善了诊断歧视 (AUC为0.846).
- 幼儿园儿童和接受声监测的儿童有更高的异常发现的几率.
结论:
- CAPE-V是一种可靠的单一测试,用于预测儿科声病理.
- 将CAPE-V与pVHI和CVA集成,可以提高诊断能力.
- 从CAPE-V开始的一种分层,年龄特定的查方法可以优化早期检测和转诊途径.
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