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COMPAIR:直接监督的诊所与虚拟监督的家庭螺旋计的比较
Ashish Pradhan1, Jacqui Pollington2, Dinesh Saralaya3
1The Nottingham Asthma Centre, Nottingham City Hospital NHS Foundation Trust, Nottingham, UK.
ERJ open research
|October 29, 2025
概括
几乎监督的家庭螺旋计 (VSHS) 提供可靠的肺功能测量,可与喘和COPD患者的临床检测相提并论. 人工智能过度阅读提高了VSHS的准确性和患者的便利性.
科学领域:
- 肺部医学 肺部医学
- 数字健康数字健康
- 医疗保健中的人工智能
背景情况:
- 螺旋计对于诊断和监测喘和COPD等呼吸道疾病至关重要.
- 传统的临床螺旋计对患者来说可能是不方便的.
- 探索远程监测解决方案对于改善患者的访问和遵守是必不可少的.
研究的目的:
- 为了比较直接监督的临床螺旋计 (DSCS) 与虚拟监督的家庭螺旋计 (VSHS).
- 评估人工智能 (AI) 在VSHS中过度阅读的实用性.
- 为了评估患者对VSHS的满意度.
主要方法:
- 这是一项多中心前性研究,涉及成人喘/COPD患者.
- 螺旋测量 (FEV1,FVC) 使用NuvoAir Air Next设备在诊所内和远程进行.
- 与医疗保健提供者评估相比,AI (ArtiQ.QC) 和手册过度阅读.
主要成果:
- 对于FEV1和FVC,DSCS和VSHS之间的一致性非常好 (ICC>0.95).
- 人工智能过度阅读ArtiQ.QC显示的一致性略高于手动过度阅读.
- 通过布兰德-阿尔特曼地块观察到良好的协议,使用人工智能得到更好的协议.
- 超过95%的患者发现VSHS系统易于使用,并表示愿意在未来使用.
结论:
- 与AI过度阅读的VSHS为喘/COPD患者提供可靠和一致的肺功能测量.
- 在不影响数据质量的情况下,VSHS可实现方便的远程螺旋测量.
- 这种方法在呼吸护理领域具有研究和临床应用的潜力.
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