咳频率监测器的诊断准确性:系统性审查和元分析
Ana Lara Castro Rodrigues1, Larisse Sousa Reis Passafaro2, Daniele Oliveira Dos Santos1
1Graduate Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School (FMRP-USP), University of São Paulo, São Paulo, Brazil.
概括
咳频率监测器可以准确地区分咳,但临床使用面临挑战. 未来的研究旨在改进这些工具,以实现成本效益的评估.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 医疗器械 医疗器械
- 诊断的准确性 诊断的准确性
背景情况:
- 客观的咳评估对于评估治疗有效性至关重要.
- 咳严重影响生活质量,并导致高医疗费用.
- 当前咳频率监测器的诊断准确性需要澄清.
研究的目的:
- 确定开发用于监测咳频率的工具.
- 评估这些咳监测工具的准确性.
主要方法:
- 使用咳频率监测器对观察性研究 (成人,儿童,婴儿) 的系统审查.
- 在PubMed/MEDLINE,EMBASE和Web of Science数据库中进行了搜索.
- 使用双变量混合效应回归和QUADAS-2进行质量评估的元分析.
主要成果:
- 包括19项研究;16项被用于元分析 (52,612事件).
- 观察到高的聚合灵敏度 (89%) 和特异性 (99%).
- 曲线下的面积 (AUC) 为0.96,表明了优异的区分能力;单个设备/应用程序显示精度>0.9.
结论:
- 识别的咳监测器在区分咳和非咳声音方面表现出高准确性.
- 技术挑战和投资需求目前限制了广泛的临床应用.
- 未来的研究应该专注于提高监视器可用性,以实现灵活,具有成本效益的咳评估.
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