老年喉：基于形态学特征的分类验证
Presbylarynx: validation of a classification based on morphological characteristics.
作者信息
Santos Mariline, Freitas Susana Vaz, Almeida E Sousa Cecília, da Silva Álvaro Moreira
机构信息
Serviço de Otorrinolaringologia do Centro Hospitalar Universitário do Porto e Instituto Ciências Biomédicas Abel Salazar, Universidade do Porto, Largo Professor Abel Salazar, 4100-099, Porto, Portugal.
Faculdade de Ciências da Saúde, Universidade Fernando Pessoa, Porto, Portugal.
出版信息
Eur Arch Otorhinolaryngol. 2023 Feb;280(2):781-788. doi: 10.1007/s00405-022-07618-x. Epub 2022 Aug 28.
PURPOSE
Validation of a classification to stratify presbylarynx into three types.
METHODS
Evaluate the reproducibility of this classification. 30 video recordings of rigid laryngostroboscopies were presented to 20 otorhinolaryngologists from five tertiary hospitals: 10 residents and 10 specialists. Specialists with different differentiations were included.
RESULTS
Among 1200 evaluations performed (30 video recordings × 20 raters, twice), average intra-rater agreement rate was 0.847 (p < 0.001). The average inter-rater reliability was 0.67 ± 0.179 on the first evaluation, and 0.691 ± 0.131 on the second evaluation.
CONCLUSIONS
This study presented the validation of a classification that allows stratifying laryngeal endoscopic signs in elderly patients with presbyphonia. We believe that this classification will enrich the diagnostic protocol of the aging voice and will improve the documentation of treatment outcomes.
目的
验证一种将老年喉分为三种类型的分类方法。
方法
评估该分类方法的可重复性。向来自五家三级医院的20名耳鼻喉科医生展示30份硬性喉动态镜检查的视频记录：10名住院医师和10名专家。纳入了不同专业的专家。
结果
在进行的1200次评估中（30份视频记录×20名评分者，共两次），评分者内平均一致率为0.847（p<0.001）。第一次评估时评分者间平均可靠性为0.67±0.179，第二次评估时为0.691±0.131。
结论
本研究验证了一种可对老年声嘶患者的喉镜检查体征进行分层的分类方法。我们认为该分类将丰富老年嗓音的诊断方案，并改善治疗结果的记录。
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