Departamento de Fonoaudiologia, Centro de Ciências da Saúde, Universidade Federal da Paraíba - UFPB - João Pessoa (PB), Brasil.
Departamento de Estatística, Universidade Federal da Paraíba - UFPB - João Pessoa (PB), Brasil.
Codas. 2023 Apr 17;35(2):e20210123. doi: 10.1590/2317-1782/20232021123pt. eCollection 2023.
To compare the efficiency of different vocal self-assessment instruments for dysphonia screening.
262 dysphonic and non-dysphonic individuals participated in the research. The mean age was 41.3 (±14.5) years. The diagnosis of dysphonia was based on the auditory-perceptual analysis of the sustained vowel "é" and on laryngological diagnosis. The responses of the instruments were collected: Voice-Related Quality of Life (V-RQOL), Voice Handicap Index (VHI), VHI-10, Voice Symptoms Scale (VoiSS), and the Brazilian Dysphonia Screening Tool, (Br-DST) called in Brazilian Portuguese Instrumento de Rastreio da Disfonia (IRDBR). To analyze assertiveness in relation to the presence of dysphonia, the cutoff points of each instrument and the decision rule recommended by the IRDBR were used. An exploratory analysis was performed to compare mean scores of instruments and verify associations between variables.
The instruments evaluated were sensitive to capture the impact of dysphonia in a similar way regardless of professional voice use and type of dysphonia. There was a difference only in VoiSS scores for the variable gender, with a higher score for females. Regarding global assertiveness, the instruments showed high rates of success in classification, with emphasis on the VoiSS, which had the highest rate (86.3%), followed by the IRDBR (84.0%), VQL (80.9%), VHI (78.2%), and VHI-10 (75.2%).
The VoiSS has the highest assertiveness index in the identification of dysphonia, followed by the IRDBR. The IRDBR is a short, simple, and easy-to-apply tool for screening procedures.
比较不同嗓音自我评估工具在嗓音障碍筛查中的效率。
262 名嗓音障碍和非嗓音障碍者参与了这项研究。平均年龄为 41.3（±14.5）岁。嗓音障碍的诊断基于持续元音“é”的听觉感知分析和喉镜诊断。收集了以下仪器的反应：嗓音相关生活质量（V-RQOL）、嗓音障碍指数量表（VHI）、VHI-10、嗓音症状量表（VoiSS）和巴西嗓音障碍筛查工具（Br-DST），在巴西葡萄牙语中称为Instrumento de Rastreio da Disfonia（IRDBR）。为了分析与嗓音障碍存在相关的断言准确性，使用了每个仪器的截止值和 IRDBR 推荐的决策规则。进行了探索性分析，以比较仪器的平均分数，并验证变量之间的关联。
评估的仪器对捕获嗓音障碍的影响具有相似的敏感性，无论专业嗓音使用情况和嗓音障碍类型如何。只有 VoiSS 变量的性别得分存在差异，女性得分较高。关于整体断言准确性，仪器的分类成功率很高，强调 VoiSS 的成功率最高（86.3%），其次是 IRDBR（84.0%）、VQL（80.9%）、VHI（78.2%）和 VHI-10（75.2%）。
VoiSS 在识别嗓音障碍方面具有最高的断言准确性指数，其次是 IRDBR。IRDBR 是一种简短、简单且易于应用的筛查工具。
