Service d'ORL de chirurgie cervico-faciale pédiatrique, hôpital Necker-Enfants-Malades, AP-HP, 75015 Paris, France.
Service d'ORL de chirurgie cervico-faciale pédiatrique, hôpital Necker-Enfants-Malades, AP-HP, 75015 Paris, France; Université Paris Cité, 75006 Paris, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2024 Jan;141(1):5-12. doi: 10.1016/j.anorl.2023.05.001. Epub 2023 May 22.
Validation of the PVSQ self-report questionnaire (diagnosis) and the DHI-PC caregiver report questionnaire (Dizziness Handicap Inventory) aims to improve the management of pediatric vertigo, which is often under-diagnosed.
The PVSQ and DHI-PC questionnaires were translated according to the Forward-Backward method and presented to a group of patients consulting for dizziness in a referral center and to a control group. A retest was performed at 2weeks for both questionnaires. Statistical validation consisted in calculating discriminatory capacity, ROC curve, reproducibility and internal consistency. The main study objective was the translation and validation of the PVSQ and DHI-PC questionnaires in French. The secondary objectives were to compare results in two subgroups according to the vestibular or non-vestibular etiology of dizziness and to assess the correlation between the two questionnaires.
In total, 112 children, in two comparable groups (53 cases and 59 controls), were included. Mean PVSQ score was 14.62 for cases and 6.55 for controls (P<0.001). Reproducibility was moderate, and internal consistency and construct validity were satisfactory. A cut-off of 11 corresponded to maximum Younden index. Mean DHI-PC score was 41.6 (cases only). Reproducibility was moderate, and internal consistency and construct validity were satisfactory.
The validation of the PVSQ and DHI-PC questionnaires offers two new tools in the management of dizziness, for both screening and follow-up.
验证 PVSQ 自评问卷（诊断）和 DHI-PC 照顾者报告问卷（头晕障碍问卷）旨在改善儿科眩晕的管理，因为儿科眩晕常常被漏诊。
根据前后翻译法翻译 PVSQ 和 DHI-PC 问卷，并将其呈现给在转诊中心因头晕就诊的患者组和对照组。对这两个问卷都进行了 2 周的重测。统计验证包括计算鉴别能力、ROC 曲线、再现性和内部一致性。主要研究目标是将 PVSQ 和 DHI-PC 问卷翻译成法语并进行验证。次要目标是根据头晕的前庭或非前庭病因将结果分为两个亚组进行比较，并评估两个问卷之间的相关性。
共纳入 112 名儿童，分为两组（53 例和 59 例对照组），两组具有可比性。病例组的 PVSQ 平均得分为 14.62，对照组为 6.55（P<0.001）。再现性为中度，内部一致性和结构有效性令人满意。11 分的截点对应于最大 Younden 指数。仅病例组的 DHI-PC 平均得分为 41.6。再现性为中度，内部一致性和结构有效性令人满意。
PVSQ 和 DHI-PC 问卷的验证为头晕的管理提供了两种新的工具，既用于筛查也用于随访。
