Clinical assessment of speech correlates well with lung function during induced bronchoconstriction
Clinical assessment of speech correlates well with lung function during induced bronchoconstriction
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DOI：
10.1038/npjpcrm.2015.6
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发表时间：
2015-02-26
影响因子：
3.1
通讯作者：
Holloway, Judith
中科院分区：
文献类型：
--
作者：
Tayler, Nicholas;Grainge, Christopher;Holloway, Judith
哮喘的临床评估通常包括对言语的粗略评估，例如患者是否能说出完整的句子。到目前为止，这一声明尽管出现在国家哮喘指南中，但与哮喘恶化的肺功能测试无关。7名哮喘患者接受了支气管挑战，然后记录了他们阅读标准化文本的时间为1分钟。这些录音被播放给88名医疗保健专业人员，他们被要求估计FEV1%的预测值。卫生保健专业人员的估计与预计的FEV1%有中等相关性(Rho=0.61P<；0.01)。按资历或专业分组的专业人员之间没有显著差异。语音可以由卫生保健专业人员以适度的准确性直观地估计出来。这为哮喘急性发作期的言语评估提供了证据依据，为哮喘患者的监测提供了新的途径。
Clinical assessment of asthma often includes a crude assessment of speech, for example whether the patient can speak in full sentences. To date, this statement, despite appearing in national asthma guidelines, has not been related to lung function testing in asthma exacerbation. Seven asthmatics underwent a bronchial challenge and were then recorded reading a standardised text for 1 min. The recordings were played to 88 healthcare professionals who were asked to estimate FEV1% predicted. Health care professionals' estimations showed moderate correlation to FEV1% predicted (rho = 0.61 P < 0.01). There were no significant differences between professionals grouped by seniority or speciality. Speech can intuitively be estimated by health care professionals with moderate accuracy. This gives an evidence basis for the assessment in speech in acute asthma and may provide a new avenue for monitoring.