Reliability of an online analysis platform for pharyngeal high-resolution impedance manometry recordings
Reliability of an online analysis platform for pharyngeal high-resolution impedance manometry recordings
复制标题
DOI：
10.1080/2050571x.2018.1535564
复制
发表时间：
2019-01-01
影响因子：
1.5
通讯作者：
Omari, Taher
中科院分区：
文献类型：
--
作者：
Singendonk, Maartje;Cock, Charles;Omari, Taher
目的：咽部高分辨率阻抗测压（HRIM）研究可通过自动阻抗测压（AIM）分析进行分析，以客观评估吞咽。本研究的目的是评估最近开发的在线AIM分析portal.Methods的可靠性：24咽HRIM和视频透视研究（n =18口咽吞咽困难患者和n = 6对照组;平均年龄66，范围58-71岁）的数据库建立。具有不同专门知识的五名观察员使用AIMplot-online对数据库进行了两次分析。两名经验丰富的观察员也使用原始AIMplot进行了分析。评定者内和评定者间信度由组内相关系数（ICC）确定。从AIMplot和AIMplot在线和他们的关系穿透抽吸量表（PAS）scores.Results的结果进行了比较：专家分析证实，这两个分析平台区分患者从控制，患者之间，显着的吞咽功能障碍。内部和内部评级的可靠性是实质性的优秀，但是，专业知识和列入高度异常的情况下，影响了可靠性的一些measurement.Conclusion：总之，吞咽功能变量可以可靠地使用在线软件为基础的分析，并改变有关增加吞咽功能障碍的水平。通过互联网广泛提供AIM分析，可以全面独立地评估咽部HRIM记录的诊断潜力。
Objectives: Pharyngeal high-resolution impedance manometry (HRIM) studies can be analysed by automated impedance manometry (AIM)-analysis to objectively asses swallowing. The aim of this study was to evaluate the reliability of a recently developed online AIM analysis portal.Methods: A database of 24 pharyngeal HRIM and videofluoroscopy studies (n =18 oropharyngeal dysphagia patients and n = 6 controls; mean age 66, range 58-71 years) was established. Five observers of varying expertise analysed the database twice using AIMplot-online. Two experienced observers also performed the analysis using original AIMplot. Intraand inter-rater reliability was determined by the intra-class correlation coefficient (ICC). Results from AIMplot and AIMplot-online and their relation to penetration aspiration scale (PAS) scores were compared.Results: The expert analysis confirmed that both analysis platforms differentiated patients from controls and, amongst patients, significant swallowing dysfunction. Intra- and inter-rater reliability were substantial to excellent; however, expertise and the inclusion of highly aberrant cases influenced the reliability of some measures.Conclusion: In conclusion, swallow function variables can be reliably derived using online software-based analysis and are altered in relation to increasing levels of swallowing dysfunction. By making the AIM analysis widely available via the Internet, the diagnostic potential of pharyngeal HRIM recordings can be fully and independently assessed.