Development and validation of the international pediatric sleep endoscopy scale (IPSES)

Copyright © 2023 Elsevier B.V. All rights reserved..

OBJECTIVES: To develop and validate a consensus international pediatric sleep endoscopy scale (IPSES) for pediatric drug-induced sleep endoscopy (DISE).

METHODS: Existing published DISE ratings scales were reviewed in order to develop a consensus rating scale synthesizing the most common features and adding new elements to address areas of controversy. Samples of 30 de-identified DISE video recordings were reviewed to develop and refine the scale. After the consensus scale was defined, a separate sample of 25 de-identified DISE videos were scored with the new consensus scale by the development group and a panel of independent raters. A weighted kappa statistic was used to quantify the inter-rater and intra-rater reliability of the consensus scale at each anatomic level.

RESULTS: Among all raters, intra-rater reliability was most variable for the nasal airway (kappa range 0.33-0.94) and best for the lateral oropharynx (kappa range 0.68-0.95). Inter-rater reliability ranged from 0.43 for the nasal airway to 0.57 at the soft palate.

CONCLUSION: The IPSES is a reliable consensus scale that reflects the most common features of existing scales and can be adopted as a universal scoring scale for pediatric DISE.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:174

Enthalten in:

International journal of pediatric otorhinolaryngology - 174(2023) vom: 29. Nov., Seite 111748

Sprache:

Englisch

Beteiligte Personen:

Lam, Derek J [VerfasserIn]
Friedman, Norman R [VerfasserIn]
Chan, Kate C [VerfasserIn]
Kirkham, Erin M [VerfasserIn]
Smith, David F [VerfasserIn]
Benedek, Palma [VerfasserIn]
Boudewyns, An [VerfasserIn]

Links:

Volltext

Themen:

Consensus
DISE
Journal Article
Pediatric
Reliability
Sleep apnea
Sleep endoscopy
Validation

Anmerkungen:

Date Completed 23.10.2023

Date Revised 23.10.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ijporl.2023.111748

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363136258