Development and validation of the international pediatric sleep endoscopy scale (IPSES).
Int J Pediatr Otorhinolaryngol
; 174: 111748, 2023 Nov.
Article
in En
| MEDLINE
| ID: mdl-37820572
ABSTRACT
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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Sleep Apnea, Obstructive
Type of study:
Prognostic_studies
Limits:
Child
/
Humans
Language:
En
Journal:
Int J Pediatr Otorhinolaryngol
Year:
2023
Document type:
Article