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Title
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Development and validation of the international pediatric sleep endoscopy scale (IPSES)
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Author
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Abstract
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| 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. |
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Language
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English
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Source (journal)
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International journal of pediatric otorhinolaryngology. - Amsterdam
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Publication
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Amsterdam
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2023
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ISSN
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0165-5876
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DOI
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10.1016/J.IJPORL.2023.111748
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Volume/pages
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174
(2023)
, p. 1-7
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Article Reference
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111748
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ISI
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001097651400001
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Pubmed ID
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37820572
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Full text (Publisher's DOI)
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Full text (open access)
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The author-created version that incorporates referee comments and is the accepted for publication version Available from 06.04.2024
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Full text (publisher's version - intranet only)
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