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Comparison between two assessment methods for exercise-induced laryngeal obstructions
- Source :
- European Archives of Oto-Rhino-Laryngology. 273:425-430
- Publication Year :
- 2015
- Publisher :
- Springer Science and Business Media LLC, 2015.
-
Abstract
- Exercise-induced laryngeal obstructions (E-ILOs) are important differential diagnoses to exercise-induced asthma and are diagnosed by the continuous laryngoscopy exercise (CLE) test. There are two different methods for evaluating the severity of E-ILOs using recordings from the CLE test; the CLE score and EILOMEA. The aim of this study was to investigate the consistency between these methods. Using their respective method, the developers of each method evaluated 60 laryngoscopic recordings from patients with different subtypes and various levels of severity of E-ILOs. The CLE score evaluates glottic and supraglottic obstructions on a 4-grade scale. EILOMEA uses software to calculate the obstruction severity on continuous scales from a still frame of the larynx during maximal obstruction giving three parameters reflecting glottic and supraglottic obstruction. The means of the EILOMEA measures differed significantly for CLE score 1 vs. 2 and 2 vs. 3, but not for 0 vs. 1 for glottic as well as supraglottic obstructions. The EILOMEA method does not distinguish between CLE score 0 and 1, but otherwise the methods correlate. Since previous studies have suggested that only CLE scores of 2 and 3 reflect a severity of E-ILOs of clinical importance, this lack of the EILOMEA method is not crucial for a correct medical evaluation.
- Subjects :
- Adult
Male
Larynx
medicine.medical_specialty
Laryngoscopy
Diagnosis, Differential
Laryngeal Diseases
03 medical and health sciences
0302 clinical medicine
Humans
Medicine
Medical diagnosis
030223 otorhinolaryngology
Asthma
medicine.diagnostic_test
business.industry
fungi
Medical evaluation
General Medicine
respiratory system
medicine.disease
Surgery
Airway Obstruction
Asthma, Exercise-Induced
medicine.anatomical_structure
030228 respiratory system
Otorhinolaryngology
Assessment methods
Exercise Test
Head and neck surgery
Female
Radiology
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 14344726 and 09374477
- Volume :
- 273
- Database :
- OpenAIRE
- Journal :
- European Archives of Oto-Rhino-Laryngology
- Accession number :
- edsair.doi.dedup.....ea029d9469ed19b92195e7ed07b325bb