PDF(Pubmed)
Abstract：
UNASSIGNED: MONTH Difficult Laryngoscopy Score was developed for effectively identifying difficult intubations in the emergency department (ED). This study aimed to evaluate the accuracy of MONTH Score in predicting difficult intubations in ED.
UNASSIGNED: We prospectively collected data on all patients undergoing intubation in the ED of Ramathibodi Hospital, Bangkok, Thailand. The screening performance characteristics of the MONTH score in identifying the difficult intubation in ED were analyzed. All data were analyzed using STATA software version 18.0.
UNASSIGNED: 324 intubated patients with the median age of 73 (63-82) years were studied (63.58% male). The proportion of difficult intubations was 19.44%. The sensitivity and specificity of MONTH in predicting difficult intubations were 74.6% (95% CI: 61.6%-85.0%) and 92.8% (95% CI: 89.0%-95.6%), respectively. These measures in subgroup of patients with Intubation Difficulty Scale (IDS) score ≥ 6 were 44.1% (95%CI: 31.2-57.6) and 98.5% (95% CI: 96.2%- 99.6%), respectively. The area under the receiver operation characteristic (ROC) curve of MONTH in predicting difficult intubations was 0.895 (95% CI: 0.856- 0.926).
UNASSIGNED: It seems that the MONTH Difficult Laryngoscopy Score could be considered as a tool with high specificity and positive predictive values in identifying cases with difficult intubations in ED.
UNASSIGNED: We prospectively collected data on all patients undergoing intubation in the ED of Ramathibodi Hospital, Bangkok, Thailand. The screening performance characteristics of the MONTH score in identifying the difficult intubation in ED were analyzed. All data were analyzed using STATA software version 18.0.
UNASSIGNED: 324 intubated patients with the median age of 73 (63-82) years were studied (63.58% male). The proportion of difficult intubations was 19.44%. The sensitivity and specificity of MONTH in predicting difficult intubations were 74.6% (95% CI: 61.6%-85.0%) and 92.8% (95% CI: 89.0%-95.6%), respectively. These measures in subgroup of patients with Intubation Difficulty Scale (IDS) score ≥ 6 were 44.1% (95%CI: 31.2-57.6) and 98.5% (95% CI: 96.2%- 99.6%), respectively. The area under the receiver operation characteristic (ROC) curve of MONTH in predicting difficult intubations was 0.895 (95% CI: 0.856- 0.926).
UNASSIGNED: It seems that the MONTH Difficult Laryngoscopy Score could be considered as a tool with high specificity and positive predictive values in identifying cases with difficult intubations in ED.
摘要：
■MONTH喉镜检查困难评分用于有效识别急诊科（ED）的困难插管。这项研究旨在评估MONTH评分在预测ED困难插管中的准确性。
■我们前瞻性地收集了所有在Ramathibodi医院ED中接受插管的患者的数据，曼谷,泰国。分析MONTH评分在确定ED困难插管中的筛选性能特征。使用STATA软件18.0版分析所有数据。
■研究了324名中位年龄为73（63-82）岁的插管患者（63.58％为男性）。困难插管的比例为19.44％。MONTH预测困难插管的敏感性和特异性分别为74.6%(95%CI:61.6%-85.0%)和92.8%(95%CI:89.0%-95.6%),分别。插管困难量表(IDS)评分≥6分的患者亚组这些指标分别为44.1%(95CI:31.2-57.6)和98.5%(95%CI:96.2%-99.6%),分别。MONTH预测困难插管的受试者操作特征（ROC）曲线下面积为0.895（95％CI：0.856-0.926）。
■似乎可以将MONTH喉镜检查困难评分视为识别ED中插管困难病例的高特异性和阳性预测值的工具。
■我们前瞻性地收集了所有在Ramathibodi医院ED中接受插管的患者的数据，曼谷,泰国。分析MONTH评分在确定ED困难插管中的筛选性能特征。使用STATA软件18.0版分析所有数据。
■研究了324名中位年龄为73（63-82）岁的插管患者（63.58％为男性）。困难插管的比例为19.44％。MONTH预测困难插管的敏感性和特异性分别为74.6%(95%CI:61.6%-85.0%)和92.8%(95%CI:89.0%-95.6%),分别。插管困难量表(IDS)评分≥6分的患者亚组这些指标分别为44.1%(95CI:31.2-57.6)和98.5%(95%CI:96.2%-99.6%),分别。MONTH预测困难插管的受试者操作特征（ROC）曲线下面积为0.895（95％CI：0.856-0.926）。
■似乎可以将MONTH喉镜检查困难评分视为识别ED中插管困难病例的高特异性和阳性预测值的工具。
