DN4、S-LANSS 和 painDETECT 筛查问卷在检测急性鞭打相关疾病患者神经病理性疼痛成分方面的实用性:一项横断面研究。

IF 2.9 3区 医学 Q1 ANESTHESIOLOGY
Pain Medicine Pub Date : 2024-05-02 DOI:10.1093/pm/pnad165
Marta Ríos-León, Julian Taylor, Antonio Segura-Fragoso, Andrés Barriga-Martín
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引用次数: 0

摘要

目的:尽管有报道称鞭打相关疾病(WAD)中存在神经病理性疼痛(NP)成分,但尚未有研究分析 NP 筛查问卷对检测 WAD 中 NP 成分的有用性。本研究旨在评估三种 NP 筛查工具(Douleur Neuropathique 4 [DN4]、自制利兹神经病理性症状和体征评估 [S-LANSS] 以及 painDETECT 问卷 [PDQ])在检测急性 WAD 中是否存在 NP 成分方面的实用性:设计:横断面研究:研究对象在 188 名符合条件者中,有 50 人(68% 为女性,平均年龄 = 40.3 ± 12.5 岁)患有急性 WAD(52% 为 III 级):专科医生根据临床实践和国际建议对参与者进行初步筛查,以确定是否存在 NP 成分。在医生评估后,盲法研究人员在事故发生后两周内使用 NP 筛查问卷(DN4、S-LANSS、PDQ)对参与者进行评估。对这些工具的诊断准确性进行了分析,并与参考标准(医生评估)进行了比较:结果::三份筛查问卷显示出极佳的判别效度(曲线下面积 [AUC] ≥ 0.8),尤其是 S-LANSS(AUC:0.9;P 结论::DN4、S-LANSS 和 PDQ 的判别效度均高于医生的评估:DN4、S-LANSS 和 PDQ 在检测急性 WAD 中是否存在 NP 成分方面显示出极佳的判别效力,尤其是 S-LANSS。使用这些工具进行初步筛查可改善对 WAD 的管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Usefulness of the DN4, S-LANSS, and painDETECT screening questionnaires to detect the neuropathic pain components in people with acute whiplash-associated disorders: a cross-sectional study.

Objective: Although the presence of neuropathic pain (NP) components has been reported in whiplash-associated disorders (WAD), no studies have analyzed the usefulness of NP screening questionnaires to detect NP components in WAD. This study aimed to assess the usefulness of 3 NP screening tools (Douleur Neuropathique 4 [DN4], self-administered Leeds Assessment of Neuropathic Symptoms and Signs [S-LANSS], and painDETECT questionnaire [PDQ]) to detect the presence of NP components in acute WAD.

Design: A cross-sectional study.

Setting: Hospital.

Subjects: Of 188 eligible individuals, 50 people (68% women, mean age = 40.3 ± 12.5 years) with acute WAD (52% Grade III) were included.

Methods: Specialized physicians initially screened participants for the presence of NP components according to clinical practice and international recommendations. After physician assessment, blinded investigators used NP screening questionnaires (DN4, S-LANSS, and PDQ) to assess participants within 2 weeks of their accident. The diagnostic accuracy of these tools was analyzed and compared with the reference standard (physicians' assessments).

Results: The 3 screening questionnaires showed excellent discriminant validity (area under the curve: ≥0.8), especially S-LANSS (area under the curve: 0.9; P < .001). DN4 demonstrated the highest sensitivity (87%), followed by S-LANSS (75%), while S-LANSS and PDQ showed the highest specificity (85% and 82%, respectively). These tools demonstrated a strong correlation with the reference standard (S-LANSS: rho = 0.7; PDQ: rho = 0.62; DN4: rho = 0.7; all, P < .001).

Conclusions: The DN4, S-LANSS, and PDQ show excellent discriminant validity to detect the presence of NP components in acute WAD, especially S-LANSS. Initial screening with these tools might improve management of WAD.

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来源期刊
Pain Medicine
Pain Medicine 医学-医学:内科
CiteScore
6.50
自引率
3.20%
发文量
187
审稿时长
3 months
期刊介绍: Pain Medicine is a multi-disciplinary journal dedicated to pain clinicians, educators and researchers with an interest in pain from various medical specialties such as pain medicine, anaesthesiology, family practice, internal medicine, neurology, neurological surgery, orthopaedic spine surgery, psychiatry, and rehabilitation medicine as well as related health disciplines such as psychology, neuroscience, nursing, nurse practitioner, physical therapy, and integrative health.
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