Evaluation of the reliability of preoperative descriptive airway assessment tests in prediction of the Cormack-Lehane score: A prospective randomized clinical study

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dc.authorid0000-0003-1996-7505en_US
dc.authorid0000-0002-7776-109Xen_US
dc.contributor.authorSelvi, Onur
dc.contributor.authorKahraman, Tugce
dc.contributor.authorSenturk, Ozgur
dc.contributor.authorTulgar, Serkan
dc.contributor.authorSerifsoy, Ercan
dc.contributor.authorOzer, Zeliha
dc.date.accessioned2024-07-12T21:50:31Z
dc.date.available2024-07-12T21:50:31Z
dc.date.issued2017en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractStudy objective: In this study we investigated and compared the predictive values of different airway assessments tests including thyromental height measurement test, which has been recently suggested, in difficult laryngoscopy (Commack and Lehane [C-L] scores 3 and 4). In addition, we compared the effectiveness of methods and C-L scores, by IDS, in terms of predicting difficult intubation. Design: Prospective, blinded study. Setting: Maltepe University. Patients: Four hundred fifty-one patients selected randomly who underwent general anesthesia. Interventions: In this study we compared predictive value of thyromental height measurement test (TMH), which has been recently suggested, modified Mallampati test (MMT), upper lip bite test (ULBT), and thyromental distance measurement test (TMD) in difficult laryngoscopy. Final C-L scores were compared with intubation difficulty scale (IDS) in terms of predicting difficult intubation. Measurements: Patient's American Society of Anesthesiology score, age and weight were recorded. TMH, TMD, MMT, ULBT, IDS and C-L scores were measured and determined. Main results: The optimal cut-off point for TMH for predicting difficult laryngoscopy was 43.5 mm and for TMD was 82.06 mm. Use of TMH <43.5 with MMT has the highest sensitivity for predicting difficult intubation (78.38) with 75.36% specificity and 97.50% negative predictive value. TMH showed sensitivity of 91.89% and specificity 52.17% at 50 mm cut-off value. In the comparison of the area under the receiver operating characteristic curve values, none of the tests came forth individually or in combination with MMT test. Conclusions: The present study demonstrates the practicality of TMH as a digitalized test however the clinical benefits of TMH in daily medical practice are drawn into question. The additional variable of race may have had some bearing on this and further studies, larger in patient sample size, may need to use different methodology concerning age-, sex-, and race -dependent variables in evaluating these tests. (C) 2016 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jclinane.2016.08.006
dc.identifier.endpage26en_US
dc.identifier.issn0952-8180
dc.identifier.issn1873-4529
dc.identifier.pmid28183567en_US
dc.identifier.scopus2-s2.0-84994593696en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage21en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.jclinane.2016.08.006
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8163
dc.identifier.volume36en_US
dc.identifier.wosWOS:000394414800006en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherELSEVIER SCIENCE INCen_US
dc.relation.ispartofJOURNAL OF CLINICAL ANESTHESIAen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY01841
dc.subjectAirway managementintubationen_US
dc.subjectIntratracheal sensitivity and specificityen_US
dc.titleEvaluation of the reliability of preoperative descriptive airway assessment tests in prediction of the Cormack-Lehane score: A prospective randomized clinical studyen_US
dc.typeArticle
dspace.entity.typePublication

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