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- W2791387040 abstract "Endoscopic evaluation of disorders of the structure and functionof the equine upper respiratory tract (URT) are typically assessedthrough the use of ordinal grading systems described for eachindividual condition. In order to effectively draw conclusions aboutthe presence and severity of any URT condition, it is important todetermine that grading systems can be used in a comparable way withminimal variability.The objective of the current study was to determine estimatesof intra- and interobserver reliability for identification and gradingof URT disorders during evaluation of resting and overgroundendoscopic (OGE) videos of thoroughbred horses.Resting and OGE URT videos for 43 thoroughbreds wereretrospectively chosen based on identification of common URTdisorders. The videos were randomly evaluated in duplicate by fourclinicians blinded to previous medical history and graded according topreviously defined scales. Intraobserver and interobserver reliabilitywere statistically evaluated.Intraobserver agreement was perfect/nearly perfect for arytenoidsymmetry at exercise, epiglottic entrapment and epiglottic retroversion;substantial for arytenoid asymmetry at rest, palatal dysfunction,medial deviation of the aryepiglottic folds, pharyngeal mucus andepiglottic grade at exercise; and moderate for vocal fold collapse,ventromedial luxation of the apex of the corniculate process of thearytenoid (VLAC), nasopharyngeal collapse and epiglottic grade atrest. Interobserver agreement was substantial for arytenoid symmetryat exercise and palatal dysfunction; and moderate for arytenoidasymmetry at rest, medial deviation of the aryepiglottic folds, VLACand epiglottic entrapment. It was only fair for vocal fold collapse,epiglottic grade at exercise, epiglottic retroversion, pharyngeal mucusand nasopharyngeal collapse; and was poor for epiglottic grade at rest.The authors conclude that although clinicians are consistent inthe grading of most URT conditions, interobserver reliability couldbe improved by clinician training and more defined grading systems,especially for conditions of the epiglottis." @default.
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- W2791387040 date "2017-01-01" @default.
- W2791387040 modified "2023-09-23" @default.
- W2791387040 title "Reliability of upper respiratory tract endoscopic grading in horses" @default.
- W2791387040 hasPublicationYear "2017" @default.
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