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首页> 外文期刊>Spinal cord: the official journal of the International Medical Society of Paraplegia >Screening for neuropathic pain after spinal cord injury with the Spinal Cord Injury Pain Instrument (SCIPI): A preliminary validation study
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Screening for neuropathic pain after spinal cord injury with the Spinal Cord Injury Pain Instrument (SCIPI): A preliminary validation study

机译：脊髓损伤疼痛仪（SCIPI）筛查脊髓损伤后的神经性疼痛：初步验证研究

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摘要

Study design:Cross-sectional.Objective:To preliminarily evaluate the validity of an interview-based spinal cord injury (SCI) neuropathic pain screening instrument.Setting:Six university-based SCI centers in the United States.Methods:Clinician diagnoses of neuropathic pain (NP) and non-neuropathic pain subtypes were collected independently of descriptions of the pain characteristics provided by the persons with SCI by using the Spinal Cord Injury Pain Instrument (SCIPI); SCIPI information and physician diagnoses for 82 pain sites of which they were most confident were subsequently compared.Results:Four of the SCIPI items correlated significantly with the NP subtype as determined by the clinician. The best cutoff score for identifying NP was an endorsement of two or more of these four items. Using this cutoff, sensitivity of the SCIPI was 78%, specificity was 73% and overall diagnostic accuracy was 76%.Conclusion:In this preliminary study, the SCIPI, which can be administered by a nonclinician, appears to have good sensitivity, specificity and diagnostic accuracy in a SCI population; it may have a role as a screening tool for NP after SCI. Further study is needed.
机译：研究设计：横断面目的：初步评估基于访谈的脊髓损伤（SCI）神经性疼痛筛查仪器的有效性。背景：美国六个大学SCI中心方法：临床医生对神经性疼痛的诊断（NP）和非神经性疼痛亚型是通过使用脊髓损伤疼痛仪（SCIPI）来独立于SCI患者提供的疼痛特征的描述而收集的;随后比较了他们最确信的82个疼痛部位的SCIPI信息和医生诊断结果。结果：临床医师确定，四个SCIPI项目与NP亚型显着相关。识别NP的最佳分界点是对这四个项目中的两个或两个以上的认可。使用此临界值，SCIPI的敏感性为78％，特异性为73％，总体诊断准确性为76％。结论：在这项初步研究中，可以由非临床医生管理的SCIPI似乎具有良好的敏感性，特异性和敏感性。 SCI人群的诊断准确性;它可能作为SCI后NP的筛查工具。需要进一步研究。

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