Continuous laryngoscopy was performed during the CPET using a transnasal flexible video-laryngoscopy (ENF TYPE V2, video processor CV-170; OLYMPUS, Tokyo, Japan) as described previously [31 (link)]. Laryngeal obstruction during treadmill running was assessed and rated according to a modified version of the classification described by Maat et al. (Figure 1 ) [13 (link)]. Laryngeal obstruction on either glottic or supraglottic level at moderate and maximum exercise was rated from 0 to 3 at each level, giving a score ranging from 0 to 12 (CLE score). CLE test recordings were evaluated blinded in retrospect by two experienced reviewers (O.D. Røksund and H.H. Clemm), and disagreements were resolved by consensus.
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Continuous Laryngeal Evaluation During CPET
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Other organizations : Haukeland University Hospital, University of Bergen, Western Norway University of Applied Sciences, Norwegian School of Sport Sciences
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Variable analysis
independent variables
- Laryngeal obstruction during treadmill running
- Laryngeal obstruction on either glottic or supraglottic level at moderate and maximum exercise
- CLE score (ranging from 0 to 12)
- Use of a transnasal flexible video-laryngoscopy (ENF TYPE V2, video processor CV-170; OLYMPUS, Tokyo, Japan) for continuous laryngoscopy during CPET, as described previously [31]
- Evaluation of CLE test recordings by two experienced reviewers (O.D. Røksund and H.H. Clemm) in a blinded retrospect, with disagreements resolved by consensus
- Modified version of the classification described by Maat et al. [13] used to assess and rate laryngeal obstruction during treadmill running
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