Data analysis
Data analysis was conducted using SPSS software version 22. We collected and analyzed demographic data, reporting success rates as frequencies and mean ± standard deviation.Success and failure in the Pilot study were expressed as a percentage and the results were reported as frequency (percentage) as well as.We utilized statistical tests such as Kolmogorov-Smirnov test to assess data normality, the Kruskal-Wallis test for non-normally distributed data, and repeated measure tests. Additionally, we calculated Diagnostic test parameters including positive and negative predictive values, sensitivity, specificity, and Youden´s Index. A P-value of ≤ 0.05 was considered statistically significant.