The Pediatric Stroke Outcome Measure A Validation and Reliability Study
The Pediatric Stroke Outcome Measure A Validation and Reliability Study
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DOI：
10.1161/strokeaha.111.639583
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发表时间：
2012-06-01
期刊：
影响因子：
8.3
通讯作者：
deVeber, Gabrielle
中科院分区：
文献类型：
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作者：
Kitchen, Lisa;Westmacott, Robyn;deVeber, Gabrielle
背景和目的：儿科卒中结局测量（PSOM）是一种客观的、疾病特异性的结局测量，包含115个测试项目，适用于新生儿至成人年龄。PSOM通过5个分量表测量神经功能缺损和功能：右侧感觉运动、左侧感觉运动、语言产生、语言理解和认知/行为，最终得到10分缺损评分。本研究的目的是研究PSOM结构效度在测量神经功能的结果在儿童中风幸存者和评价者之间的可靠性（IRR）的前瞻性和回顾性scoring. Methods结构效度，PSOM分量表分数与分数匹配的功能域的标准化神经心理学措施。我们通过比较10名儿童中2名独立评估者的当天“现场”PSOM评分（前瞻性IRR）和另外10名儿童中5名评估者的医学口述评估PSOM评分（回顾性IRR）来评估IRR。PSOM各分量表具有良好的结构效度（rho=0.2-0.4; P
Background and Purpose-The Pediatric Stroke Outcome Measure (PSOM) is an objective, disease-specific outcome measure containing 115 test items suitable for newborn to adult ages. The PSOM measures neurological deficit and function across 5 subscales: right sensorimotor, left sensorimotor, language production, language comprehension, and cognitive/behavior yielding a final 10-point deficit score. The goal of this study was to examine PSOM construct validity in measuring neurological outcome in pediatric stroke survivors and interrater reliability (IRR) for both prospective and retrospective scoring.Methods-For construct validity, PSOM subscale scores were correlated with scores on standardized neuropsychological measures matched by functional domain. We assessed IRR by comparing same-day "live" PSOM scores from 2 independent raters in 10 children (prospective IRR) and by comparing PSOM scores estimated from medical dictations across 5 raters in another 10 children (retrospective IRR).Results-We analyzed PSOM scores from 203 children with ischemic stroke. PSOM subscales show good construct validity (rho=0.2-0.4; P