INTEROBSERVER AGREEMENT FOR THE ASSESSMENT OF HANDICAP IN STROKE PATIENTS
INTEROBSERVER AGREEMENT FOR THE ASSESSMENT OF HANDICAP IN STROKE PATIENTS
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DOI：
10.1161/01.str.19.5.604
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发表时间：
1988-05-01
期刊：
影响因子：
8.3
通讯作者：
VANGIJN, J
中科院分区：
文献类型：
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作者：
VANSWIETEN, JC;KOUDSTAAL, PJ;VANGIJN, J
对来自两个中心的10名资深神经科医生和24名住院医生进行了卒中患者残疾评估的观察者间一致性调查。两位医生以不同的组合分别对100名患者进行了访谈。残疾程度由每个观察者在修改的兰金量表上记录，该量表有六个等级（0-5）。一致性率根据偶然性进行了修正（kappa统计）。两位医生对65名患者的残疾程度意见一致；32例患者有1级差异，3例患者有2级差异。所有两两观测值的Kappa为0.56;加权kappa值（二次不一致权值）为0.91。本研究结果证实了改良Rankin量表在脑卒中残障评定中的应用价值；然而，进一步的改进是可能的。
Interobserver agreement for the assessment of handicap in stroke patients was investigated in a group of 10 senior neurologists and 24 residents from two centers. One hundred patients were separately interviewed by two physicians in different combinations. The degree of handicap was recorded by each observer on the modified Rankin scale, which has six grades (0-5). The agreement rates were corrected for chance (kappa statistics). Both physicians agreed on the degree of handicap in 65 patients; they differed by one grade in 32 patients and by two grades in 3 patients. Kappa for all pairwise observations was 0.56; the value for weighted kappa (with quadratic disagreement weights) was 0.91. Our results confirm the value of the modified Rankin scale in the assessment of handicap in stroke patients; nevertheless, further improvements are possible.