The Interrater Reliability of a Validated Bronchiolitis Severity Assessment Tool
| Autor: | Adrian Gonzales, Stephen J. Rothenberg, Paul Walsh, Amina Satar |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
Faculty Medical macromolecular substances Severity of Illness Index Faculty medical Work of breathing Severity assessment Intensive care Severity of illness medicine Humans Prospective Studies Reliability (statistics) Observer Variation business.industry Infant Newborn Infant Internship and Residency Reproducibility of Results General Medicine medicine.disease Inter-rater reliability Bronchiolitis Pediatrics Perinatology and Child Health Emergency Medicine Physical therapy Educational Status business |
| Zdroj: | Pediatric Emergency Care. 22:316-320 |
| ISSN: | 0749-5161 |
| Popis: | We previously constructed and tested a bronchiolitis severity assessment tool in 2 independent hospitals. The model uses age, work of breathing, dehydration and tachycardia to successfully predict disease severity.To prospectively measure the interrater reliability of a bronchiolitis severity assessment tool and of its component variables.Prospective observational survey.A county teaching hospital emergency department serving a mixed urban and rural population with an emergency medicine residency program in 2-3-4 format.Thirty-two physicians evaluated a convenience sample of children aged less than 18 months presenting to the emergency department with a clinical diagnosis of bronchiolitis during a single season.Two physicians independently examined each patient. Each physician completed a physical examination template that included the variables used in the severity assessment tool. Interrater agreement was measured for the variables work of breathing and dehydration and for the tool as a whole using a weighted kappa statistic.One hundred and forty-six cases were enrolled. Twenty-five were dropped for incomplete data collection. The actual weighted agreement on overall classification was 92%; expected, 73%, kappa = 0.676; P0.0001. The actual weighted agreement for dehydration was at 95%; expected, 92%, kappa = 0.305; P = 0.0001. The agreement for work of breathing was 95%; expected, 86%; kappa = 0.611; P0.0001. The overall model showed better interrater reliability than its individual components.Overall interrater reliability for this bronchiolitis severity assessment tool is substantial. |
| Databáze: | OpenAIRE |
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