Diagnosis of right bundle branch block: a concordance study

Autor: Guillem Pera, M. V. Zamora Sanchez, J. Francisco-Pascual, L. Guix Font, M. Benitez Camps, J. Brugada Terradellas, N. Mengual Miralles, C. Roca Saumell, T. Gros Garcia, Marina Alventosa-Zaidin
Přispěvatelé: Institut Català de la Salut, [Alventosa-Zaidin M] Bon Pastor, Centre d’atenció primària, Institut Català de la salut, Barcelona, Spain. [Pera G] Unitat de Suport a la Recerca Metropolitana Nord, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Mataró, Spain. [Roca Saumell C] EAP El Clot, Centre d’atenció primària, Institut Català de la salut, Barcelona, Spain. Universitat de Barcelona, Barcelona, Spain. [Mengual Miralles N, Gros Garcia T] EAP Ronda Cerdanya, Centre d’atenció primària, Institut Català de la salut, Mataró, Spain. [Zamora Sanchez MV] EAP El Gòtic, Centre d’atenció primària, Institut Català de la salut, Barcelona, Spain. [Francisco-Pascual J] Unitat d’arrítmies, Servei de Cardiologia, Hospital Universitari Vall d'Hebron, Barcelona, Spain. Vall d’Hebron Institut de Recerca, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. CIBER-CV, Barcelona, Spain., Vall d'Hebron Barcelona Hospital Campus
Rok vydání: 2019
Předmět:
Adult
Male
Research design
medicine.medical_specialty
Adolescent
Concordance
Bundle-Branch Block
Otros calificadores::/diagnóstico [Otros calificadores]
Asymptomatic
Physicians
Primary Care
Kappa index
Electrocardiography
Young Adult
03 medical and health sciences
Cardiologists
0302 clinical medicine
Other subheadings::/diagnosis [Other subheadings]
medicine
Humans
cardiovascular diseases
030212 general & internal medicine
Aged
Retrospective Studies
Aged
80 and over
Observer Variation
lcsh:R5-920
Bundle branch block
business.industry
030503 health policy & services
General surgery
Retrospective cohort study
Mean age
Middle Aged
Cardiovascular Diseases::Heart Diseases::Arrhythmias
Cardiac::Heart Block::Bundle-Branch Block [DISEASES]
Right bundle branch block
medicine.disease
Blocatge cardíac - Diagnòstic
enfermedades cardiovasculares::enfermedades cardíacas::arritmias cardíacas::bloqueo cardíaco::bloqueo de rama [ENFERMEDADES]
Female
medicine.symptom
lcsh:Medicine (General)
0305 other medical science
Family Practice
business
Research Article
Zdroj: Scientia
Dipòsit Digital de Documents de la UAB
Universitat Autònoma de Barcelona
BMC Family Practice, Vol 20, Iss 1, Pp 1-9 (2019)
BMC Family Practice
ISSN: 1471-2296
DOI: 10.1186/s12875-019-0946-3
Popis: Altres ajuts: 12th grant for research in Primary Care from the Catalan Society of Family Medicine (CAMFIC)(2012); Research scholarship for the accomplishment of the doctorate in primary care from University Institute for Research in Primary Care (IDIAP) Jordi Gol (2014): Gonçal Calvo Research Scholarship from the Academy of Medical and Health Sciences of Catalonia and the Balearic Islands (filial Maresme)(2015); Research scholarship for primary care professionals of the Catalan Health Institute (area Barcelona city)(2017) Background: Right bundle branch block is one of the most common electrocardiographic abnormalities. Most cases of right bundle branch block are detected in asymptomatic patients in primary care, so a correct interpretation of electrocardiograms (ECGs) at this level is necessary. The objective of this research is to determine the degree of concordance in the diagnosis of incomplete and complete right bundle branch block between four primary care researchers and a cardiologist. Methods: The research design is a retrospective cohort study of patients over 18 years of ages of patients over 18 years of ages who underwent an ECG for any reason and were diagnosed with right bundle branch block by their physician. The physicians participating, 4 primary care researchers and a cardiologist were specialized in interpreting electrocardiographic records. The diagnosis of incomplete and complete right bundle branch block was recorded and other secondary variables were analysed. In case of diagnostic discordance between the researchers, the ECGs were reviewed by an expert cardiologist, who interpreted them, established the diagnosis and analysed the possible causes for the discrepancy. Results: We studied 160 patients diagnosed with right bundle branch block by their general practise. The patients had a mean age of 64.8 years and 54% of them were men. The concordance in the diagnosis of incomplete right bundle branch block showed a Fleiss' kappa index (k) of 0.71 among the five researchers and of 0.85 among only the primary care researchers. The k for complete right bundle branch block was 0.93 among the five researchers and 0.96 among only the primary care researchers. Conclusion: The interobserver agreement in the diagnosis of right bundle branch block performed by physicians specialized in ECG interpretation (primary care physicians and a cardiologist) was very good. The variability was greater for the diagnosis of incomplete right bundle branch block.
Databáze: OpenAIRE
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