Patient-Powered Reporting of Modified Rankin Scale Outcomes Via the Internet
| Autor: | Fawaz Al-Mufti, Stephan A. Mayer, Hooman Kamel, M Cristina Falo, J. Michael Schmidt, Shouri Lahiri, Emma Meyers, Sachin Agarwal, Jan Claassen, Soojin Park |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
business.industry Original Articles 030204 cardiovascular system & hematology medicine.disease Bioinformatics Confidence interval 03 medical and health sciences 0302 clinical medicine Modified Rankin Scale medicine Physical therapy Observational study Neurology (clinical) Outcomes research Prospective cohort study business Stroke 030217 neurology & neurosurgery Kappa |
| Popis: | Background and Purpose:The modified Rankin Scale (mRS) is a common and resource-intensive measure of functional outcome in stroke-related conditions. In this observational prospective cohort feasibility study, mRS scores are generated using a patient-powered online survey and compared to scores obtained by structured telephonic interview.Materials and Methods:Fifty-one patients with subarachnoid hemorrhage (SAH) or their surrogates responded to an online survey following discharge from the hospital. These responses were used to generate an mRS score and then compared to blinded telephonic assessments by trained personnel. A weighted kappa (Kw) with confidence intervals (CIs) was calculated.Results:The Kw between the patient/surrogate and the trained personnel scores was 0.85 (95% CI, 0.74-0.95, P < .001).Conclusion:This study provides first evidence that patient/surrogate survey responses may be an efficient and reliable alternative to generate mRS scores compared to trained personnel after SAH. |
| Databáze: | OpenAIRE |
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