Interobserver Variability in the Assessment of Neurologic History and Examination in the Stroke Data Bank
Interobserver Reliability in Obtaining Neurologic Histories and Examinations Was Investigated among Neurologists Collaborating in the Stroke Data Bank (SDB). Seventeen In-Hospital Stroke Patients Were Examined by Six Neurologists Experienced in Stroke over the Course of Three Days. Patients Were Examined Twice a Day for Two Successive Days, with Each Patient Seen by Four Different Neurologists. Data Were Recorded on SDB Forms, According to Definitions and Procedures Established for the SDB. Percent Agreement and Κ Coefficients Were Calculated to Assess the Levels of Agreement for Each Item. Important Differences in Levels of Agreement Were Found among Items on Both Neurologic History and Examination. Agreement among Neurologists Was Higher for Neurologic Examination Than for History. Patterns of Agreement for Items with Low Prevalence or with Numerous Unknown Ratings Are Discussed. Improvement in Interobserver Agreement Due to Data Editing for Intra-Observer Consistency Was Shown. © 1985, American Medical Association. All Rights Reserved.
D. Shinar and C. R. Gross and J. P. Mohr and L. R. Caplan and T. R. Price and P. A. Wolf and D. B. Hier and C. S. Kase and I. G. Fishman and C. L. Wolf and S. C. Kunitz, "Interobserver Variability in the Assessment of Neurologic History and Examination in the Stroke Data Bank," Archives of Neurology, vol. 42, no. 6, pp. 557 - 565, JAMA Neurology, Jan 1985.
The definitive version is available at https://doi.org/10.1001/archneur.1985.04060060059010
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01 Jan 1985
National Institute of Neurological Disorders and Stroke, Grant N01NS022398