Improving Modified Rankin Scale Assessment With a Simplified Questionnaire

被引：188

作者：

Bruno, Askiel ^{[1
]}

Shah, Neel ^{[2
]}

Lin, Chen ^{[2
]}

Close, Brian ^{[1
]}

Hess, David C. ^{[1
]}

Davis, Kristin ^{[1
]}

Baute, Vanessa ^{[1
]}

Switzer, Jeffrey A. ^{[1
]}

Waller, Jennifer L. ^{[3
]}

Nichols, Fenwick T. ^{[1
]}

机构：

[1] Med Coll Georgia, Dept Neurol, Augusta, GA 30912 USA

[2] Med Coll Georgia, Sch Med, Augusta, GA 30912 USA

[3] Med Coll Georgia, Dept Biostat, Augusta, GA 30912 USA

来源：

STROKE | 2010年 / 41卷 / 05期

关键词：

clinometrics; modified Rankin Scale; outcome assessment; STROKE; INTERVIEW; AGREEMENT;

D O I：

10.1161/STROKEAHA.109.571562

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background and Purpose-The modified Rankin Scale (mRS) is a popular primary stroke outcome measure, but its usefulness is limited by suboptimal reliability (inter-rater agreement). Methods-We developed and tested the reliability of a simplified mRS questionnaire (smRSq) in 50 patients after stroke seen in outpatient clinics. Randomly chosen paired raters administered the smRSq within 20 minutes of each other and the ratings were blinded until the end of this study. Results-Agreement among the raters was 78%, the kappa statistic was 0.72 (95% CI, 0.58-0.86), and the weighted kappa(w) statistic taking into account the extent of disagreement was 0.82 (95% CI, 0.72-0.92). The average time to administer the smRSq was 1.67 minutes. Conclusions-The smRSq appears to have very good reliability that is similar to that of a structured interview mRS and is considerably less time-consuming. (Stroke. 2010;41:1048-1050.)

引用

页码：1048 / 1050

页数：3

共 9 条

[1] Validation of the National Institutes of Health Stroke Scale, Modified Rankin Scale and Barthel Index in Brazil: The Role of Cultural Adaptation and Structured Interviewing
Cincura, Carolina
Pontes-Neto, Octavio M.
Neville, Iuri S.
Mendes, Henrique F.
Menezes, Daniela F.
Mariano, Debora C.
Pereira, Issana F.
Teixeira, Larissa A.
Jesus, Pedro A. P.
de Queiroz, Danilo C. L.
Pereira, Davidson F.
Pinto, Elen
Leite, Joao P.
Lopes, Antonio A.
Oliveira-Filho, Jamary
[J]. CEREBROVASCULAR DISEASES, 2009, 27 (02) : 119 - 122
[2] FEINSTEIN AR, 1987, SCI IMPORTANCE CONSI, P169
[3] Disagreement in patient and career assessment of functional abilities after stroke
Knapp, P
Hewison, J
[J]. STROKE, 1999, 30 (05) : 934 - 938
[4] Variability in Modified Rankin Scoring Across a Large Cohort of International Observers
Quinn, Terence J.
Dawson, Jesse
Walters, Matthew R.
Lees, Kennedy R.
[J]. STROKE, 2008, 39 (11) : 2975 - 2979
[5] Reliability of the Modified Rankin Scale A Systematic Review
Quinn, Terence J.
Dawson, Jesse
Walters, Matthew R.
Lees, Kennedy R.
[J]. STROKE, 2009, 40 (10) : 3393 - 3395
[6] Modified rankin scale with expanded guidance scheme and interview questionnaire: Interrater agreement and reproducibility of assessment
Shinohara, Y
Minematsu, K
Amano, T
Ohashi, Y
[J]. CEREBROVASCULAR DISEASES, 2006, 21 (04) : 271 - 278
[7] INTEROBSERVER AGREEMENT FOR THE ASSESSMENT OF HANDICAP IN STROKE PATIENTS
VANSWIETEN, JC
KOUDSTAAL, PJ
VISSER, MC
SCHOUTEN, HJA
VANGIJN, J
[J]. STROKE, 1988, 19 (05) : 604 - 607
[8] Reliability of the modified rankin scale across multiple raters - Benefits of a structured interview
Wilson, JTL
Hareendran, A
Hendry, A
Potter, J
Bone, I
Muir, KW
[J]. STROKE, 2005, 36 (04) : 777 - 781
[9] Improving the assessment of outcomes in stroke - Use of a structured interview to assign grades on the modified Rankin Scale
Wilson, JTL
Hareendran, A
Grant, M
Baird, T
Schulz, UGR
Muir, KW
Bone, I
[J]. STROKE, 2002, 33 (09) : 2243 - 2246

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