The inter-observer agreement of examining pre-school children with acute cough: A nested study

被引：16

作者：

Hay A.D. ^{[1
]}

Wilson A. ^{[2
]}

Fahey T. ^{[3
]}

Peters T.J. ^{[1
]}

机构：

[1] Division of Primary Health Care, University of Bristol, Cotham House, Bristol, BS6 6JL, Cotham Hill

[2] Div. of Gen. Pract./Prim. Hlth. Care, University of Leicester, Leicester General Hospital, Leicester, LE5 4PW, Gwendolen Road

[3] Tayside Centre for General Practice, University of Dundee, Dundee, DD2 4AD, Kirsty Semple Way

来源：

BMC Family Practice | / 5卷 / 1期

关键词：

Respiratory Rate; Secondary Care; Primary Care Clinician; Eligible Child; Croup;

D O I：

10.1186/1471-2296-5-4

中图分类号：

学科分类号：

摘要：

Background: The presence of clinical signs have implications for diagnosis, prognosis and treatment. Therefore, the aim of this study was to examine the inter-observer agreement of clinical signs in pre-school children presenting to primary care. Methods: A nested study comparing two clinical assessments within a prospective cohort of 256 pre-school children with acute cough recruited from eight general practices in Leicestershire, UK. We examined agreement (using kappa statistics) between unstandardised and standardised clinical assessments of tachypnoea, chest signs and fever. Results: Kappa values were poor or fair for all clinical signs (range 0.12 to 0.39) with chest signs the most reliable. Conclusions: Primary care clinicians should be aware that clinical signs may be unreliable when making diagnosis, prognosis and treatment decisions in pre-school children with cough. Future research should aim to further our understanding of how best to identify abnormal clinical signs.

引用

页码：1 / 4

页数：3

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