通过临床判断和评分方法诊断中风的变异性。
Variability of the diagnosis of stroke by clinical judgement and by a scoring method.
作者信息
Hatano S
出版信息
Bull World Health Organ. 1976;54(5):533-40.
Existing criteria for the diagnosis of acute cerebrovascular disease (stroke) have not been satisfactory in epidemiological studies. Variability of the diagnosis of stroke, which had not been studied before, was investigated in a WHO collaborative study. Intra-observer and inter-observer variation of the diagnosis of stroke was studied by means of 45 case reports drawn at random from among those included in the study. Diagnosis of stroke and of the type of stroke was made by clinical judgement and by a scoring method. The clinical diagnosis of stroke was more consistent and more comparable than the diagnosis of the type of stroke. Inter-observer agreement in clinical diagnosis was improved by using the score method.
现有的急性脑血管疾病（中风）诊断标准在流行病学研究中并不令人满意。世界卫生组织的一项合作研究对之前未被研究过的中风诊断变异性进行了调查。通过从研究纳入的病例中随机抽取45份病例报告，研究了中风诊断的观察者内和观察者间变异。中风及其类型的诊断采用临床判断和评分方法。中风的临床诊断比中风类型的诊断更具一致性和可比性。使用评分方法可提高临床诊断中观察者间的一致性。
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