Neale Rachel, Rokkas Philippa, McClure Roderick J
School of Population Health, University of Queensland, Brisbane, Queensland, Australia.
Emerg Med (Fremantle). 2003 Feb;15(1):38-41. doi: 10.1046/j.1442-2026.2003.00406.x.
The capacity to accurately code injury event details and use the Abbreviated Injury Scale and Injury Severity Score to group injuries according to severity, underpins the audit and review activities of the trauma registries throughout the world. In the interests of transparency and benchmarking between registries, we aimed to assess the interrater reliability of coding in the Queensland Trauma Registry.
One hundred and twenty injury cases were randomly selected from the Queensland Trauma Registry database, stratified by hospital, severity and the coder who originally coded the chart. Cases were then recoded by six coders employed by the Queensland Trauma Registry. Coding was carried out by all raters simultaneously and independently.
Interrater agreement between coders was high for external cause, intent, and place of injury with kappa scores for all interrater pairs being greater than 0.80, 0.58 and 0.44. Agreement between the six raters for Injury Severity Score was found to be very high (intraclass correlation coefficient of 0.9).
The accuracy of coding in the Queensland Trauma Registry is sufficiently high to ensure that quality data are available for research, audit and review.
准确编码损伤事件细节并使用简略损伤分级和损伤严重度评分根据严重程度对损伤进行分组的能力，是全球创伤登记处审核和评估活动的基础。为了保证透明度以及各登记处之间的基准可比性，我们旨在评估昆士兰创伤登记处编码的评分者间信度。
从昆士兰创伤登记处数据库中随机选取120例损伤病例，按照医院、严重程度以及最初对图表进行编码的编码员进行分层。然后由昆士兰创伤登记处雇佣的6名编码员对这些病例重新进行编码。所有评分者同时且独立地进行编码。
编码员之间在外因、意图和损伤地点方面的评分者间一致性较高，所有评分者对的kappa值分别大于0.80、0.58和0.44。发现6名评分者在损伤严重度评分上的一致性非常高（组内相关系数为0.9）。
昆士兰创伤登记处编码的准确性足够高，以确保有高质量的数据可用于研究、审核和评估。
