Evenson R C, Altman H, Cho D W, Sletten I W
Dis Nerv Syst. 1974 Feb;35(2):80-3.
The ability of simple algorithms, primarily diagnostic, to assign classes of psychotropic drugs to psychiatric inpatients in agreement with actual clinical decisions was investigated. Overall agreement (hit-rates) ranging from 48 to 65 percent were found across four major drug groups: major tranquilizer, antidepressant, minor tranquilizer, and no psychotropic drug. These hit-rates may be compared with multivariate formulae developed in earlier studies that achieved hit-rates ranging from 62 to 77 percent. Agreement among clinicians (about 70 percent) appears to be the limiting factor in most studies of this type.
研究了主要用于诊断的简单算法将精神药物类别分配给精神科住院患者并与实际临床决策相符的能力。在四大类药物中发现总体一致性(命中率)在48%至65%之间:主要镇静剂、抗抑郁药、次要镇静剂和无精神药物。这些命中率可与早期研究中开发的多变量公式进行比较,后者的命中率在62%至77%之间。在这类大多数研究中,临床医生之间的一致性(约70%)似乎是限制因素。