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麻醉对不良手术结局影响评估的可靠性

Reliability of ratings of anesthesia's contribution to adverse surgical outcomes.

作者信息

Revicki D A, Klaucke D N, Brown R E, Caplan R A

机构信息

Battelle Human Affairs Research Centers, Washington, DC.

出版信息

QRB Qual Rev Bull. 1990 Nov;16(11):404-8. doi: 10.1016/s0097-5990(16)30400-6.

DOI:10.1016/s0097-5990(16)30400-6
PMID:2126083
Abstract

The interrater reliability of physician ratings of anesthesia contribution to adverse outcomes was evaluated. A physician panel reviewed hospital records, anesthesia records, standard data collection forms, and, when available, autopsy reports for 28 patients experiencing severe morbidity or death within 48 hours following anesthesia for surgery. Consensus among reviewers about the contribution of anesthesia to adverse outcomes ranged from 82.1% to 92.9%. Kappa coefficients indicated excellent interrater reliability for the Edwards Scale and rating scale, and good interrater reliability for the percent scale.

摘要

评估了医生对麻醉导致不良后果的评分者间信度。一个医生小组审查了28例患者的医院记录、麻醉记录、标准数据收集表,以及在有条件的情况下审查了手术麻醉后48小时内出现严重发病或死亡情况的患者的尸检报告。评审者之间就麻醉对不良后果的影响达成的共识率在82.1%至92.9%之间。卡帕系数表明,爱德华兹量表和评分量表的评分者间信度极佳,百分比量表的评分者间信度良好。

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The Canadian four-centre study of anaesthetic outcomes: I. Description of methods and populations.加拿大麻醉结果四中心研究:I. 方法与人群描述
Can J Anaesth. 1992 May;39(5 Pt 1):420-9. doi: 10.1007/BF03008705.