van den Berge J H, Braakman R, Schouten H J
Department of Neurosurgery, University Hospital Rotterdam Dijkzigt, Erasmus University, The Netherlands.
J Neurol Neurosurg Psychiatry. 1987 Aug;50(8):1045-7. doi: 10.1136/jnnp.50.8.1045.
In 30 comatose head injured patients vestibulo-ocular responses were elicited by caloric stimulation. Inter- and intra-observer agreement of these responses was studied. The responses were shown in the form of a film to ten doctors who classified them into four categories: no reaction, tonic reaction, paradoxical nystagmus and nystagmus. The level of the coefficient Kappa (a chance-corrected measure of interobserver agreement) was 0.50; this is within the range of levels for most components of clinical examination reported in the literature.
对30例昏迷的头部受伤患者进行了冷热刺激诱发前庭眼反射检查。研究了不同观察者之间以及同一观察者不同时间对这些反射的一致性。以影片形式向10位医生展示这些反射，医生将其分为四类：无反应、强直性反应、反常性眼球震颤和眼球震颤。卡帕系数（一种经机遇校正的观察者间一致性测量指标）为0.50；这在文献报道的大多数临床检查项目的系数范围内。
