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共济失调评估与评分量表的现场与远程视频评分比较

Comparison of Live and Remote Video Ratings of the Scale for Assessment and Rating of Ataxia.

作者信息

Taheri Amin Arian, Faber Jennifer, Önder Demet, Kimmich Okka, Synofzik Matthis, Ashizawa Tetsuo, Klockgether Thomas, Grobe-Einsler Marcus

机构信息

German Center for Neurodegenerative Diseases (DZNE) Bonn Germany.

Department of Neurology University Hospital Bonn Bonn Germany.

出版信息

Mov Disord Clin Pract. 2023 Aug 7;10(9):1404-1407. doi: 10.1002/mdc3.13843. eCollection 2023 Sep.

DOI:10.1002/mdc3.13843
PMID:37772290
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10525045/
Abstract

BACKGROUND

Video recordings of neurological examinations are often used in clinical trials. The Scale for Assessment and Rating of Ataxia (SARA) is a widely used clinical scale for ataxic patients. Despite several advantages of video ratings, correlation between live ratings and remote video-ratings has not been systematically investigated.

OBJECTIVE

To compare live and remote video assessment of SARA.

METHODS

Full SARA examinations of 69 patients with cerebellar ataxia were recorded on video. Live rating from site investigators were compared with remote video rating of three experienced ataxia clinicians using Bland-Altman analysis.

RESULTS

Live and remote video ratings showed a high level of agreement for the complete score (bias = 0.09, with standard deviation = 2.00) and all single SARA items (bias <0.20 for all items).

CONCLUSION

Remote video ratings of SARA are a reliable means to assess severity of ataxia.

摘要

背景

神经学检查的视频记录常用于临床试验。共济失调评估与评分量表（SARA）是广泛应用于共济失调患者的临床量表。尽管视频评分有诸多优点，但现场评分与远程视频评分之间的相关性尚未得到系统研究。

目的

比较SARA的现场评估与远程视频评估。

方法

对69例小脑性共济失调患者的完整SARA检查进行视频记录。使用Bland-Altman分析，将现场研究者的评分与三位经验丰富的共济失调临床医生的远程视频评分进行比较。

结果

现场评分与远程视频评分在总分（偏差=0.09，标准差=2.00）及所有单个SARA项目上均显示出高度一致性（所有项目偏差<0.20）。

结论

SARA的远程视频评分是评估共济失调严重程度的可靠方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3823/10525045/6509e19126d9/MDC3-10-1404-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3823/10525045/6509e19126d9/MDC3-10-1404-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3823/10525045/6509e19126d9/MDC3-10-1404-g001.jpg

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