昏迷患者眼部体征评估中的观察者间一致性。
Interobserver agreement in assessment of ocular signs in coma.
作者信息
van den Berge J H, Schouten H J, Boomstra S, van Drunen Littel S, Braakman R
出版信息
J Neurol Neurosurg Psychiatry. 1979 Dec;42(12):1163-8. doi: 10.1136/jnnp.42.12.1163.
Abstract
There is interobserver agreement in the assessment of various ocular signs found in coma patients. As measure for observer agreement the parameter kappa (K) was determined for (in-)equality of pupils, reaction of pupils, spontaneous eye movements, and oculocephalic responses. The agreement in the assessment of the pupils to light and in the assessment of (in-)equality of pupils appeared to be satisfactory, but more disagreement occurred in assessing spontaneous eye movements and oculocephalic responses.
摘要
在评估昏迷患者出现的各种眼部体征方面，观察者之间存在一致性。作为观察者一致性的衡量指标，针对瞳孔的（不）等大、瞳孔反应、自发眼球运动和眼前庭反射，测定了kappa（K）参数。瞳孔对光反应评估以及瞳孔（不）等大评估中的一致性似乎令人满意，但在评估自发眼球运动和眼前庭反射时出现了更多分歧。
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