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Inter-rater agreement of the Brief Bedside Dysphagia Screening Test-Revised in patients with stroke

Petra Mandysová, Helena Trundová, Edvard Ehler

. 2016 ; 7 (2) : 412-419.

Jazyk angličtina Země Česko

Typ dokumentu práce podpořená grantem, pozorovací studie

Perzistentní odkaz   https://www.medvik.cz/link/bmc16029466

Aim: The aim of the study was to investigate the inter-rater agreement (IRA) of the 8-item Brief Bedside Dysphagia Screening Test-Revised (BBDST-R). Design: An observational IRA study was conducted. Methods: Forty-six patients with stroke were independently assessed by two nurse raters using the BBDST-R. Rater agreement was described and analysed using descriptive statistics, Cohen's kappa (κ), the proportion of observed agreement (Po), the prevalence index (pindex), and the bias index (bindex). Results: Kappa ranged from -0.046 (p = 0.641; 95% CI = -0.126–0.034) for item “ability to clench the teeth” to 0.784 (p < 0.001; 95% CI = 0.377–1.000) for “thick liquid: cough”. For the overall BBDST-R result, κ was 0.241 (p = 0.114; 95% CI = 0.000–0.558). The Po was ≥ 0.80 for five items; the pindex was ≥ 0.80 for three items. The bindex ranged from 0.03–0.31. Conclusion: The IRA, as expressed by κ, was low for the overall result and variable for the individual items. However, for some items, κ may have misrepresented the IRA due to the high pindex and bindex. Several strategies are recommended to improve the IRA of the instrument. This should enhance the instrument's capacity to produce consistent results across raters.

Citace poskytuje Crossref.org

Bibliografie atd.

Literatura

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