Interobserver Variability in the Assessment of Neurologic History and Examination in the Stroke Data Bank

David Shinar, Cynthia R Gross, Jay P. Mohr, Louis R. Caplan, Thomas R. Price, Philip A. Wolf, Daniel B. Hier, Carlos S. Kase, Irene G. Fishman, Christine L. Wolf, Selma C. Kunitz

Research output: Contribution to journalArticlepeer-review

112 Scopus citations

Abstract

Interobserver reliability in obtaining neurologic histories and examinations was investigated among neurologists collaborating in the Stroke Data Bank (SDB). Seventeen in-hospital stroke patients were examined by six neurologists experienced in stroke over the course of three days. Patients were examined twice a day for two successive days, with each patient seen by four different neurologists. Data were recorded on SDB forms, according to definitions and procedures established for the SDB. Percent agreement and κ coefficients were calculated to assess the levels of agreement for each item. Important differences in levels of agreement were found among items on both neurologic history and examination. Agreement among neurologists was higher for neurologic examination than for history. Patterns of agreement for items with low prevalence or with numerous unknown ratings are discussed. Improvement in interobserver agreement due to data editing for intra-observer consistency was shown.

Original languageEnglish (US)
Pages (from-to)557-565
Number of pages9
JournalArchives of Neurology
Volume42
Issue number6
DOIs
StatePublished - Jun 1985

Fingerprint Dive into the research topics of 'Interobserver Variability in the Assessment of Neurologic History and Examination in the Stroke Data Bank'. Together they form a unique fingerprint.

Cite this