Academic Journal
The Inter-rater Variability of Clinical Assessment in Post-anoxic Myoclonus
| Τίτλος: | The Inter-rater Variability of Clinical Assessment in Post-anoxic Myoclonus |
|---|---|
| Συγγραφείς: | van Zijl, Jonathan C., Beudel, Martijn, Elting, Jan-Willem J., de Jong, Bauke M., van der Naalt, Joukje, van den Bergh, Walter M., Rossetti, Andrea O., Tijssen, Marina A. J., Horn, Janneke |
| Πηγή: | Tremor Other Hyperkinet Mov (N Y) Tremor and Other Hyperkinetic Movements, Vol 7 (2017) Tremor and other hyperkinetic movements, vol. 7, pp. 470 |
| Στοιχεία εκδότη: | Ubiquity Press, Ltd., 2017. |
| Έτος έκδοσης: | 2017 |
| Θεματικοί όροι: | Male, Myoclonus, Video Recording, Diseases of the musculoskeletal system, Severity of Illness Index, 03 medical and health sciences, 0302 clinical medicine, Physical Stimulation, Journal Article, Humans, Neurologists, Prospective Studies, Female, Hypoxia, Brain/complications, Hypoxia, Brain/diagnosis, Hypoxia, Brain/physiopathology, Middle Aged, Myoclonus/diagnosis, Myoclonus/drug therapy, Myoclonus/etiology, Myoclonus/physiopathology, Neurologic Examination, Observer Variation, Phenotype, Reproducibility of Results, clinical neurology examination, critical care, post-anoxic encephalopathy, prognosis, RC346-429, Hypoxia, Brain, Prognosis, RC925-935, Neurology, Brief Reports, Neurology. Diseases of the nervous system |
| Περιγραφή: | Background: Acute post-anoxic myoclonus (PAM) can be divided into an unfavorable (generalized/subcortical) and more favorable ((multi)focal/cortical) outcome group that could support prognostication in post-anoxic encephalopathy; however, the inter-rater variability of clinically assessing these PAM subtypes is unknown. Methods: We prospectively examined PAM patients using a standardized video protocol. Videos were rated by three neurologists who classified PAM phenotype (generalized/(multi)focal), stimulus sensitivity, localization (proximal/distal/both), and severity (Clinical Global Impression-Severity Scale (CGI-S) and Unified Myoclonus Rating Scale (UMRS)). Results: Poor inter-rater agreement was found for phenotype and stimulus sensitivity (κ = –0.05), moderate agreement for localization (κ = 0.46). Substantial agreement was obtained for the CGI-S (intraclass correlation coefficient (ICC) = 0.64) and almost perfect agreement for the UMRS (ICC = 0.82). Discussion: Clinical assessment of PAM is not reproducible between physicians, and should therefore not be used for prognostication. PAM severity measured by the UMRS appears to be reliable; however, the relation between PAM severity and outcome is unknown. |
| Τύπος εγγράφου: | Article Other literature type |
| Περιγραφή αρχείου: | application/pdf |
| ISSN: | 2160-8288 |
| DOI: | 10.5334/tohm.343 |
| DOI: | 10.7916/d8vd7pg4 |
| DOI: | 10.7916/d81r6xbv |
| Σύνδεσμος πρόσβασης: | http://www.tremorjournal.org/articles/10.5334/tohm.343/galley/530/download/ https://pubmed.ncbi.nlm.nih.gov/28966876 https://doaj.org/article/1e229ef5f8674d34bf754171e770d199 https://hdl.handle.net/11370/3ad15e26-e9fd-4af9-b91d-b7d195250059 https://doi.org/10.7916/D81R6XBV https://research.rug.nl/en/publications/3ad15e26-e9fd-4af9-b91d-b7d195250059 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5618111 https://academiccommons.columbia.edu/doi/10.7916/D8CG0F5W/download https://www.narcis.nl/publication/RecordID/oai%3Apure.rug.nl%3Apublications%2F3ad15e26-e9fd-4af9-b91d-b7d195250059 https://europepmc.org/abstract/MED/28966876 https://tremorjournal.org/articles/10.5334/tohm.343/galley/530/download/ https://pubmed.ncbi.nlm.nih.gov/28966876/ https://serval.unil.ch/resource/serval:BIB_B7FD1AE02250.P001/REF.pdf https://serval.unil.ch/notice/serval:BIB_B7FD1AE02250 http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_B7FD1AE022500 |
| Rights: | CC BY CC BY NC ND |
| Αριθμός Καταχώρησης: | edsair.doi.dedup.....0121f730fb2ace50e58a5193ee4f695a |
| Βάση Δεδομένων: | OpenAIRE |
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