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Published on: October 1, 2019
Inter-observer reliability of preoperative cardiopulmonary exercise test interpretation: a cross-sectional study
T E F Abbott1, M Gooneratne2, J McNeill2
1William Harvey Research Institute, Queen Mary University of London, London, UK; Barts Health NHS Trust, London, UK.
Interpreting cardiopulmonary exercise testing (CPET) numerical values for anaerobic threshold (AT) and peak oxygen consumption (VO2 peak) showed good reliability among observers. However, agreement on the presence of a reportable AT or VO2 peak was less consistent.
Area of Science:
- Cardiology
- Pulmonology
- Exercise Physiology
Background:
- Cardiopulmonary exercise testing (CPET) is crucial for preoperative risk assessment.
- The reliability of CPET interpretation requires further investigation.
Purpose of the Study:
- To assess the inter-observer reliability of preoperative CPET interpretation.
- To evaluate the consistency of interpreting key CPET variables.
Main Methods:
- Prospective, multi-center observational study.
- Experienced professionals interpreted 100 preoperative CPETs each using standardized software.
- Inter-observer reliability measured using intra-class correlation coefficient (ICC) for anaerobic threshold (AT) and peak oxygen consumption (VO2 peak).
Main Results:
- Good inter-observer agreement for numerical values of AT (ICC 0.83) and VO2 peak (ICC 0.88).
- Excellent agreement for identifying a reportable AT (ICC 0.93).
- Moderate agreement for identifying a reportable VO2 peak (ICC 0.73).
Conclusions:
- Inter-observer reliability for numerical CPET values is good.
- Agreement on the presence of reportable AT and VO2 peak values is less consistent.
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