一个多中心培训和Interrater可靠性研究的基础得分为婴儿性综合征
John R Mytinger1, Dara V F Albert1, Shawn C Aylward1
1Department of Pediatrics, Division of Pediatric Neurology, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio, U.S.A.
概括
一个新的培训计划有效地教导婴儿发作综合征的幅度和发作排放负担 (BASED) 评分. 这种方法在评估脑电图 (EEG) 中显示出良好的可靠性,有助于临床和研究评估.
科学领域:
- 神经学 神经学
- 临床神经生理学 临床神经生理学
背景情况:
- 婴儿发作综合征 (IES) 需要电临床缓解以获得最佳结果.
- 在IES中评估电图缓解是具有挑战性的,因为高节律失常的interrater可靠性 (IRR) 较差.
- 幅度S和形排放的负担 (BASED) 评分显示出在IES中可靠的间接测试评估的潜力.
研究的目的:
- 开发和评估用于BASED评分方法的培训计划.
- 在学习者中评估BASED分数和性脑病变的确定之间的评分器间可靠性 (IRR).
- 为了测试中等或更好的IRR的假设,用于最终的BASED得分和+/-脑病 (+/EE).
主要方法:
- 基于Web的应用程序被用于培训和评估.
- 31名学习者评估了12个未标记的脑电图 (EEG) 来自患有IES的儿童.
- 脑电图记录的长度从1小时到6小时不等.
主要成果:
- 在所有读者中,最终的BASED分数 (ICC 0.86) 和+/-EE (MMK 0.63) 实现了良好的IRR.
- 对于个别的BASED分数组件,观察到公平到良好的IRR.
- 培训计划促进了对BASED评分方法的快速学习.
结论:
- 开发的培训计划有效地教授了BASED评分方法.
- 根据得分显示潜力作为IES临床实践和研究中的一个有价值的工具.
- 虽然BASED得分显示出有希望的结果,但临床判断仍然至关重要,特别是对于性脑病的确定,进一步的经验可能会提高IRR.
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