The inter-rater reliability of the Pulmonary Embolism Severity Index.

Détails

ID Serval
serval:BIB_2AF12AEE9384
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
The inter-rater reliability of the Pulmonary Embolism Severity Index.
Périodique
Thrombosis and Haemostasis
Auteur(s)
Fraga M., Taffé P., Méan M., Hugli O., Witzig S., Waeber G., Aujesky D.
ISSN
0340-6245 (Print)
ISSN-L
0340-6245
Statut éditorial
Publié
Date de publication
2010
Volume
104
Numéro
6
Pages
1258-1262
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Résumé
The Pulmonary Embolism Severity Index (PESI) is a validated clinical prognostic model for patients with acute pulmonary embolism (PE). Our goal was to assess the PESI's inter-rater reliability in patients diagnosed with PE. We prospectively identified consecutive patients diagnosed with PE in the emergency department of a Swiss teaching hospital. For all patients, resident and attending physician raters independently collected the 11 PESI variables. The raters then calculated the PESI total point score and classified patients into one of five PESI risk classes (I-V) and as low (risk classes I/II) versus higher-risk (risk classes III-V). We examined the inter-rater reliability for each of the 11 PESI variables, the PESI total point score, assignment to each of the five PESI risk classes, and classification of patients as low versus higher-risk using kappa (κ) and intra-class correlation coefficients (ICC). Among 48 consecutive patients with an objective diagnosis of PE, reliability coefficients between resident and attending physician raters were > 0.60 for 10 of the 11 variables comprising the PESI. The inter-rater reliability for the PESI total point score (ICC: 0.89, 95% CI: 0.81-0.94), PESI risk class assignment (κ: 0.81, 95% CI: 0.66-0.94), and the classification of patients as low versus higher-risk (κ: 0.92, 95% CI: 0.72-0.98) was near perfect. Our results demonstrate the high reproducibility of the PESI, supporting the use of the PESI for risk stratification of patients with PE.
Pubmed
Web of science
Open Access
Oui
Création de la notice
01/12/2010 11:22
Dernière modification de la notice
16/10/2019 9:52
Données d'usage