Interobserver agreement for the assessment of handicap in stroke patients
Open accessAbstract
Interobserver agreement for the assessment of handicap in stroke patients was investigated in a group of 10 senior neurologists and 24 residents from two centers. One hundred patients were separately interviewed by two physicians in different combinations. The degree of handicap was recorded by each observer on the modified Rankin scale, which has six grades (0-5). The agreement rates were corrected for chance (kappa statistics). Both physicians agreed on the degree of handicap in 65 patients; they differed by one grade in 32 patients and by two grades in 3 patients. Kappa for all pairwise observations was 0.56; the value for weighted kappa (with quadratic disagreement weights) was 0.91. Our results confirm the value of the modified Rankin scale in the assessment of handicap in stroke patients; nevertheless, further improvements are possible.
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All measures used in the research were standardized and validated for stroke population and adapted to Spanish language.
“All measures used in the research were standardized and validated for stroke population and adapted to Spanish language [20–39].”
From Early Occupational Therapy Intervention post-stroke (EOTIPS): A randomized controlled trial (2024) · cites this paper as [24]
The Abstract and Discussion report satisfactory interobserver agreement for the modified Rankin scale in stroke patients, supporting its use as a stroke measure. The paper does not establish that all measures in the citing research were standardized and validated, or that they were adapted to Spanish. (LLM, conf=0.85)
Experimental — accuracy not yet measuredFollow-up information was obtained at regular intervals (4, 8, 12, 18, and 24 months) after symptom onset; neurological status was assessed with the modified Rankin scale (mRS).
“Follow-up information was obtained at regular intervals (4, 8, 12, 18, and 24 months) after symptom onset; neurological status was assessed with the modified Rankin scale (mRS).12”
From Treatment and prognostic factors for long-term outcome in patients with anti-NMDA receptor encephalitis: an observational cohort study (2013) · cites this paper as [12]
The Subjects and Methods section says the researchers used the modified Rankin scale to assess handicap in stroke patients. It does not report follow-up at 4, 8, 12, 18, and 24 months; its patients were assessed within the first week or within five months after stroke. (LLM, conf=0.89)
Experimental — accuracy not yet measuredNeurological outcome was assessed with the modified Rankin scale (MRS) and mini-mental state examination (MMSE).
“Neurological outcome was assessed with the modified Rankin scale (MRS)10 and mini-mental state examination (MMSE).11”
From Anti-NMDA-receptor encephalitis: case series and analysis of the effects of antibodies (2008) · cites this paper as [10]
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- Authors
- van Swieten, J. C., Koudstaal, P. J., Visser, M. C., Schouten, H. J., & van Gijn, J.
- Affiliations
- University Department of Neurology, Utrecht, The Netherlands.
- Utrecht University (NL)
- Venue
- Stroke
- Published
- 1988-05
- Volume
- 19
- Issue
- 5
- Pages
- 604-607
- ISSN
- 0039-2499 (ISSN-L)
- 1524-4628
- OpenAlex
- W1969661146
- Cited by
- 6,512
- References
- 26
- Citations by year
- 2026: 337 · 2025: 377 · 2024: 382 · 2023: 322 · 2022: 445 · 2021: 408 · 2020: 360 · 2019: 285 · 2018: 266 · 2017: 291 · 2016: 284 · 2015: 268 · 2014: 238 · 2013: 254 · 2012: 244
- FWCI
- 9.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Stroke (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
- Keywords
- functional disability assessment, interobserver agreement, modified Rankin Scale, neurologists, medical residents, kappa statistic, weighted kappa
- MeSH terms
- Activities of Daily Living, Cerebrovascular Disorders, Humans, Neurologic Examination, Prognosis
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