Comparison of 5 experts and computer analysis in rule-based fetal heart rate interpretation

American Journal of Obstetrics and Gynecology
Julian T Parer, Emily F Hamilton

Abstract

The purpose of this study was to measure agreement among 5 expert clinicians and a computerized method with the use of a strict fetal heart rate classification method. Five providers independently scored 769 8-minute segments from the last 3 hours of 30 tracings with the use of a 5-tier color-coded framework that contains pattern descriptions and proposals for management. Computer analysis was performed with PeriCALM Patterns (PeriGen, Princeton, NJ) to detect and classify patterns. The clinicians agreed exactly with the majority opinion in 57% (95% confidence interval [CI], 49-64%) of the segments and were within 1 color code in 89% (95% CI, 81-96%). The average proportion of agreement was 0.83 (95% CI, 0.73-0.94). Weighted Kappa scores averaged 0.58 (range, 0.48-0.68). The computer-based results were not statistically different: 0.87 and 0.52, respectively. These 5 clinicians achieved moderate-to-substantial levels of agreement overall using a strictly defined method to classify fetal heart rate tracings. The result of the computerized method was similar to the conclusions of these clinicians.

References

Jan 1, 1987·Acta Obstetricia Et Gynecologica Scandinavica·P V NielsenJ Nim
Nov 1, 1993·European Journal of Obstetrics, Gynecology, and Reproductive Biology·D K DonkerA Hasman
Sep 2, 1998·Journal of Advanced Nursing·D A Lowry
Jun 6, 2000·Primary Care Update for Ob/Gyns·C J SaphierD Acker
Oct 23, 2002·Archives of Disease in Childhood. Fetal and Neonatal Edition·E S DraperD Field
Apr 12, 2003·Obstetrics and Gynecology·Scott B RansomTroyen A Brennan
Sep 8, 2005·JAMA : the Journal of the American Medical Association·J Todd ArnedtMary A Carskadon
Jul 22, 2006·Journal of Perinatal Medicine·Outi PalomäkiRisto Tuimala
Jul 10, 2007·American Journal of Obstetrics and Gynecology·Julian T Parer, Tomoaki Ikeda
Aug 1, 2008·American Journal of Obstetrics and Gynecology·Suneet P ChauhanJohn C Morrison
Nov 28, 2008·Obstetrics and Gynecology·Steven L ClarkJanet A Meyers
Feb 25, 2009·IEEE Transactions on Bio-medical Engineering·Philip A WarrickRobert E Kearney
Jun 24, 2009·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists
Jul 28, 2010·IEEE Transactions on Bio-medical Engineering·Philip A WarrickRobert E Kearney

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Citations

Jun 9, 2012·Medical & Biological Engineering & Computing·A GeorgievaC W G Redman
Nov 13, 2013·Journal de gynécologie, obstétrique et biologie de la reproduction·M-V Senat, V Tsatsaris
Dec 8, 2015·Computer Methods and Programs in Biomedicine·M RomanoM Cesarelli
Sep 27, 2012·Seminars in Perinatology·Maged M Costantine, George R Saade
Jul 28, 2015·Best Practice & Research. Clinical Obstetrics & Gynaecology·Inês Nunes, Diogo Ayres-de-Campos
Apr 22, 2014·Journal of Biomedical Informatics·Jiří SpilkaLenka Lhotská
Oct 16, 2012·BJOG : an International Journal of Obstetrics and Gynaecology·S UccellaF Ghezzi
Jun 22, 2014·IEEE Transactions on Bio-medical Engineering·Shishir DashPetar M Djurić
Oct 5, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Gerard H VisserUNKNOWN FIGO Intrapartum Fetal Monitoring Expert Consensus Panel
Nov 30, 2010·American Journal of Obstetrics and Gynecology·Julian T Parer, Tekoa L King
Dec 15, 2010·American Journal of Obstetrics and Gynecology·Steve K Hasley
Aug 26, 2011·American Journal of Obstetrics and Gynecology·Sean C BlackwellCynthia Gyamfi Bannerman
Feb 22, 2011·American Journal of Obstetrics and Gynecology·Cristina Costa-SantosJoão Bernardes
Jul 15, 2011·American Journal of Obstetrics and Gynecology·J T Parer
Jul 15, 2011·American Journal of Obstetrics and Gynecology·Han-Yang ChenAlfred Z Abuhamad
Aug 24, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Nadege VejuxFlorence Bretelle
Dec 15, 2017·The Journal of Perinatal & Neonatal Nursing·Rebecca L Cypher
May 17, 2018·Acta Obstetricia Et Gynecologica Scandinavica·Erika GyllencreutzFarhad Abtahi
Sep 12, 2018·Obstetrics and Gynecology·Suneet P ChauhanUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units (MFMU)
May 11, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Shoichi MagawaTomoaki Ikeda
Aug 2, 2011·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Emily HamiltonDaniel O'Keeffe
May 18, 2012·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Emily HamiltonThomas Garite
Jul 4, 2019·BMJ Case Reports·Lore NobenRik Vullings
Oct 22, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Abby FurukawaEmily Hamilton
Sep 12, 2012·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Shinji KatsuragiJulian T Parer
May 7, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Shoichi MagawaTomoaki Ikeda
Oct 3, 2018·The Journal of Pediatrics·Sarah-Jane ParkerYvonne W Wu
Apr 23, 2021·Gynécologie, Obstétrique, Fertilité & Sénologie·M ChamagneB Renevier
Aug 6, 2021·Obstetrics and Gynecology·Uma M ReddyUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units (MFMU)
Sep 3, 2020·Computer Methods and Programs in Biomedicine·C RicciardiM Romano

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