Interobserver agreement in retrospective chart reviews for factors associated with cervical spine injuries in children

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Cody S OlsenPediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Injury Study Group

Abstract

The objective was to describe the interobserver agreement between trained chart reviewers and physician reviewers in a multicenter retrospective chart review study of children with cervical spine injuries (CSIs). Medical records of children younger than 16 years old with cervical spine radiography from 17 Pediatric Emergency Care Applied Research Network (PECARN) hospitals from years 2000 through 2004 were abstracted by trained reviewers for a study aimed to identify predictors of CSIs in children. Independent physician-reviewers abstracted patient history and clinical findings from a random sample of study patient medical records at each hospital. Interobserver agreement was assessed using percent agreement and the weighted kappa (κ) statistic, with lower 95% confidence intervals. Moderate or better agreement (κ > 0.4) was achieved for most candidate CSI predictors, including altered mental status (κ = 0.87); focal neurologic findings (κ = 0.74); posterior midline neck tenderness (κ = 0.74); any neck tenderness (κ = 0.89); torticollis (κ = 0.79); complaint of neck pain (κ = 0.83); history of loss of consciousness (κ = 0.89); nonambulatory status (κ = 0.74); and substantial injuries to the head (κ = 0.50), torso/trunk (κ = 0.48...Continue Reading

References

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Citations

Sep 19, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Lorin R BrowneJulie C Leonard
Oct 18, 2016·Pediatric Emergency Care·Lynn BabcockUNKNOWN Cervical Spine Study Group for the Pediatric Emergency Care Applied Research Network (PECARN)

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