Inconsistencies in classification by experts of cardiotocograms and subsequent clinical decision

• Tipo: Artigo em Revista Científica Internacional
• Data: 1999

Autores

Diogo Ayres de Campos (Autor) Outra; Joao Bernardes (Autor) FMUP; Costa-Pereira A (Autor) FMUP; Pereira Leite, L (Autor) Outra

Revista

Título: British Journal of Obstetrics and Gynaecology

Vol. 106

Páginas: 1307-1310

ISSN: 0306-5456

Editora: Blackwell

Indexação

ISI Web of Knowledge - 136 Citações

Scopus - 148 Citações

Pubmed / Medline

Outras Informações

ID Authenticus: P-001-2KP

DOI: 10.1111/j.1471-0528.1999.tb08187.x

Abstract (EN): Inter-observer agreement in the interpretation according to the FIGO guidelines of 33 cardiotocographic tracings by experts and subsequent clinical decision was evaluated, using the kappa statistic (K) and the proportions of agreement (Pa). Overall agreement in the classification of tracings was fair (K = 0.48) and was better for normal (Pa = 0.62), than for suspicious (Pa = 0.42) or pathologic tracings (Pa = 0.25). Overall agreement on clinical decision was slightly higher (K = 0.59), but mostly was centred on the decision to take 'no action' (Pa = 0.79). Experts especially disagreed over the decisions to 'monitor closely' (Pa = 0.14) or to 'intervene immediately' (Pa = 0.38). These Limitations should be taken into account in clinical audits and in medical jurisprudence.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 4