RELIABILITY OF PREHOSPITAL RATING-SCALES FOR CASE SEVERITY AND STATUS CHANGE

被引：6

作者：

KELLER, JL

SHUSTER, M

ROWE, BH

机构：

[1] Chedoke-McMaster Hospitals, Hamilton Base Hospital Program, Hamilton, Ont.

[2] Division of Emergency Medicine, McMaster University, Hamilton, Ont.

[3] Northeastern Ontario Family Medicine Program, University of Ottawa, Sudbury

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1993年 / 11卷 / 02期

关键词：

RELIABILITY; GENERALIZABILITY; PREHOSPITAL; MEASUREMENT; SCALES;

D O I：

10.1016/0735-6757(93)90102-H

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The purpose of this report is to determine the reliability and sensibility of the currently available prehospital rating scales by a prospective evaluation of ambulance call reports using generalizability methodology. Sequential samples of emergency call data from the Hamilton Base Hospital Paramedic program database were used to sample calls randomly for a two-phase study. Phases I and II used blinded ambulance call report forms presented to six raters during three sessions in each phase. Generalizability (reliability) coefficients were then generated to determine the degree of reliability for the scales in both phases of the study. The generalizability coefficients for all scales are substantial or excellent using the standards commonly applied to agreement statistics. The conclusion of the study is that all ambulance officers can use the prehospital scales reliably. The reliability of these general measures is one of the parameters that will allow us to evaluate where basic and advanced prehospital care have an impact on overall patient outcome. © 1993.

引用

页码：115 / 121

页数：7

共 11 条

[1]

Roush, Medical record keeping, Principals of EMS Systems, pp. 140-159, (1989)

[2]

Feinstein, Clinimetrics, pp. 141-146, (1987)

[3]

Landis, Koch, The measurement of observer agreement for categorical data, Biometrics, 33, pp. 159-174, (1977)

[4]

Streiner, Norman, Health Measurement Scales: A Practical Guide to Their Development and Use, (1989)

[5]

Champion, Sacco, Carnazzo, Et al., Trauma score, Crit Care Med, 9, pp. 672-676, (1981)

[6]

Moreau, Gainer, Champion, Et al., Application of the trauma score in the prehospital setting, Ann Emerg Med, 14, pp. 1049-1054, (1985)

[7]

Champion, Sacco, Copes, Et al., A revision of the trauma score, J Trauma, 29, pp. 623-629, (1989)

[8]

Teasdale, Jennett, Assessment of coma and impaired consciousness: A practical scale, Lancet, 1, pp. 81-83, (1974)

[9]

Zavada, Quality assurance. The effects of a prehospital data system on patient care, J Am Med Record Assoc, 89-96, (1982)

[10]

Chambers, Haight, Norman, Et al., Effect of mode of administration on the health status measure's responsiveness to change, Med Care, 25, pp. 470-480, (1987)

← 1 2 →