Interobserver and intraobserver reliability of the NICHD 3-Tier Fetal Heart Rate Interpretation System

被引：45

作者：

Blackwell, Sean C. ^{[1
]}

Grobman, William A. ^{[2
]}

Antoniewicz, Leah ^{[1
]}

Hutchinson, Maria ^{[1
]}

Bannerman, Cynthia Gyamfi ^{[3
]}

机构：

[1] Univ Texas Hlth Sci Ctr Houston, Dept Obstet Gynecol & Reprod Sci, Houston, TX 77225 USA

[2] Northwestern Univ, Dept Obstet & Gynecol, Feinberg Sch Med, Chicago, IL 60611 USA

[3] Columbia Univ, Dept Obstet & Gynecol, Med Ctr, Div Maternal Fetal Med, New York, NY USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2011年 / 205卷 / 04期

关键词：

electronic fetal monitoring; Eunice Kennedy Shriver National Institute of Child Health and Human Development classification system; fetal heart rate; fetal heart rate interpretation; reliability; CLINICAL DECISION-MAKING; NATIONAL-INSTITUTE; RATE TRACINGS; CHILD-HEALTH; AGREEMENT; LABOR; REPRODUCIBILITY; VARIABILITY; MIDWIVES;

D O I：

10.1016/j.ajog.2011.06.086

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: Our purpose was to test the reliability of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) 3-Tier Fetal Heart Rate (FHR) classification system. STUDY DESIGN: Individual 15-to 20-minute FHR segments (n = 154) were independently reviewed without clinical data by 3 maternal-fetal medicine examiners and classified by NICHD category (I, II, III). RESULTS: Interobserver reliability was moderate (kappa 0.45) and varied by NICHD category (category I moderate [kappa 0.48], category II moderate [kappa 0.44], and category III poor [kappa 0.0]). The intraobserver agreement ranged from substantial to perfect (kappa 0.74-1.0). CONCLUSION: Interobserver agreement of 3-Tier FHR classification System was moderate for NICHD categories I and II. Agreement for category III tracings was poor mainly due to lack of agreement regarding absent vs minimal variability.

引用

页码：378.e1 / 378.e5

页数：5

共 24 条

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