Interrater Reliability of Pupillary Assessments

被引：166

作者：

Olson, DaiWai M. ^{[1
]}

Stutzman, Sonja ^{[1
]}

Saju, Ciji ^{[1
]}

Wilson, Margaret ^{[1
]}

Zhao, Weidan ^{[1
]}

Aiyagari, Venkatesh ^{[1
,2
]}

机构：

[1] Univ Texas SW Med Ctr Dallas, Dept Neurol & Neurotherapeut, 5323 Harry Hines Blvd, Dallas, TX 75390 USA

[2] Univ Texas SW Med Ctr Dallas, Dept Neurol Surg, 5323 Harry Hines Blvd, Dallas, TX 75390 USA

来源：

NEUROCRITICAL CARE | 2016年 / 24卷 / 02期

关键词：

Pupillometry; Interrater reliability; Neurological illness; Traumatic brain injury; Pupil assessment; GLASGOW COMA SCALE; SEVERE HEAD-INJURY; DILATED PUPILS; INFRARED PUPILLOMETRY; ANISOCORIA; PREDICTION; REACTIVITY; HERNIATION; AGREEMENT; TRAUMA;

D O I：

10.1007/s12028-015-0182-1

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background Subjective scoring of pupil reactivity is a fundamental element of the neurological examination for which the pupillometer provides an objective measure. Methods This single-blinded observational study examined interrater reliability of pupil exam findings between two practitioners and between practitioners and a pupillometer. Results From 2329 paired assessments, the interrater reliability between practitioners was only moderate for pupil size (k = 0.54), shape (k = 0.62), and reactivity (k = 0.40). Only 33.3 % of pupils scored as non-reactive by practitioners were scored as non-reactive by pupillometry. Conclusions Despite the strong emphasis placed on the traditional pupil examination, especially for patients with a neurological illness, there is limited interrater reliability for subjective scoring of pupillary assessments. Thus, the use of automated pupillometers should be examined as a potential method to increase the reliability of measuring of pupil reactivity.

引用

页码：251 / 257

页数：7

共 34 条

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