Stroke, Vol 19, 604-607, Copyright © 1988 by American Heart Association
JC van Swieten, PJ Koudstaal, MC Visser, HJ Schouten and J van Gijn
Interobserver agreement for the assessment of handicap in stroke patients
was investigated in a group of 10 senior neurologists and 24 residents from
two centers. One hundred patients were separately interviewed by two
physicians in different combinations. The degree of handicap was recorded
by each observer on the modified Rankin scale, which has six grades (0-5).
The agreement rates were corrected for chance (kappa statistics). Both
physicians agreed on the degree of handicap in 65 patients; they differed
by one grade in 32 patients and by two grades in 3 patients. Kappa for all
pairwise observations was 0.56; the value for weighted kappa (with
quadratic disagreement weights) was 0.91. Our results confirm the value of
the modified Rankin scale in the assessment of handicap in stroke patients;
nevertheless, further improvements are possible.
ARTICLES
Interobserver agreement for the assessment of handicap in stroke patients
University Department of Neurology, Utrecht, The Netherlands.
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C. Sellars, L. Bowie, J. Bagg, M. P. Sweeney, H. Miller, J. Tilston, P. Langhorne, and D. J. Stott Risk Factors for Chest Infection in Acute Stroke: A Prospective Cohort Study Stroke, August 1, 2007; 38(8): 2284 - 2291. [Abstract] [Full Text] [PDF]
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T. J. Quinn, K. R. Lees, H.-G. Hardemark, J. Dawson, and M. R. Walters Initial Experience of a Digital Training Resource for Modified Rankin Scale Assessment in Clinical Trials Stroke, August 1, 2007; 38(8): 2257 - 2261. [Abstract] [Full Text] [PDF]
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P. C. Lavallee, M. Mazighi, J.-P. Saint-Maurice, E. Meseguer, H. Abboud, I. F. Klein, E. Houdart, and P. Amarenco Stent-Assisted Endovascular Thrombolysis Versus Intravenous Thrombolysis in Internal Carotid Artery Dissection With Tandem Internal Carotid and Middle Cerebral Artery Occlusion Stroke, August 1, 2007; 38(8): 2270 - 2274. [Abstract] [Full Text] [PDF]
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S. M Dorhout Mees, W. M van den Bergh, A. Algra, and G. J E Rinkel Achieved serum magnesium concentrations and occurrence of delayed cerebral ischaemia and poor outcome in aneurysmal subarachnoid haemorrhage J. Neurol. Neurosurg. Psychiatry, July 1, 2007; 78(7): 729 - 731. [Abstract] [Full Text] [PDF]
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G. Verheyden, A. Nieuwboer, L. De Wit, H. Feys, B. Schuback, I. Baert, W. Jenni, W. Schupp, V. Thijs, and W. De Weerdt Trunk performance after stroke: an eye catching predictor of functional outcome J. Neurol. Neurosurg. Psychiatry, July 1, 2007; 78(7): 694 - 698. [Abstract] [Full Text] [PDF]
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A. Ois, E. Cuadrado-Godia, J. Jimenez-Conde, M. Gomis, A. Rodriguez-Campello, J. E. Martinez-Rodriguez, E. Munteis, and J. Roquer Early Arterial Study in the Prediction of Mortality After Acute Ischemic Stroke Stroke, July 1, 2007; 38(7): 2085 - 2089. [Abstract] [Full Text] [PDF]
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The IMS II Trial Investigators The Interventional Management of Stroke (IMS) II Study Stroke, July 1, 2007; 38(7): 2127 - 2135. [Abstract] [Full Text] [PDF]
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K. C. Johnston, D. P. Wagner, X.-Q. Wang, G. C. Newman, V. Thijs, S. Sen, S. Warach, and for the GAIN, Citicoline, and ASAP Investigators Validation of an Acute Ischemic Stroke Model: Does Diffusion-Weighted Imaging Lesion Volume Offer a Clinically Significant Improvement in Prediction of Outcome? * Definitions and Explanations Stroke, June 1, 2007; 38(6): 1820 - 1825. [Abstract] [Full Text] [PDF]
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B. Tackenberg, J. D. Lunemann, A. Steinbrecher, E. Rothenfusser-Korber, M. Sailer, W. Bruck, S. Schock, R. Zschenderlein, F. Zipp, and N. Sommer Classifications and treatment responses in chronic immune-mediated demyelinating polyneuropathy Neurology, May 8, 2007; 68(19): 1622 - 1629. [Abstract] [Full Text] [PDF]
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C. A. Wolf, E. F. M. Wijdicks, W. R. Bamlet, and R. L. McClelland Further Validation of the FOUR Score Coma Scale by Intensive Care Nurses Mayo Clin. Proc., April 1, 2007; 82(4): 435 - 438. [Abstract] [Full Text] [PDF]
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M. Eriksson, P. Appelros, B. Norrving, A. Terent, and B. Stegmayr Assessment of Functional Outcome in a National Quality Register for Acute Stroke: Can Simple Self-Reported Items Be Transformed Into the Modified Rankin Scale? Stroke, April 1, 2007; 38(4): 1384 - 1386. [Abstract] [Full Text] [PDF]
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M. Arnold, L. Kappeler, K. Nedeltchev, C. Brekenfeld, U. Fischer, B. Keserue, L. Remonda, G. Schroth, and H. P. Mattle Recanalization and Outcome After Intra-Arterial Thrombolysis in Middle Cerebral Artery and Internal Carotid Artery Occlusion: Does Sex Matter? Stroke, April 1, 2007; 38(4): 1281 - 1285. [Abstract] [Full Text] [PDF]
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M.S.V. Elkind, S. Prabhakaran, J. Pittman, W. Koroshetz, M. Jacoby, K. C. Johnston, and for the GAIN Americas Investigators Sex as a predictor of outcomes in patients treated with thrombolysis for acute stroke Neurology, March 13, 2007; 68(11): 842 - 848. [Abstract] [Full Text] [PDF]
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C Brekenfeld, L Remonda, K Nedeltchev, M Arnold, H P Mattle, U Fischer, L Kappeler, and G Schroth Symptomatic intracranial haemorrhage after intra-arterial thrombolysis in acute ischaemic stroke: assessment of 294 patients treated with urokinase J. Neurol. Neurosurg. Psychiatry, March 1, 2007; 78(3): 280 - 285. [Abstract] [Full Text] [PDF]
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T. Razinia, J. L. Saver, D. S. Liebeskind, L. K. Ali, B. Buck, and B. Ovbiagele Body Mass Index and Hospital Discharge Outcomes After Ischemic Stroke Arch Neurol, March 1, 2007; 64(3): 388 - 391. [Abstract] [Full Text] [PDF]
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C. M. Schirmer, D. A. Hoit, and A. M. Malek Decompressive Hemicraniectomy for the Treatment of Intractable Intracranial Hypertension After Aneurysmal Subarachnoid Hemorrhage Stroke, March 1, 2007; 38(3): 987 - 992. [Abstract] [Full Text] [PDF]
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R. Delgado-Mederos, A. Rovira, J. Alvarez-Sabin, M. Ribo, J. Munuera, M. Rubiera, E. Santamarina, O. Maisterra, P. Delgado, J. Montaner, et al. Speed of tPA-Induced Clot Lysis Predicts DWI Lesion Evolution in Acute Stroke Stroke, March 1, 2007; 38(3): 955 - 960. [Abstract] [Full Text] [PDF]
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J. L. Banks and C. A. Marotta Outcomes Validity and Reliability of the Modified Rankin Scale: Implications for Stroke Clinical Trials: A Literature Review and Synthesis Stroke, March 1, 2007; 38(3): 1091 - 1096. [Abstract] [Full Text] [PDF]
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 D. van Dijk, M. Spoor, R. Hijman, H. M. Nathoe, C. Borst, E. W. L. Jansen, D. E. Grobbee, P. P. T. de Jaegere, C. J. Kalkman, and for the Octopus Study Group Cognitive and Cardiac Outcomes 5 Years After Off-Pump vs On-Pump Coronary Artery Bypass Graft Surgery JAMA, February 21, 2007; 297(7): 701 - 708. [Abstract] [Full Text] [PDF]
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P. N. Sylaja, S. B. Coutts, S. Subramaniam, M. D. Hill, M. Eliasziw, A. M. Demchuk, and for the VISION Study Group Acute ischemic lesions of varying ages predict risk of ischemic events in stroke/TIA patients Neurology, February 6, 2007; 68(6): 415 - 419. [Abstract] [Full Text] [PDF]
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G Gromadzka, I Sarzynska-Dlugosz, and A Czlonkowska IL1RN intron 2 polymorphism caused by variable number tandem repeats is associated with 1-year outcome in patients with ischaemic stroke J. Neurol. Neurosurg. Psychiatry, February 1, 2007; 78(2): 183 - 186. [Abstract] [Full Text] [PDF]
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B. C. Tilley and W. R. Galpern Screening Potential Therapies: Lessons Learned From New Paradigms Used in Parkinson Disease Stroke, February 1, 2007; 38(2): 800 - 803. [Abstract] [Full Text] [PDF]
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G. Thomalla, J. Sobesky, M. Kohrmann, J. B. Fiebach, J. Fiehler, O. Zaro Weber, A. Kruetzelmann, T. Kucinski, M. Rosenkranz, J. Rother, et al. Two Tales: Hemorrhagic Transformation but Not Parenchymal Hemorrhage After Thrombolysis Is Related to Severity and Duration of Ischemia: MRI Study of Acute Stroke Patients Treated With Intravenous Tissue Plasminogen Activator Within 6 Hours Stroke, February 1, 2007; 38(2): 313 - 318. [Abstract] [Full Text] [PDF]
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The NINDS NET-PD Investigators A randomized clinical trial of coenzyme Q10 and GPI-1485 in early Parkinson disease Neurology, January 2, 2007; 68(1): 20 - 28. [Abstract] [Full Text] [PDF]
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M. A. de Lecinana, J. A. Egido, C. Fernandez, E. Martinez-Vila, S. Santos, A. Morales, E. Martinez, A. Pareja, J. Alvarez-Sabin, I. Casado, et al. Risk of ischemic stroke and lifetime estrogen exposure Neurology, January 2, 2007; 68(1): 33 - 38. [Abstract] [Full Text] [PDF]
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 D. B. Lowe, A. K. Sharma, and M. J. Leathley The CareFile Project: a feasibility study to examine the effects of an individualised information booklet on patients after stroke Age Ageing, January 1, 2007; 36(1): 83 - 89. [Abstract] [Full Text] [PDF]
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L. Ehlers, G. Andersen, L. B. Clausen, M. Bech, and M. Kjolby Cost-Effectiveness of Intravenous Thrombolysis With Alteplase Within a 3-Hour Window After Acute Ischemic Stroke Stroke, January 1, 2007; 38(1): 85 - 89. [Abstract] [Full Text] [PDF]
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 S. K. Schiemanck, G. Kwakkel, M. W. M. Post, and A. J. H. Prevo Predictive Value of Ischemic Lesion Volume Assessed With Magnetic Resonance Imaging for Neurological Deficits and Functional Outcome Poststroke: A Critical Review of the Literature Neurorehabil Neural Repair, December 1, 2006; 20(4): 492 - 502. [Abstract] [PDF]
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 A. L. Estrera, Z. Garami, C. C. Miller, E. E. Porat, P. E. Achouh, J. Dhareshwar, R. Meada, A. Azizzadeh, and H. J. Safi Acute type A aortic dissection complicated by stroke: Can immediate repair be performed safely? J. Thorac. Cardiovasc. Surg., December 1, 2006; 132(6): 1404 - 1408. [Abstract] [Full Text] [PDF]
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