| HRUBAN, Lukáš, Jiří SPILKA, Václav CHUDÁČEK, Petr JANKŮ, Michal HUPTYCH, Miroslav BURŠA, Adam HUDEC, Marian KACEROVSKÝ, Michal KOUCKÝ, Martin PROCHÁZKA, Vladimír KOREČKO, Jan SEGEŤA, Ondřej ŠIMETKA, Alena MĚCHUROVÁ a Lenka LHOTSKÁ. Angreement on intrapartum cardiotocogram recordings between expert obstetricians. Journal of Evaluation in Clinical Practise. Hoboken: Wiley-Blackwell, 2015, roč. 21, č. 4, s. 694-702. ISSN 1356-1294. Dostupné z: https://dx.doi.org/10.1111/jep.12368. |
Další formáty:
BibTeX
LaTeX
RIS
@article{1305208,
author = {Hruban, Lukáš and Spilka, Jiří and Chudáček, Václav and Janků, Petr and Huptych, Michal and Burša, Miroslav and Hudec, Adam and Kacerovský, Marian and Koucký, Michal and Procházka, Martin and Korečko, Vladimír and Segeťa, Jan and Šimetka, Ondřej and Měchurová, Alena and Lhotská, Lenka},
article_location = {Hoboken},
article_number = {4},
doi = {http://dx.doi.org/10.1111/jep.12368},
keywords = {cardiotocography; fetal heart rate; inter-observer variability; intra-observer variability},
language = {eng},
issn = {1356-1294},
journal = {Journal of Evaluation in Clinical Practise},
title = {Angreement on intrapartum cardiotocogram recordings between expert obstetricians},
volume = {21},
year = {2015}
}
TY - JOUR
ID - 1305208
AU - Hruban, Lukáš - Spilka, Jiří - Chudáček, Václav - Janků, Petr - Huptych, Michal - Burša, Miroslav - Hudec, Adam - Kacerovský, Marian - Koucký, Michal - Procházka, Martin - Korečko, Vladimír - Segeťa, Jan - Šimetka, Ondřej - Měchurová, Alena - Lhotská, Lenka
PY - 2015
TI - Angreement on intrapartum cardiotocogram recordings between expert obstetricians
JF - Journal of Evaluation in Clinical Practise
VL - 21
IS - 4
SP - 694-702
EP - 694-702
PB - Wiley-Blackwell
SN - 13561294
KW - cardiotocography
KW - fetal heart rate
KW - inter-observer variability
KW - intra-observer variability
N2 - Rationale, aims and objectives To evaluate obstetricians’ inter- and intra-observer agreement on intrapartum cardiotocogram (CTG) recordings and to examine obstetricians’ evaluations with respect to umbilical artery pH and base deficit. Methods Nine experienced obstetricians annotated 634 intrapartum CTG recordings. The evaluation of each recording was divided into four steps: evaluation of two 30- minute windows in the first stage of labour, evaluation of one window in the second stage of labour and labour outcome prediction. The complete set of evaluations used for this experiment is available online. The inter- and intra-observer agreement was evaluated using proportion of agreement and kappa coefficient. Clinicians’ sensitivity and specificity was computed with respect to umbilical artery pH, base deficit and to Apgar score at the fifth minute. Results The overall proportion of agreement between clinicians reached 48% with 95% confidence intervals (CI) (CI: 47–50). Regarding the different classes, proportion of agreement ranged from 57% (CI: 54–60) for normal to 41% (CI: 36–46) for pathological class. The sensitivity of clinicians’ majority vote to objective outcome was 39% (CI: 16–63) for the umbilical artery base deficit and 27% (CI: 16–42) for pH. The specificity was 89% (CI: 86–92) for both types of objective outcome. Conclusions The reported inter-/intra-observer variability is large and this holds irrespective of clinicians’ experience or work place. The results support the need of modernized guidelines for CTG evaluation and/or objectivization and repeatability by introduction of a computerized approach that could standardize the process of CTG evaluation within the delivery ward.
ER -
HRUBAN, Lukáš, Jiří SPILKA, Václav CHUDÁČEK, Petr JANKŮ, Michal HUPTYCH, Miroslav BURŠA, Adam HUDEC, Marian KACEROVSKÝ, Michal KOUCKÝ, Martin PROCHÁZKA, Vladimír KOREČKO, Jan SEGEŤA, Ondřej ŠIMETKA, Alena MĚCHUROVÁ a Lenka LHOTSKÁ. Angreement on intrapartum cardiotocogram recordings between expert obstetricians. \textit{Journal of Evaluation in Clinical Practise}. Hoboken: Wiley-Blackwell, 2015, roč.~21, č.~4, s.~694-702. ISSN~1356-1294. Dostupné z: https://dx.doi.org/10.1111/jep.12368.
|
