Improving the Reliability of Stroke Disability Grading in Clinical Trials and Clinical Practice
Author(s) -
Jeffrey L. Saver,
Bogdan Filip,
Scott Hamilton,
Anna Yanes,
Sharon Craig,
Michelle Cho,
Robin Conwit,
Sidney Starkman
Publication year - 2010
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.109.571364
Subject(s) - medicine , modified rankin scale , inter rater reliability , kappa , stroke (engine) , physical therapy , clinical trial , acute stroke , rating scale , ischemic stroke , statistics , mechanical engineering , ischemia , engineering , linguistics , mathematics , philosophy , tissue plasminogen activator
The modified Rankin Scale rates global disability after stroke and is the most comprehensive and widely used primary outcome measure in acute stroke trials. However, substantial interobserver variability in modified Rankin Scale scoring has been reported. This study sought to develop and validate a short, practicable structured assessment that would enhance interrater reliability.
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