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Determination of the reliability of three scoring systems to evaluate children after general anaesthesia
Author(s) -
KEEGAN N. J.,
YUDKOWITZ F. S.,
BODIAN C. A.
Publication year - 1995
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1995.tb04555.x
Subject(s) - intraclass correlation , medicine , reliability (semiconductor) , scoring system , correlation , general anaesthesia , anesthesia , psychometrics , surgery , clinical psychology , mathematics , power (physics) , physics , geometry , quantum mechanics
Summary The inter‐observer reliabilities of three scoring systems (Excitement Score, Face Mask Acceptance Score, Steward Score) were assessed by pairs of independent evaluators who observed 21 children during emergence from general anaesthesia. Each scoring system was analysed using the intraclass correlation coefficient giving values of 0.997 and 0.988 for the Excitement and Face Mask Acceptance Scores, respectively. Those for the Steward Score were 0.956, 0.924 and 0.295for the‘consciousness’,‘airway’, and‘movement’subdivisions, respectively. Ambiguous wording and inexplicit instructions may explain the lower correlations for the Steward Score. Reliability of scoring systems cannot be assumed and systems of undocumented reliability bring into question the results of the studies in which they are employed.