BACKGROUND AND PURPOSE: Modified Rankin score (mRS) is traditionally graded using a face-to-face or telephone interview. Certain stroke assessment scales can be derived from a review of a patient's case-record alone. We hypothesized that mRS could be successfully derived from the narrative within patient case-records. METHODS: Sequential patients attending our cerebrovascular outpatient clinic were included. Two independent, blinded clinicians, trained in mRS, assessed case-records to derive mRS. They scored "certainty" of their grading on a 5-point Likert scale. Agreement between derived and traditional face-to-face mRS was calculated using attribute agreement analysis. RESULTS: Fifty patients with a range of disabilities were included. Case-record appraisers were poor at deriving mRS (k=0.34 against standard). Derived mRS grades showed poor agreement between observers (k=0.33). There was no relationship between certainty of derived mRS and proportion of correct grades (P=0.727). CONCLUSIONS: Accurate mRS cannot be derived from standard hospital records. Direct mRS interview is still required for clinical trials.
BACKGROUND AND PURPOSE: Modified Rankin score (mRS) is traditionally graded using a face-to-face or telephone interview. Certain stroke assessment scales can be derived from a review of a patient's case-record alone. We hypothesized that mRS could be successfully derived from the narrative within patient case-records. METHODS: Sequential patients attending our cerebrovascular outpatient clinic were included. Two independent, blinded clinicians, trained in mRS, assessed case-records to derive mRS. They scored "certainty" of their grading on a 5-point Likert scale. Agreement between derived and traditional face-to-face mRS was calculated using attribute agreement analysis. RESULTS: Fifty patients with a range of disabilities were included. Case-record appraisers were poor at deriving mRS (k=0.34 against standard). Derived mRS grades showed poor agreement between observers (k=0.33). There was no relationship between certainty of derived mRS and proportion of correct grades (P=0.727). CONCLUSIONS: Accurate mRS cannot be derived from standard hospital records. Direct mRS interview is still required for clinical trials.
Authors: Tina Nguyen; Kanisha Pope; Paul Capobianco; Mimi Cao-Pham; Soha Hassan; Matthew J Kole; Claire O'Connell; Aaron Wessell; Jonathan Strong; Quincy K Tran Journal: J Emerg Trauma Shock Date: 2020-06-10
Authors: Ananth K Vellimana; Yasha Kadkhodayan; Keith M Rich; DeWitte T Cross; Christopher J Moran; Allyson R Zazulia; Jin-Moo Lee; Michael R Chicoine; Ralph G Dacey; Colin P Derdeyn; Gregory J Zipfel Journal: J Neurosurg Date: 2012-10-12 Impact factor: 5.115
Authors: Chitra Sivasankar; Michael Stiefel; Todd A Miano; Guy Kositratna; Sukanya Yandrawatthana; Robert Hurst; W Andrew Kofke Journal: J Neurointerv Surg Date: 2015-11-27 Impact factor: 5.836
Authors: Heidi Sucharew; Dawn Kleindorfer; Jane C Khoury; Kathleen Alwell; Mary Haverbusch; Robert Stanton; Stacie Demel; Felipe De Los Rios La Rosa; Simona Ferioli; Adam Jasne; Eva Mistry; Charles J Moomaw; Jason Mackey; Sabreena Slavin; Michael Star; Kyle Walsh; Daniel Woo; Brett M Kissela Journal: Cerebrovasc Dis Date: 2021-06-09 Impact factor: 3.104
Authors: Quincy K Tran; Sagar Dave; Daniel J Haase; Laura Tiffany; Shannon Gaasch; Wan-Tsu W Chang; Kevin Jones; Matthew J Kole; Aaron Wessell; Gary Schwartzbauer; Thomas M Scalea; Jay Menaker Journal: West J Emerg Med Date: 2021-01-12
Authors: Mark A Rodrigues; Neshika E Samarasekera; Christine Lerpiniere; Luke A Perry; Tom J Moullaali; James J M Loan; Joanna M Wardlaw; Rustam Al-Shahi Salman Journal: Ann Neurol Date: 2020-11-20 Impact factor: 11.274