PMID- 1522927
OWN - NLM
STAT- MEDLINE
DCOM- 19921015
LR  - 20100324
IS  - 0028-2162 (Print)
IS  - 0028-2162 (Linking)
VI  - 136
IP  - 17
DP  - 1992 Apr 25
TI  - [Interobserver variation in the application of 2 disability scales in heart 
      patients].
PG  - 831-4
AB  - OBJECTIVE: To examine the use of the Rankin scale for the assessment of 
      disability in patients with ischaemic heart disease. SETTING: University Hospital 
      Utrecht. DESIGN: Prospective interobserver study. PATIENTS AND METHODS: Fifty-two 
      outpatients with heart disease (previous myocardial infarction, angina or both) 
      were separately interviewed by four physicians (residents or specialists), viz., 
      two cardiologists and two neurologists. The degree of disability was recorded by 
      each observer on two different scales: the modified Rankin scale, a six-point 
      scale developed from a neurological background, and the four-point scale 
      developed by the New York Heart Association (NYHA). The agreement rates for the 
      observers (23 in all) were corrected for chance (kappa-statistics; maximum 1.0). 
      RESULTS: Total agreement on both scales was found for six of the participating 51 
      patients and for 10 and 11 patients when the Rankin scale and the NYHA scale were 
      considered separately. Kappa values were 0.21 for the Rankin scale and 0.24 for 
      the NYHA scale. The weighted kappa values were 0.56 and 0.47, respectively. The 
      agreement among neurologists and cardiologists was comparable. CONCLUSION: The 
      agreement rates of cardiologists and neurologists in the use of the Rankin scale 
      and the NYHA scale in outpatients with heart disease are at best satisfactory. 
      The good results of an earlier study with the Rankin scale in stroke patients 
      were not achieved. This study indicates that the Rankin scale may be useful for 
      the assessment of disability from heart disease particularly in patients with 
      neurological disease, but there is room for further improvement.
FAU - Visser, M C
AU  - Visser MC
AD  - Afd. Neurologie, Academisch Ziekenhuis, Utrecht.
FAU - Koudstaal, P J
AU  - Koudstaal PJ
FAU - van Latum, J C
AU  - van Latum JC
FAU - Frericks, H
AU  - Frericks H
FAU - Berengholz-Zlochin, S N
AU  - Berengholz-Zlochin SN
FAU - van Gijn, J
AU  - van Gijn J
LA  - dut
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
TT  - Variatie tussen waarnemers bij de toepassing van twee invaliditeitsschalen bij 
      hartpatienten.
PL  - Netherlands
TA  - Ned Tijdschr Geneeskd
JT  - Nederlands tijdschrift voor geneeskunde
JID - 0400770
SB  - IM
MH  - Angina Pectoris/*diagnosis
MH  - *Disability Evaluation
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/*diagnosis
MH  - *Observer Variation
MH  - Prospective Studies
EDAT- 1992/04/25 00:00
MHDA- 1992/04/25 00:01
CRDT- 1992/04/25 00:00
PHST- 1992/04/25 00:00 [pubmed]
PHST- 1992/04/25 00:01 [medline]
PHST- 1992/04/25 00:00 [entrez]
PST - ppublish
SO  - Ned Tijdschr Geneeskd. 1992 Apr 25;136(17):831-4.