Interobserver agreement in assessment of motor response and brain stem reflexes.

Abstract:

:In 1982, we developed a new coma scale, the Glasgow-Liège scale, which combines the quantified analysis of five brain stem reflexes with the Glasgow methodology. The present study was undertaken to determine to what extent agreement exists among different raters assessing brain stem reflexes (Parameter R) and to compare the results with those observed from motor responses (Parameter M). We show the good agreement achieved by different examiners in the evaluation of brain stem reflexes. Brain stem reflexes offer a slightly higher agreement (kappa = 0.69) than that of the study of motor response (kappa = 0.65). Within Parameters M and R, we observed less agreement in the evaluation of flexion responses and in the interpretation of oculocephalic reactions. The reliability of the evaluation of M and R parameters justifies the use of the Glasgow-Liège scale as a means for evaluating disturbances of consciousness.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Born JD,Hans P,Albert A,Bonnal J

doi

10.1227/00006123-198704000-00001

subject

Has Abstract

pub_date

1987-04-01 00:00:00

pages

513-7

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

20

pub_type

杂志文章
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    authors: Zuccarello M,Powers G,Tobler WD,Sawaya R,Hakim SZ

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  • Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients with Thoracolumbar Spine Trauma: Surgical Approaches.

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  • Subsidence of stand-alone cervical carbon fiber cages.

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    authors: Bartels RH,Donk RD,Feuth T

    更新日期:2006-03-01 00:00:00

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    更新日期:2017-02-01 00:00:00

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    更新日期:1995-05-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2000-07-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1994-05-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    更新日期:1991-05-01 00:00:00

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