Abstract:
BACKGROUND AND PURPOSE:The modified Rankin Scale (mRS) is a popular primary stroke outcome measure, but its usefulness is limited by suboptimal reliability (inter-rater agreement). METHODS:We developed and tested the reliability of a simplified mRS questionnaire (smRSq) in 50 patients after stroke seen in outpatient clinics. Randomly chosen paired raters administered the smRSq within 20 minutes of each other and the ratings were blinded until the end of this study. RESULTS:Agreement among the raters was 78%, the kappa statistic was 0.72 (95% CI, 0.58-0.86), and the weighted kappa(w) statistic taking into account the extent of disagreement was 0.82 (95% CI, 0.72-0.92). The average time to administer the smRSq was 1.67 minutes. CONCLUSIONS:The smRSq appears to have very good reliability that is similar to that of a structured interview mRS and is considerably less time-consuming.
journal_name
Strokejournal_title
Strokeauthors
Bruno A,Shah N,Lin C,Close B,Hess DC,Davis K,Baute V,Switzer JA,Waller JL,Nichols FTdoi
10.1161/STROKEAHA.109.571562subject
Has Abstractpub_date
2010-05-01 00:00:00pages
1048-50issue
5eissn
0039-2499issn
1524-4628pii
STROKEAHA.109.571562journal_volume
41pub_type
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