The modified Rankin Scale in acute stroke has good inter-rater-reliability but questionable validity

Cerebrovascular Diseases

Volumn 29, Issue 2, 2010, Pages 188-193

  Zhao, Henry ^a,b   Collier, Janice M ^b   Quah, Dorcas M ^b   Purvis, Tara ^a,c   Bernhardt, Julie ^a,b,d  

^a UNIVERSITY OF MELBOURNE   (Australia)

^b FLOREY INSTITUTE OF NEUROSCIENCE AND MENTAL HEALTH   (Australia)

^c AUSTIN HEALTH   (Australia)

^d LA TROBE UNIVERSITY   (Australia)

Author keywords

Acute stroke; Modified Rankin Scale; Validity

Indexed keywords

ADULT; AGED; ARTICLE; DECISION MAKING; DISABILITY; FEMALE; HOSPITAL PATIENT; HUMAN; INTERRATER RELIABILITY; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANKIN SCALE; STROKE; STROKE PATIENT; VALIDITY;

AGED; AGED, 80 AND OVER; CLINICAL COMPETENCE; DISABILITY EVALUATION; FEMALE; HUMANS; INPATIENTS; MALE; MIDDLE AGED; OBSERVER VARIATION; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; REPRODUCIBILITY OF RESULTS; SEVERITY OF ILLNESS INDEX; STROKE; TIME FACTORS; VICTORIA;

EID: 72149126888     PISSN: 10159770     EISSN: None     Source Type: Journal    
DOI: 10.1159/000267278     Document Type: Article

References (24)

1. van Swieten JC, Koudstaal PJ, Visser MC, Schouten HJ, van Gijn J: Interobserver agreement for the assessment of handicap in stroke patients. Stroke 1988; 19: 604-607.
2. de Haan R, Limburg M, Bossuyt P, van der Meulen J, Aaronson N: The clinical meaning of Rankin 'handicap' grades after stroke. Stroke 1995; 26: 2027-2030.
3. Criteria Committee of the New York Heart Association: Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels. Boston, Little Brown, 1994, pp 253- 256.
4. Wang DZ, Rose JA, Honings DS, Garwacki DJ, Milbrandt JC: Treating acute stroke patients with intravenous tPA: the OSF stroke network experience. Stroke 2000; 31: 77-81.
5. Weimar C, Ziegler A, König IR, Diener HC: Predicting functional outcome and survival after acute ischemic stroke. J Neurol 2002; 249: 888-895.
6. Johnston SC, Wilson CB, Halbach VV, Higashida RT, Dowd CF, McDermott MW, Applebury CB, Farley TL, Gress DR: Endovascular and surgical treatment of unruptured cerebral aneurysms: comparison of risks. Ann Neurol 2000; 48: 11-19.
7. Ferguson GG, Eliasziw M, Barr HW, Clagett GP, Barnes RW, Wallace MC, Taylor DW, Haynes RB, Finan JW, Hachinski VC, Barnett HJ: The North American Symptomatic Carotid Endarterectomy Trial: surgical results in 1,415 patients. Stroke 1999; 30: 1751-1758.
8. Quinn TJ, Lees KR, Hardemark HG, Dawson J, Walters MR: Initial experience of a digital training resource for modified Rankin Scale assessment in clinical trials. Stroke 2007; 38: 2257-2261.
9. Hand PJ, Haisma JA, Kwan J, Lindley RI, Lamont B, Dennis MS, Wardlaw JM: Interobserver agreement for the bedside clinical assessment of suspected stroke. Stroke 2006; 37: 776-780.
10. Stroke - 1989. Recommendations on stroke prevention, diagnosis, and therapy. Report of the WHO Task Force on Stroke and other Cerebrovascular Disorders. Stroke 1989; 20: 1407-1431.
11. Brott T, Adams HP Jr, Olinger CP, Marler JR, Barsan WG, Biller J, Spilker J, Holleran R, Eberle R, Hertzberg V, et al: Measurements of acute cerebral infarction: A clinical examination scale. Stroke 1989; 20: 864-870. (Pubitemid 19188240)
12. Bamford J, Sandercock P, Dennis M, Burn J, Warlow C: Classification and natural history of clinically identifiable subtypes of cerebral infarction. Lancet 1991; 337: 1521-1526.
13. TELEform Elite Version 9. Sunnyvale, Verity, 2005.
14. Shrout PE, Fleiss JL: Intraclass correlations: uses in assessing rater reliability. Psychol Bull 1979; 86: 420-428.
15. Cohen J: Weighted kappa: nominal scale agreement with provision for scaled disagreement or partial credit. Psychol Bull 1968; 70: 213.
16. Wilson JT, Hareendran A, Grant M, Baird T, Schulz UG, Muir KW, Bone I: Improving the assessment of outcomes in stroke: use of a structured interview to assign grades on the modified Rankin Scale. Stroke 2002; 33: 2243-2246.
17. Ludbrook J: Detecting systematic bias between two raters. Clin Exp Pharmacol Physiol 2004; 31: 113-115.
18. Stata Statistical Software Release 10.0. College Station, StataCorp, 2007.
19. Thrift AG, Dewey HM, Macdonell RA, Mc- Neil JJ, Donnan GA: Stroke incidence on the east coast of Australia: the North East Melbourne Stroke Incidence Study (NEMESIS). Stroke 2000; 31: 2087-2092.
20. Dewey HM, Sturm J, Donnan GA, Macdonell RA, McNeil JJ, Thrift AG: Incidence and outcome of subtypes of ischaemic stroke: initial results from the North East Melbourne Stroke Incidence Study (NEMESIS). Cerebrovasc Dis 2003; 15: 133-139.
21. Landis JR, Koch GG: The measurement of observer agreement for categorical data. Biometrics 1977; 33: 159-174.
22. Wilson JT, Hareendran A, Hendry A, Potter J, Bone I, Muir KW: Reliability of the modified Rankin Scale across multiple raters: benefits of a structured interview. Stroke 2005; 36: 777-781.
23. Shinohara Y, Minematsu K, Amano T, Ohashi Y: Modified Rankin Scale with expanded guidance scheme and interview questionnaire: interrater agreement and reproducibility of assessment. Cerebrovasc Dis 2006; 21: 271-278.
24. Bland M, Altman G: Statistics notes: validating scales and indexes. BMJ 2002; 324: 606-607.