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Comparing the properties of traditional and novel approaches to the modified Rankin scale: Systematic review and meta-analysis.


ABSTRACT:

Introduction

The Modified Rankin Scale (mRS) is the most commonly used functional measure in stroke research but is limited by inter-rater reliability (IRR). Various interventions to improve mRS application have been described. We aimed to compare properties of differing approaches to mRS assessment.

Patients and methods

Multidisciplinary databases (MEDLINE, EMBASE, Health and Psychosocial Instruments [OVID], CINAHL, PsycINFO [EBSCO]) were searched for adult human stroke studies describing psychometric properties of mRS. Two researchers independently screened 20% titles and abstracts, reviewed all full studies, extracted data, and conducted risk of bias (ROB) analysis. Primary outcomes for random-effects meta-analysis were IRR measured by kappa (K) and weighted kappa (KW). V

SUBMITTER: Tvrda L 

PROVIDER: S-EPMC11556649 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature