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Early CT changes in patients admitted for thrombectomy: Intrarater and interrater agreement.


ABSTRACT:

Objective

To systematically review the literature and assess agreement on the Alberta Stroke Program Early CT Score (ASPECTS) among clinicians involved in the management of thrombectomy candidates.

Methods

Studies assessing agreement using ASPECTS published from 2000 to 2015 were reviewed. Fifteen raters reviewed and scored the anonymized CT scans of 30 patients recruited in a local thrombectomy trial during 2 independent sessions, in order to study intrarater and interrater agreement. Agreement was measured using intraclass correlation coefficients (ICCs) and Fleiss kappa statistics for ASPECTS and dichotomized ASPECTS at various cutoff values.

Results

The review yielded 30 articles reporting 40 measures of agreement. Populations, methods, analyses, and results were

SUBMITTER: Farzin B 

PROVIDER: S-EPMC4955274 | biostudies-literature | 2016 Jul

REPOSITORIES: biostudies-literature