Interobserver Agreement in the Assessment of Clinical Findings in Children with Headaches.

ABSTRACT:

Objective

To determine the interobserver agreement of history and physical examination findings in children undergoing evaluation in the emergency department (ED) for headaches.

Study design

We conducted a prospective, cross-sectional study of children aged 2-17 years evaluated at 3 tertiary-care pediatric EDs for non-traumatic headaches. Two clinicians independently completed a standardized assessment of each child and documented the presence or absence of history and physical examination variables. Unweighted κ statistics were determined for 68 history and 24 physical examination variables.

Results

We analyzed 191 paired observations; median age was 12 years, with 19 (9.9%) children younger than 7 years. Interrater reliability was at least moderate (κ ≥ 0.41) for 41

SUBMITTER: Tsze DS 

PROVIDER: S-EPMC7251971 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature