Ischaemic stroke etiological classification system: the agreement analysis of CISS, SPARKLE and TOAST
| العنوان: | Ischaemic stroke etiological classification system: the agreement analysis of CISS, SPARKLE and TOAST |
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| المؤلفون: | Haojie Zhang, Changqing Zhang, Enhui Guo, Zixiao Li, Yunyi Dai, Yongjun Wang |
| المصدر: | Stroke and Vascular Neurology |
| بيانات النشر: | BMJ, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, etiology, Risk Assessment, Decision Support Techniques, Physical medicine and rehabilitation, Predictive Value of Tests, Risk Factors, Terminology as Topic, Ischaemic stroke, ischemic stroke, Humans, Medicine, Stroke, Aged, Retrospective Studies, Observer Variation, Kappa value, business.industry, Reproducibility of Results, Agreement analysis, Middle Aged, Stroke subtype, medicine.disease, Beijing, Ischemic stroke, Etiology, Female, Original Article, Neurology (clinical), Cardiology and Cardiovascular Medicine, business, Subtype classification, classification system |
| الوصف: | Background and purposeThe ideal stroke classification system needs to have validity, high reliability and applicability among different stroke research settings. The Chinese Ischemic Stroke Subclassification (CISS) and the Subtypes of Ischemic Stroke Classification System (SPARKLE) have emerged recently but have not been tested using agreement analysis. As a result, the objective of this study is to investigate the level of agreement among stroke subtype classifications using CISS, SPARKLE and Trial of Org 10172 in Acute Stroke Treatment (TOAST). We also analyse the inter-rater reliability of CISS.MethodsThe data include 623 inpatients who have had an ischaemic stroke, accrued from Beijing Tiantan Hospital between 1 October 2015 and 19 April 2016. According to the diagnostic standards of the three subtype classification systems, 299 inpatients who satisfied the requirements of our study were independently classified with etiological subtypes, and we compared the three subclassifications.ResultsThere was substantial overall agreement among the three classification systems: CISS versus SPARKLE (kappa value=0.684, pConclusionThere were generally substantial agreements among three ischaemic stroke etiological classification systems. CISS is a valid and reliable classification system, with which different stroke research centres can apply and compare data. |
| تدمد: | 2059-8696 2059-8688 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::acdcd7228bea32ca3e2a8a2272338533 https://doi.org/10.1136/svn-2018-000226 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....acdcd7228bea32ca3e2a8a2272338533 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20598696 20598688 |
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