Agreement on intrapartum cardiotocogram recordings between expert obstetricians

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F68407700%3A21730%2F15%3A00236805" target="_blank" >RIV/68407700:21730/15:00236805 - isvavai.cz</a>

Alternative codes found

RIV/61988987:17110/15:A1601FZQ RIV/00216208:11140/15:10311868 RIV/00216208:11120/15:43911076 RIV/65269705:_____/15:00063155 and 5 more

Result on the web

<a href="http://onlinelibrary.wiley.com/doi/10.1111/jep.12368/abstract" target="_blank" >http://onlinelibrary.wiley.com/doi/10.1111/jep.12368/abstract</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1111/jep.12368" target="_blank" >10.1111/jep.12368</a>

Result language

angličtina

Original language name

Agreement on intrapartum cardiotocogram recordings between expert obstetricians

Original language description

Rationale, aims and objectives: To evaluate obstetricians' inter- and intra-observer agreement on intrapartum cardiotocogram (CTG) recordings and to examine obstetricians' evaluations with respect to umbilical artery pH and base deficit. Methods: Nine experienced obstetricians annotated 634 intrapartum CTG recordings. The evaluation of each recording was divided into four steps: evaluation of two 30-minute windows in the first stage of labour, evaluation of one window in the second stage of labour and labour outcome prediction. The complete set of evaluations used for this experiment is available online. The inter- and intra-observer agreement was evaluated using proportion of agreement and kappa coefficient. Clinicians' sensitivity and specificity was computed with respect to umbilical artery pH, base deficit and to Apgar score at the fifth minute. Results: The overall proportion of agreement between clinicians reached 48% with 95% confidence intervals (CI) (CI: 47–50). Regarding the different classes, proportion of agreement ranged from 57% (CI: 54–60) for normal to 41% (CI: 36–46) for pathological class. The sensitivity of clinicians' majority vote to objective outcome was 39% (CI: 16–63) for the umbilical artery base deficit and 27% (CI: 16–42) for pH. The specificity was 89% (CI: 86–92) for both types of objective outcome. Conclusions: The reported inter-/intra-observer variability is large and this holds irrespective of clinicians' experience or work place. The results support the need of modernized guidelines for CTG evaluation and/or objectivization and repeatability by introduction of a computerized approach that could standardize the process of CTG evaluation within the delivery ward.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FK - Gynaecology and obstetrics

OECD FORD branch

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Project

Result was created during the realization of more than one project. More information in the Projects tab.

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2015

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Evaluation in Clinical Practice

ISSN

1356-1294

e-ISSN

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Volume of the periodical

21

Issue of the periodical within the volume

4

Country of publishing house

US - UNITED STATES

Number of pages

9

Pages from-to

694-702

UT code for WoS article

000358693200021

EID of the result in the Scopus database

2-s2.0-84938214694