Inter-observer reliability of preoperative cardiopulmonary exercise test interpretation: a cross-sectional study

Exertional dyspnea is a common complaint among patients which may be the final result of many diseases. Few researches have been conducted concerning the role of cardiopulmonary exercise test (CPET) in assessing unexplained dyspnea. Therefore, the aim of this study was a research on unexplained dyspnea using CPET among patients resorting to respiratory test unit of hospitals. This is a cross-sectional study that performed on 100 patients. With the direct supervision of experts, CPET was conducted using ergaspirometery device. The exercise data was interpreted by a pulmonologist and the results were classified into pulmonary diseases, cardiovascular diseases, obesity, deconditioning, and undetermined groups. 100 patients including 57 men and 43 women with an average age of 42 years and an average BMI of 28 and smoking frequency of 12% took part in this research. The following frequencies were reported for each complication: 24% for pulmonary diseases, 23% for cardiovascular diseases, 23% for deconditioning group, 15% for obesity, and 16% for the undetermined group. No significant difference was observed between these five groups in terms of gender distribution and smoking cigarette (P-value>0.05). In the age group older than 42 years, more patients were diagnosed with cardiac diseases and obesity. CPET may be really useful in determining the cause of unexplained dyspnea among most patients. Furthermore, the CPET can determine the presence or absence of disease, and if present, the nature of the limitation.

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Cardiopulmonary Exercise Test Interpretation Using Age-Matched Controls to Evaluate Exertional Dyspnea

Military Medicine ◽

10.7205/milmed-d-05-0308 ◽

2009 ◽

Vol 174 (11) ◽

pp. 1177-1182 ◽

Cited By ~ 7

Author(s):

Joshua M. Sill ◽

Michael J. Morris ◽

James E. Johnson ◽

Patrick F. Allan ◽

Vincent X. Grbach

Keyword(s):

Exercise Test ◽

Cardiopulmonary Exercise Test ◽

Test Interpretation ◽

Exertional Dyspnea ◽

Cardiopulmonary Exercise

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Desaturation-distance ratio during field exercise test in lymphangioleiomyomatosis: a cross-sectional study

10.1183/13993003.congress-2021.pa3902 ◽

2021 ◽

Author(s):

Douglas Silva Queiroz ◽

Cibele Cristine Berto Marques Da Silva ◽

Alexandre Franco Amaral ◽

Martina Rodrigues Oliveira ◽

Henrique Takachi Moriya ◽

...

Keyword(s):

Exercise Test ◽

Cross Sectional Study ◽

Sectional Study ◽

Distance Ratio ◽

Cross Sectional ◽

Field Exercise

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Reliability and Validity in Cranial Osteopathy Experience: A Cross-Sectional Study

10.20944/preprints202004.0166.v1 ◽

2020 ◽

Author(s):

Jesús Requena García ◽

Evelyn García Nieto ◽

David Varillas Delgado

Keyword(s):

Scientific Evidence ◽

Reliability And Validity ◽

Correlation Coefficients ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Intra Class Correlation ◽

Observer Reliability ◽

Osteopathic Treatment ◽

Manual Palpation

Background and Objectives: The techniques directed to the cranial field in osteopathy are the most questioned due to the lack of scientific evidence. In osteopathic practice, manual palpation is essential and, therefore, measuring reliability is fundamental. The objective of study is to assess the reliability and validity of osteopathic treatment depending on experience. Materials and Methods: A cross-sectional study of reliability and validity was conducted. For measurements, a strain gauge was placed on the sphenobasilar synchondrosis of the skull base, and three maneuvers (lateral compression, anteroposterior compression and compression maneuver of the mastoids) were repeated 25 times each by osteopaths with different time of experience (5-10 years, 1-5 years, <1 year). Measurement averages were computed for each of the three maneuvers to verify the average effect of each group in comparison to that of the Gold Standard (GS) (>10 years of experience). Data were analyzed to check for inter- and intra-observer reliability using intra-class correlation coefficients (ICC). Results: Reliability and validity in 5-10 experience of observer 1 and observer 2 in the tree maneuvers was excellent (p<0.001) against GS. Poor or enough reproducibility and concordance were observed in osteopaths with less experience. Conclusion: Experience of osteopaths determines the efficacy of cranial maneuvers in osteopathic treatment for patients’ rehabilitation.

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Validation of the Catherine Bergego Scale in patients with unilateral spatial neglect after stroke

Dementia & Neuropsychologia ◽

10.1590/1980-57642018dn13-010009 ◽

2019 ◽

Vol 13 (1) ◽

pp. 82-88

Author(s):

Carlos Leonardo Sacomani Marques ◽

Juli Thomaz de Souza ◽

Maicon Gabriel Gonçalves ◽

Taís Regina da Silva ◽

Rafael Dalle Molle da Costa ◽

...

Keyword(s):

High Reliability ◽

Pearson Correlation ◽

Cross Sectional Study ◽

Spatial Neglect ◽

Sectional Study ◽

Cross Sectional ◽

Unilateral Spatial Neglect ◽

Observer Reliability ◽

Culturally Adapted ◽

The Impact

ABSTRACT. The Catherine Bergego Scale (CBS) is a scale to evaluates the impact of unilateral spatial neglect (USN) on everyday life of patients after stroke. Objective: The aim of this study was to evaluate the reliability and comprehension of the Portuguese version of the CBS for patients with USN after stroke. Methods: This was a cross-sectional study in patients with stroke and USN. The CBS was translated, culturally adapted and applied by two independent investigators. The patients were also evaluated by the Behavioural Inattention Test (BIT), NIHSS, mRS and Barthel scale to assess USN severity, neurological function, disability and autonomy consecutively. Consistency and coherence were analysed using Cronbach’s α, inter-observer reliability by Kappa, and the correlation between the CBS, BIT, NIHSS, mRS, and Barthel was determined using Pearson correlation. Results: Twenty-two patients were evaluated and the observed Cronbach’s α=0.913. For intra-observer reproducibility, the 10 items showed a reasonable and high reliability between evaluators. The CBS showed a negative correlation with the BIT. There was a low correlation between the BIT and NIHSS, mRS and Barthel index. Conclusion: The CBS is an adequate and validated scale for assessing patients with USN after stroke in a Brazilian population.

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Faculty Opinions recommendation of Cardiopulmonary exercise test interpretation using age-matched controls to evaluate exertional dyspnea.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.2155956.1759054 ◽

2010 ◽

Author(s):

James Tolle

Keyword(s):

Exercise Test ◽

Cardiopulmonary Exercise Test ◽

Test Interpretation ◽

Exertional Dyspnea ◽

Cardiopulmonary Exercise

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Graduated Compression Stockings for Runners: Friend, Foe, or Fake?

Journal of Athletic Training ◽

10.4085/1062-6050-48.1.26 ◽

2013 ◽

Vol 48 (2) ◽

pp. 226-232 ◽

Cited By ~ 22

Author(s):

H. Jorn Bovenschen ◽

Mariëlle te Booij ◽

Carine J. M. van der Vleuten

Keyword(s):

The Netherlands ◽

Exercise Test ◽

Lower Leg ◽

Cross Sectional Study ◽

Sectional Study ◽

Compression Stockings ◽

Cross Sectional ◽

Maximum Exercise ◽

Recreational Runners ◽

Graduated Compression Stockings

Objective: To assess the effect of graduated compression stockings (GCS) on lower leg volume and leg complaints in runners during and after exercise. Design: Cross-sectional study. Setting: Radboud University Nijmegen Medical Centre and an outdoor running track in Nijmegen, The Netherlands. Patients or Other Participants: Thirteen Dutch trained recreational runners. Intervention(s): Participants used a GCS on 1 leg during running. Main Outcome Measures: (1) Lower leg volume of both legs was measured at baseline, directly after running, and at 5 minutes and 30 minutes after running using a validated perometer. (2) Leg complaints were reported on questionnaires at set intervals. Results: (1) In both experiments, the legs with GCS showed a reduction in mean (± SEM) leg volume directly after running, as compared with the leg without GCS: −14.1 ± 7.6 mL (P = .04) for the 10-km running track and −53.5 ± 17.8 mL (P = .03) for the maximum exercise test. This effect was not observed at 5 and 30 minutes after running. (2) No differences in leg complaints were reported in either experiment. Conclusions: The GCS prevented an increase in leg volume just after the running exercise. However, this result was not accompanied by a reduction in subjective questionnaire-reported leg complaints. The practical consequences of the present findings need further study.

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Patients' understanding of words used to describe lumps: a cross-sectional study

The Journal of Laryngology & Otology ◽

10.1017/s0022215105006481 ◽

2005 ◽

pp. 1

Author(s):

Neil K Chadha ◽

Costa Repanos

Keyword(s):

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Does a Graduate Course in Fluency Disorders Make a Difference?

Perspectives on Fluency and Fluency Disorders ◽

10.1044/ffd20.1.10 ◽

2010 ◽

Vol 20 (1) ◽

pp. 10-14 ◽

Cited By ~ 2

Author(s):

Evelyn R. Klein ◽

Barbara J. Amster

Keyword(s):

Undergraduate Students ◽

Graduate Programs ◽

The United States ◽

Cross Sectional Study ◽

Sectional Study ◽

Graduate Course ◽

Cross Sectional ◽

Fluency Disorders ◽

Introductory Course ◽

Communicative Disorders

Abstract A study by Yaruss and Quesal (2002), based on responses from 134 of 239 ASHA accredited graduate programs, indicated that approximately 25% of graduate programs in the United States allow students to earn their degree without having coursework in fluency disorders and 66% of programs allow students to graduate without clinical experience treating people who stutter (PWS). It is not surprising that many clinicians report discomfort in treating PWS. This cross-sectional study compares differences in beliefs about the cause of stuttering between freshman undergraduate students enrolled in an introductory course in communicative disorders and graduate students enrolled and in the final weeks of a graduate course in fluency disorders.

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