scholarly journals The Interrater and Intrarater Reliability of the Preterm Infant Oral Feeding Readiness Assessment Scale

2019 ◽  
Author(s):  
Faride kamran ◽  
Setare Sagheb ◽  
Mashid Aghajanzade ◽  
Abbas Ebadi ◽  
Yaser Faryadras ◽  
...  
Keyword(s):  
Preterm Infant ◽  
Intraclass Correlation ◽  
Sudden Change ◽  
Tube Feeding ◽  
Weighted Kappa ◽  
Oral Feeding ◽  
Assessment Scale ◽  
Intrarater Reliability ◽  
Readiness Assessment ◽  
Cross Sectional

Introduction: One of the most challenging decisions is to assess the preterm infant’s transition from tube feeding to oral feeding. Thus, we require a reliable tool for determining the time to start oral feeding. This study aimed to measure the interrater and intrarater reliability of the Preterm Infant Oral Feeding Readiness Assessment scale (PIOFRA). Materials and Methods: This study was an observational, cross-sectional study. The study participants were preterm infants who had been hospitalized in the Neonatal Intensive Care Unit of Shariati Hospital affiliated to Tehran University of Medical Sciences, between December 2017 and February 2018. The inclusion  criteria  were  absence  of neurological and gastrointestinal disorders or major congenital anomalies, Apgar score 3 or more in the first 1 minute, and 5 or more in the first 5 minutes. The exclusion criteria included family’s unwillingness to participate in the study, infant’s death, or a sudden change that affects neonates’ nutritional status, like cerebral hemorrhage or intestinal problems. Results: The interrater and intrarater reliability of the total PIOFRA scale was good Intraclass Correlation Coefficients (ICC˃0.75). The interrater and intrarater reliability of most items were good and excellent, with weighted kappa more than 0.50, with the exception of lip posture and especially stress sign, with weighted kappa less than 0.40. Conclusion: Generally, most items of the PIOFRA scale had acceptable interrater and intrarater reliability. Also, the interrater and intrarater reliabilities of the total POFRAs score was good.

scholarly journals The Interrater and Intrarater Reliability of the Preterm Infant Oral Feeding Readiness Assessment Scale

2019 ◽  
pp. 31-38 ◽  
Author(s):  
Faride Kamran ◽  
Setare Sagheb ◽  
Mahshid Aghajanzade ◽  
Abbas Ebadi ◽  
Yser Faryadras ◽  
...  
Keyword(s):  
Preterm Infant ◽  
Oral Feeding ◽  
Assessment Scale ◽  
Intrarater Reliability ◽  
Readiness Assessment

Koos Classification of Vestibular Schwannomas: A Reliability Study

Neurosurgery ◽  
2018 ◽  
Vol 85 (3) ◽  
pp. 409-414 ◽  
Author(s):  
Nicholas J Erickson ◽  
Philip G R Schmalz ◽  
Bonita S Agee ◽  
Matthew Fort ◽  
Beverly C Walters ◽  
...  
Keyword(s):  
Classification System ◽  
Intraclass Correlation ◽  
Weighted Kappa ◽  
Vestibular Schwannomas ◽  
Intrarater Reliability ◽  
Cross Sectional ◽  
Rater Reliability ◽  
Institutional Review ◽  
Kendall’S W

Abstract BACKGROUND The Koos classification of vestibular schwannomas is designed to stratify tumors based on extrameatal extension and compression of the brainstem. While this classification system is widely reported in the literature, to date no study has assessed its reliability. OBJECTIVE To assess the intra- and inter-rater reliability of the Koos classification system. METHODS After institutional review board approval was obtained, a cross-sectional group of the Magnetic Resonance imagings of 40 patients with vestibular schwannomas varying in size comprised the study sample. Four raters were selected to assign a Koos grade to 50 total scans. Inter- and intrarater reliability were calculated and reported using Fleiss’ kappa, Kendall's W, and Intraclass correlation coefficient (ICC). RESULTS Inter-rater reliability was found to be substantial when measured using Fleiss' kappa (.71), extremely strong using Kendall's W (.92), and excellent as calculated by ICC (.88). Intrarater reliability was perfect for 3 out of 4 raters as assessed using weighted kappa, Kendall's W and ICC, with the intrarater agreement for the fourth rater measured as extremely high. CONCLUSION We have demonstrated that the Koos classification system for vestibular schwannoma is a reliable method for tumor classification. This study lends further support to the results of current literature using Koos grading system. Further studies are required to evaluate its validity and utility in counseling patients with regard to outcomes.

Clinical validation of the preterm oral feeding readiness assessment scale in Taiwan

2021 ◽  
Author(s):  
Yu-Jung Chang ◽  
Grace Hao ◽  
Jing-Yang Huang ◽  
Shun-Fa Yang ◽  
Chia-Chen Huang ◽  
...  
Keyword(s):  
Oral Feeding ◽  
Assessment Scale ◽  
Clinical Validation ◽  
Readiness Assessment

scholarly journals Conformity of pre-gestational weight measurement and agreement of anthropometric data reported by pregnant women and those recorded in prenatal cards, City of Rio de Janeiro, 2007-2008

2013 ◽  
Vol 16 (3) ◽  
pp. 670-681 ◽  
Author(s):  
Roberta Pereira Niquini ◽  
Sonia Azevedo Bittencourt ◽  
Maria do Carmo Leal
Keyword(s):  
Pregnant Women ◽  
Rio De Janeiro ◽  
Intraclass Correlation ◽  
National Health System ◽  
Weighted Kappa ◽  
Measurement Process ◽  
Sources Of Information ◽  
Anthropometric Data ◽  
Cross Sectional ◽  
Weight Measurement

Objective: To assess the conformity of the weight measurement process in the pre-gestational care offered in the city of Rio de Janeiro by primary units and hospitals of the National Health System, as well as to verify the agreement between the anthropometric data reported by pregnant women and those recorded in prenatal cards. Method: A cross-sectional study was conducted in 2007 - 2008 with two cluster samples: one to obtain a sample of pregnant women to be interviewed and another one for the weight measurement procedures to be observed. The conformity of the weight measurement process was evaluated according to the Ministry of Health standards, and the agreement between the two sources of anthropometric data was evaluated using mean differences, Bland-Altman method, intraclass correlation coefficient (ICC) and weighted Kappa. Results: Out of the twelve criteria for weight measurement evaluation (n = 159 observations), three weren't in conformity (< 50% of conformity), two of them only need to be assessed when the scale is mechanical. For the interviewed pregnant women (n = 2,148), who had the two sources of anthropometric data, there was a tendency of self-reported height overestimation and pre-gestational and current weight and Body Mass Index underestimation. Accordance between the two sources of anthropometric information, according to ICC and weighted Kappa, were high (> 0.80). Conclusion: Studies may use weight and height information reported by pregnant women, in the absence of prenatal cards records, when it is an important economy to their execution, although the improvement of these two sources of information by means of better anthropometric process is necessary.

scholarly journals Readiness for oral feeding and oral motor function in preterm infants

Revista CEFAC ◽  
2017 ◽  
Vol 19 (4) ◽  
pp. 503-509 ◽  
Author(s):  
Raquel Coube de Carvalho Yamamoto ◽  
Leila Sauer Prade ◽  
Geovana de Paula Bolzan ◽  
Angela Regina Maciel Weinmann ◽  
Márcia Keske-Soares
Keyword(s):  
Preterm Infants ◽  
Motor Function ◽  
Oral Feeding ◽  
Motor Dysfunction ◽  
Assessment Tools ◽  
Assessment Scale ◽  
Readiness Assessment ◽  
Motor Assessment ◽  
Oral Motor ◽  
Oral Motor Function

ABSTRACT Objective: this study aimed at investigating the Schedule Oral Motor Assessment (SOMA) tool to be used with preterm infants and to compare its results with the Preterm Oral Feeding Readiness Assessment Scale (POFRAS) to start oral feeding. Methods: a cross-sectional and quantitative study, consisting in a sample of 45 healthy and clinically stable preterm infants, assessed at their first oral feeding with two tools: the Schedule Oral Motor Assessment and Preterm Oral Feeding Readiness Assessment Scale. Stata 10.0 software was used for data analysis. Results: 10 preterm infants with readiness for oral feeding showed normal oral motor function, and 16, presented with oral motor dysfunction, did not show readiness for feeding (p <0.05). The time of transition for full oral feeding was 13.5 (± 8.1) days for preterm infants with better results in both assessment tools, and 17.7 (± 10.9) days for those who did not show readiness for oral feeding and had oral motor dysfunction to initiate oral feeding, resulting in a given clinical relevance, even showing no significance (p> 0.05). Conclusion: these results suggest that the Schedule Oral Motor Assessment can be an adjunctive method for evaluation of the oral motor function at the first oral feeding in preterm infants.

scholarly journals Correlation of facial anthropometry data of late preterm newborns and oral feeding readiness

2021 ◽  
Vol 74 (5) ◽  
Author(s):  
Bruna Lima da Silveira ◽  
Regina Célia Sales Santos ◽  
Maria Gabriella Silva Araújo ◽  
Gláucia Alyne Nunes de Lacerda ◽  
Mércia Lisieux Vaz da Costa Mascarenhas ◽  
...  
Keyword(s):  
Observational Study ◽  
Anthropometric Measurements ◽  
Oral Feeding ◽  
Assessment Scale ◽  
Late Preterm ◽  
Interface Area ◽  
Readiness Assessment ◽  
Orogastric Tube ◽  
Facial Anthropometry ◽  
Preterm Newborns

ABSTRACT Objective: To correlate nine facial anthropometric measurements with the readiness for oral feeding of late preterm newborns using an orogastric tube. Methods: Observational study, carried out in two institutions in Maceió, Alagoas. Fifty-two newborns participated. A single measuring of nine facial measurements and daily measuring of the interface area for fixing the tube was performed. For readiness assessment, the Premature Oral Feeding Readiness Assessment Scale was used. Results: An average readiness of 28.81 (± 3.18) was observed in the first evaluation and 30.65 (± 3.23) in the second. Most facial measurements are correlated with weight. There was a positive and slight correlation between glabella-subnasale distance and readiness. No correlation was observed between the area of the tube fixation interface and facial measurements. Conclusion: It is concluded that the glabella-subnasale measurement is positively correlated with the readiness for oral feeding in late preterm newborns who used an orogastric tube for feeding.

scholarly journals Study of reliability and concordance between two VDRL tests for syphilis investigation in patients with HIV followed-up at a university hospital in Rio de Janeiro in 2017–2019

2020 ◽  
Vol 32 ◽  
Author(s):  
Isabelle de Carvalho Rangel ◽  
Ricardo de Souza Carvalho ◽  
Mauricéa Francisco da Silva Romero Gonzalez ◽  
Patrick Menezes Loureço ◽  
Beatriz Pereira de Azevedo ◽  
...  
Keyword(s):  
Biological Fluids ◽  
Intraclass Correlation ◽  
Weighted Kappa ◽  
Laboratory Diagnosis ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Serum Samples ◽  
Cross Sectional ◽  
Paired Serum ◽  
Living With Hiv

Introduction: The laboratory diagnosis of syphilis is given by a positive treponemal test and a non-treponemal test, with VDRL (Veneral Disease Research Laboratory) being the “gold standard”. Objective: To compare two tests commercially validated for biological fluids and analyzed by different operators, in order to assess their performance in detecting high (≥:8) and low (≤1:2) titrations, as well as to determine the agreement between results in paired serum samples from patients with syphilis and living with HIV. Methods: Cross-sectional study, approved by the Research Ethics Committee of the teaching hospital Gaffrée e Guinle (HUGG), under CAAE 66558117.0.0000.5258. The study population was composed by patients diagnosed with syphilis and confirmed by the positivity of one or more treponemal tests. All samples were analyzed simultaneously by two different operators, each using a kit: VDRL WAMA Diagnóstica®, São Carlos, SP, Brazil; VDRL Brás, Laborclin®, Pinhais, PR, Brazil. The SPSS statistical program was used. Results: 110 serum samples from patients diagnosed with syphilis treated at HUGG were analyzed. The frequency of high VDRL titrations among patients, following the VDRL criterion ≥1:8, was practically the same in both tests, with 68% in VDRL Laborclin and 69% in VDRL WAMA (p = 0.87) and VDRL ≤1:2, 80% for WAMA and 83% for Laborclin (p = 0.72). The results of VDRL were tabulated in pairs; then the Cohen’s Kappa coefficient of agreement was calculated (Κ) 0.32 (95%CI 0.21–0.41; p<0.00001), as well as the weighted Kappa (Kw) and the intraclass correlation coefficient (ICC) 0.89 (95%CI 0.84–0.92; p<0.00001). The Bland-Altman diagram was also used. We found poor agreement between the VDRL tests when results were nominally concordant, that is, with the same titles in both tests. However, if partial agreement is considered, the interpretation of the magnitude of agreement estimators was almost complete (≥0.80). Conclusion: Reliability and agreement were high between the VDRL tests of both manufacturers when considering the close titrations (up to two dilutions). Further reliability and agreement studies are essential between the non-treponemal tests available and used in Brazil.

scholarly journals PO06 – Cross cultural validation of the preterm oral feeding readiness assessment scale (POFRAS)

2016 ◽  
Vol 28 (4) ◽  
pp. 92-92 ◽  
Author(s):  
Ilaria Orsenigo ◽  
Simona Serveli ◽  
Angela Cicconetti ◽  
Roberta Da Rin Della Mora
Keyword(s):  
Cross Cultural ◽  
Oral Feeding ◽  
Assessment Scale ◽  
Readiness Assessment ◽  
Cultural Validation

Interrater and Intrarater Reliability of the Colloid Cyst Risk Score

Neurosurgery ◽  
2019 ◽  
Vol 86 (1) ◽  
pp. E47-E53
Author(s):  
Elizabeth N Alford ◽  
Lauren E Rotman ◽  
Jacob R Lepard ◽  
Bonita S Agee ◽  
James M Markert
Keyword(s):  
Risk Score ◽  
Third Ventricle ◽  
Intraclass Correlation ◽  
Weighted Kappa ◽  
Colloid Cyst ◽  
Intrarater Reliability ◽  
Perfect Agreement ◽  
Risk Zone ◽  
Axial Diameter ◽  
Kendall’S W

Abstract BACKGROUND The Colloid Cyst Risk Score (CCRS) was developed to identify symptomatic patients and stratify risk of hydrocephalus among patients with colloid cysts. Its components consider patient age, cyst diameter, presence/absence of headache, fluid-attenuated inversion recovery (FLAIR) hyperintensity, and location within the third ventricle. OBJECTIVE To independently evaluate the inter- and intrarater reliability of the CCRS. METHODS Patients with a colloid cyst were identified from billing records and radiology archives. Three independent raters reviewed electronic medical records to determine age, presence/absence of headache, cyst diameter (mm), FLAIR hyperintensity, and risk zone location. Raters made 53 observations, including 5 repeat observations. Fleiss’ generalized kappa (κ) was calculated for all of the nominal criteria, whereas Kendall's coefficient of concordance (W) and the intraclass correlation coefficient (ICC) were calculated for the overall score. RESULTS Total CCRS score demonstrated extremely strong agreement (W = 0.83) using Kendall's W coefficient and good agreement (ICC = 0.74) using the ICC (P &lt; .001). For interrater reliability of individual criteria, age (κ = 1.00) and FLAIR hyperintensity (κ = 0.89) demonstrated near perfect agreement. Axial diameter (κ = 0.63) demonstrated substantial agreement, whereas agreement was moderate for risk zone (κ = 0.51) and fair for headache (κ = 0.26). Intrarater reliability for total CCRS score was extremely strong using Kendall's W, good to excellent using ICC, and fair to substantial using weighted kappa. CONCLUSION The CCRS has good inter- and intrarater reliability when tested in an independent sample of patients, though strength of agreement varies among individual criteria. The validity of the CCRS requires independent evaluation.

scholarly journals The Validity and Reliability of Early Feeding Skills Assessment and Cue-Based Feeding Scales for Preterm Infants

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Farideh Kamran ◽  
Setareh Sagheb ◽  
Seyyed Ahmadreza Khatoonabadi ◽  
Abbas Ebadi ◽  
Yaser Faryadras ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Discriminant Validity ◽  
Intraclass Correlation ◽  
Weighted Kappa ◽  
Oral Feeding ◽  
Skill Assessment ◽  
Early Feeding ◽  
Validity And Reliability ◽  
Rater Reliability ◽  
Feeding Skills

Background: One of the fundamental factors in infants’ readiness to discharge from the Neonatal Intensive Care Unit (NICU) is attaining full oral feeding. Determining the infants’ development requires instruments to comprehensively assess the infants’ oral skills and the process of feeding. Objectives: This study aimed to measure the validity and reliability of Early Feeding Skill assessment (EFS) and the subscales of the cue-based feeding (Oral Feeding Readiness scale (OFRS) and Oral Feeding Quality scale (OFQS)). Methods: Participants consisted of 30 preterm infants born at gestational age (GA) ≤ 34 weeks in Dr. Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Infants were enrolled by convenience sampling. Intraclass correlation coefficients (ICC) and Weighted Kappa were used to measure reliability, and Spearman and Pearson’s correlation coefficient were used to test convergent and discriminant validity. Results: The inter- and intra-rater reliability of all dimensions of EFS were good (ICC ranged from 0.77 to 0.95) except intra-rater reliabiltiy for the ability to maintain physiologic stability and ability to coordinate swallowing was moderate. The inter-rater reliability of the cue-based feeding scales was excellent (Weighted Kappa of > 0.74). The intra-rater reliablity indicated good agreement for OFRS (Weighted Kappa = 0.73) and excellent agreement for OFQS (Weighted Kappa = 0.75). There was an inverse correlation between most subscales of EFS and cue-based feeding scales (P < 0.05), except the ability to maintain physiologic stability and ability to coordinate swallowing dimensions (P > 0.05). There was a significant correlation between the ability to maintain physiologic stability dimension and post menstrual age (PMA) (r = 38, (P < 0.05) and between the oral feeding recovery assessment and GA (r = 0.37, (P < 0.05). OFQS was inversely correlated with GA and PMA (P < 0.05). Conclusions: EFS and cue-based feeding scales are valid and reliable scales to assess the oral feeding skills of preterm infants; however, using only one of these scales solely to evaluate infants’ feeding process is not enough.

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