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Table 3 Inter-rater reliability for Emergency Department (ED) evaluation, imaging, stroke onset time, and t-PA related data.

From: Inter-rater reliability of data elements from a prototype of the Paul Coverdell National Acute Stroke Registry

Variable (Item Number)

Dichotomous response option

N

PI*

Kappa (95% LCL)†

BI‡

Date & time ED arrival (4.1)

Not documented (missing)

90

0.63

0.59 (0.40)

0.07

Date & time first seen by doctor (4.2)

Not documented (missing)

90

0.21

0.44 (0.26)

0.04

Stroke team consult (4.3)

Yes

90

-0.12

0.30 (0.10)

0.01

Date & time stroke team consult (4.1)

Not documented (missing)

40

0.20

0.02 (-0.20)

0.40

Stroke/TIA diagnosed in ED (4.6)

Yes

90

0.86

0.26 (-0.08)

0.03

Type of initial brain image (5.1)

CT

104

0.89

0.71 (0.41)

-0.03

Date & time initial brain image (5.2)

Not documented (missing)

104

-0.08

0.32 (0.15)

0.17

Date & time image results first known (5.5)

Not documented (missing)

103

-0.46

0.25 (0.10)

0.29

Intracranial hemorrhage on image (5.6)

Yes

103

-0.71

0.84 (0.70)

0.00

Stroke onset time documented (6.1)

Yes – Specific time

104

-0.40

0.51 (0.33)

0.13

 

Yes – Estimated time

104

-0.17

0.22 (0.06)

-0.25

 

No

104

-0.44

0.48 (0.30)

0.12

Source of onset time data if specific (6.2b)

Witnessed

38

-0.37

0.21 (-0.05)

0.26

 

Patient self-report

38

-0.45

0.06 (-0.11)

0.39

 

Not documented (missing)

38

-0.26

0.00

-0.74

Reasons for non-treatment with tPA (8.1)

Time

86

-0.83

0.78 (0.54)

0.03

 

Not documented (missing)

86

0.59

0.54 (0.33)

-0.10

  1. * PI = Prevalence Index (see Table 1 footnote for interpretation).
  2. † 95% LCL = 95% Lower Confidence Limit.
  3. ‡ BI = Bias Index (see Table 1 footnote for interpretation).
  4. ED = Emergency department, CT = computer tomography, tPA = tissue plasminogen activator (thrombolysis treatment)