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Real-Life Inter-Rater Variability of the Praetorian Score Values

Bibliographic Data

ID15486336
AuthorsSzymon Budrejko (0000-0002-5254-0813, Gdańsk Medical University), Maciej Kempa (0000-0002-3472-2883, Gdańsk Medical University, corresponding author), Wojciech Krupa (Nicolaus Copernicus University), Tomasz Królak (Gdańsk Medical University), Tomasz Fabiszak (0000-0001-7317-5088, Nicolaus Copernicus University), Grzegorz Raczak (0000-0001-8535-8658, Gdańsk Medical University)
Year2022
Volume19
Issue15
Pages9700-9700
Publication date2022-08-06
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19159700
PMID35955057
OpenAlexW4290579810
LanguageEN
References cited3

(1) Background: The PRAETORIAN score is a tool developed for postoperative evaluation of the position of subcutaneous implantable cardioverter-defibrillator systems. The aim of our study was to evaluate the real-life inter-rater variability of the PRAETORIAN score, based on chest radiographs of S-ICD patients reviewed by independent clinical raters. (2) Methods: Postoperative chest X-rays of patients that underwent S-ICD implantation were evaluated by five clinical raters who gave values of the PRAETORIAN score. Ratings were then compared in a fully crossed manner to determine the inter-rater variability of the attributed scores. (3) Results: In total, 87 patients were included in the study. In the case of the most important final risk category of the PRAETORIAN score, the mean Light's kappa was 0.804, the Fleiss' kappa was 0.249, and the intraclass correlation was 0.38. The final risk category was identically determined by all five raters in 75.86% of patients, by four raters in 14.94%, and by three raters in 9.20% of patients. (4) Conclusions: The overall inter-rater variability of the PRAETORIAN score in a group of electrophysiologists experienced in S-ICD implantation, yet previously naive to the PRAETORIAN score, and self-trained in its utilization, was only modest in our study. Appropriate use of the score might require training of clinical raters

Cohen's kappa · Inter-rater reliability · Intraclass correlation · Kappa · Psychometrics · Statistics · Cardiac Arrhythmias and Treatments · Cardiac electrophysiology and arrhythmias · Cardiac pacing and defibrillation studies · Medicine · Psychology

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