Key result
Agreement among three criterion standards for diagnosing acute heart failure varied, with kappa coefficients ranging from 0.59 to 0.74.
Why the study?
What is the level of agreement between different clinical criterion standards used to diagnose acute heart failure syndromes in emergency department patients?
Population
483 emergency department patients presenting with signs and symptoms of acute heart failure syndromes
Comparison
Three diagnostic criterion standards: treating… vs Comparison among the three diagnostic standards
Design
Cohort
Authors
Loading...
Diagnostic variability among acute HF standards warrants cautious interpretation; leaves open the need for a unified criterion in future studies.
Observational (n=483)
What is the level of agreement between different clinical criterion standards used to diagnose acute heart failure syndromes in emergency department patients?
Effect estimate: kappa 0.59 to 0.74
Different criterion standards for diagnosing acute heart failure identify slightly different patient populations, highlighting the importance of reference standard selection when evaluating new diagnostic tests.
Collins et al. (2012) conducted an observational in acute heart failure syndromes (AHFS) (n=483). Clinical criterion standards (ED physician diagnosis, hospital discharge diagnosis, cardiology panel review) was evaluated on Agreement between diagnostic criterion standards using Cohen's kappa (kappa 0.59 to 0.74). Agreement among three criterion standards for diagnosing acute heart failure varied, with kappa coefficients ranging from 0.59 to 0.74.
Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context: