Key result
Computerized analysis of FHR tracings shows poor agreement with physician interpretations.
Why the study?
The level of agreement in the interpretation of antepartum fetal heart rate tracings among physicians and between physicians and computer analysis was uncertain.
Does interpretation of antepartum fetal heart rate tracings by obstetricians agree with a computer analysis program in high-risk pregnant women?
Observational (n=54)
Does interpretation of antepartum fetal heart rate tracings by obstetricians agree with a computer analysis program in high-risk pregnant women?
Effect estimate: kappa -0.037 to 0.28
There is poor agreement among obstetricians and between obstetricians and computer analysis in the interpretation of antepartum fetal heart rate tracings, and a scoring system does not improve inter-observer agreement.
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May limit confidence in fetal heart rate interpretations for high-risk pregnancies; leaves open need for standardized validation.
Bracero et al. (2000) conducted an observational in High-risk pregnancy (n=54). Computer analysis program (Oxford Sonicaid System 8000) vs. Physician interpretation (three obstetricians) was evaluated on Agreement in the interpretation of fetal heart rate tracings (kappa -0.037 to 0.28). Computerized analysis of fetal heart rate tracings showed poor agreement with physician interpretations, with kappa values ranging from -0.037 to 0.28.
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