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Interobserver Agreement in Interpretation of Chest Radiographs for Pediatric Community Acquired Pneumonia: Findings of the PedCAPNETZ-cohort
Gesche M. Voigt
Dominik Thiele
Martin Wetzke
Jürgen Weidemann
Patricia-Maria Parpatt
Tobias Welte
Jürgen Seidenberg
Christian Vogelberg
Holger Köster
Gernot Gerhard Ulrich Rohde
Christoph Härtel
Gesine Hansen
Matthias Kopp
出版
Wiley-Liss
, 2021
URL
http://books.google.com.hk/books?id=LLPfzwEACAAJ&hl=&source=gbs_api
註釋
Although chest radiograph (CXR) is commonly used in diagnosing pediatric community acquired pneumonia (pCAP), limited data on interobserver agreement among radiologists exist. PedCAPNETZ is a prospective, observational, and multicenter study on pCAP. N)=)233 CXR from patients with clinical diagnosis of pCAP were retrieved and n)=)12 CXR without pathological findings were added. All CXR were interpreted by a radiologist at the site of recruitment and by two external, blinded pediatric radiologists. To evaluate interobserver agreement, the reporting of presence or absence of pCAP in CXR was analyzed, and prevalence and bias-adjusted kappa (PABAK) statistical testing was applied. Overall, n)=)190 (82%) of CXR were confirmed as pCAP by two external pediatric radiologists. Compared with patients with pCAP negative CXR, patients with CXR-confirmed pCAP displayed higher C-reactive protein levels and a longer duration of symptoms before enrollment (p)