Table 4. Intra-observer agreementa for new 15-question outcome score for assessing post-encephalitis disability in children, Bellary, India, 2007.
Observer 1 |
Observer 2 |
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---|---|---|---|---|---|---|---|---|---|---|
Likely dependence | Final outcome score (sequelae) | Final outcome score (sequelae)b |
Likely dependenceb |
|||||||
II (severe) | III (moderate) | IV (mild) | V (none) | Total | Dependent | Independent | Total | |||
Dependent | II (severe) | 28 | 0 | 0 | 1 | 29 | 28 | 1 | 29 | |
Independent | III (moderate) | 2 | 38 | 3 | 4 | 47 | 4 | 155 | 159 | |
IV (mild) | 2 | 5 | 25 | 7 | 39 | |||||
V (none) | 0 | 0 | 3 | 70 | 73 | |||||
Total | 32 | 43 | 31 | 82 | 188 | 32 | 156 | 188 | ||
Kappa value | 0.799 (95% CI: 0.729–0.868)c | 0.902 (95% CI: 0.818–0.987)c |
CI, confidence interval.
a Agreement is shown for outcomes classified both in terms of four severity levels of sequelae and in terms of a dichotomous outcome: dependent (i.e. final outcome score: II) or independent (i.e. final outcome score: III–V).
b One repeat score was omitted and the inter-observer agreement for that item was calculated by comparing one score with the average of two from the second observer.
c Kappa values were interpreted as follows: 0.0–0.2 poor agreement; 0.21–0.40 fair agreement; 0.41–0.60 moderate agreement; 0.61–0.80 good agreement; and 0.81–1.00 very good agreement.30