Table 2.
Respondent selection of cardinal features of coma (N = 252 respondents)
N, (%) | Fleiss κa | |
---|---|---|
Absence of wakefulness | 204 (81) | 0.764 |
Glasgow Coma Score ≤ 8 | 161 (64) | 0.588 |
Failure to respond purposefully to visual, verbal or tactile stimuli based on clinical exam | 152 (60) | 0.552 |
Inability to follow commands (excluding aphasic patients) | 146 (58) | 0.529 |
No eye-opening | 134 (53) | 0.482 |
No visual pursuit of objects, fixation or saccade to stimuli | 123 (49) | 0.440 |
No evidence of cognitive motor dissociation (i.e. the covert ability to follow commands) based on exam, neurophysiological studies or functional imaging | 111 (44) | 0.394 |
No intelligible speech or recognizable gesture | 108 (43) | 0.383 |
Question in the survey: In your opinion, which of the following are considered cardinal features of coma (i.e., must be present to establish the diagnosis)? (Click all that apply.)
aFleiss ĸ defines the level of agreement for each variable among respondents (< 0 poor agreement, 0.01–0.20 slight agreement, 0.21–0.40 fair agreement, 0.41–0.60 moderate agreement, 0.61–0.80 substantial agreement, 0.81–1.00 almost perfect agreement)