Does the patient appear acutely or chronically ill? An interobserver study of global assessments of hospital patients

The general appearance of 201 patients was assessed by a team of observers. Each patient was seen by two experienced physicians, two junior physicians and two medical students who stated whether the patients did not appear ill or whether the patient appeared acutely or chronically ill. The interobse...

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Bibliographic Details
Published inActa medica Scandinavica Vol. 212; no. 5; p. 325
Main Authors Gjørup, T, Hamberg, O, Knudsen, J, Rosenfalck, A M, Bugge, P M, Hendriksen, C, Binder, V, Wulff, H R, Jensen, A M
Format Journal Article
LanguageEnglish
Published Sweden 01.01.1982
Subjects
Acute Disease
Attitude to Health
Chronic Disease
Clinical Competence
Diagnosis, Differential
Humans
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Summary:The general appearance of 201 patients was assessed by a team of observers. Each patient was seen by two experienced physicians, two junior physicians and two medical students who stated whether the patients did not appear ill or whether the patient appeared acutely or chronically ill. The interobserver variation was considerable and the kappa-values ranged from around 0 to 0.75. The level of agreement did not seem to depend on the clinical experience of the observers. One experienced clinician assessed the patients differently from the others.
ISSN:0001-6101
DOI:10.1111/j.0954-6820.1982.tb03223.x