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A Multicenter Training and Interrater Reliability Study of the BASED Score for Infantile Epileptic Spasms Syndrome.
Mytinger, John R; Albert, Dara V F; Aylward, Shawn C; Beatty, Christopher W; Bhalla, Sonam; Bhatia, Sonal; Brock, Guy N; Ciliberto, Micheal A; Choudhari, Purva R; Clark, Daniel J; Cohen, Jennifer Madan; Czech, Theresa M; Fredwall, Megan M; Gonzalez-Giraldo, Ernesto; Harini, Chellamani; Hunter, Senyene E; Sandoval Karamian, Amanda G; Katyayan, Akshat; Kistler, Isaac; Kulkarni, Neil; Liu, Virginia B; McCabe, Corinne; Murray, Thomas; Neville, Kerri; Patel, Shital H; Pavuluri, Spriha; Phillips, Donald J; Samanta, Debopam; Sirsi, Deepa; Spelbrink, Emily M; Stafstrom, Carl E; Steenari, Maija; Takacs, Danielle S; Terrill, Tyler; Tran, Linh; Vidaurre, Jorge; Shrey, Daniel W.
Afiliação
  • Mytinger JR; Department of Pediatrics, Division of Pediatric Neurology, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio, U.S.A.
  • Albert DVF; Department of Pediatrics, Division of Pediatric Neurology, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio, U.S.A.
  • Aylward SC; Department of Pediatrics, Division of Pediatric Neurology, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio, U.S.A.
  • Beatty CW; Department of Pediatrics, Division of Pediatric Neurology, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio, U.S.A.
  • Bhalla S; Division of Neurology, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, U.S.A.
  • Bhatia S; Division of Pediatric Neurology, Children's Healthcare of Atlanta, Atlanta, Georgia, U.S.A.
  • Brock GN; Department of Pediatrics, Division of Pediatric Neurology, Medical University of South Carolina and Shawn Jenkins Children's Hospital, Charleston, South Carolina, U.S.A.
  • Ciliberto MA; Department of Biomedical Informatics, College of Medicine.
  • Choudhari PR; Center for Biostatistics, Wexner Medical Center, Biostatistics Resource at NCH (BRANCH), Nationwide Children's Hospital and The Ohio State University, Columbus, OH, U.S.A.
  • Clark DJ; Stead Family Department of Pediatrics, University of Iowa, Iowa City, Iowa, U.S.A.
  • Cohen JM; Department of Pediatrics, Division of Pediatric Neurology, University of Texas Southwestern, Dallas, Texas, U.S.A.
  • Czech TM; Department of Pediatrics, Division of Pediatric Neurology, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio, U.S.A.
  • Fredwall MM; Department of Neurology, Connecticut Children's Hospital, University of Connecticut, Hartford, Connecticut, U.S.A.
  • Gonzalez-Giraldo E; Stead Family Department of Pediatrics, University of Iowa, Iowa City, Iowa, U.S.A.
  • Harini C; Department of Pediatrics, Division of Pediatric Neurology, Nationwide Children's Hospital, Columbus, Ohio, U.S.A.
  • Hunter SE; Department of Neurology, Division of Epilepsy, University of California, San Francisco, San Francisco, California, U.S.A.
  • Sandoval Karamian AG; Department of Neurology, Division of Epilepsy, Harvard University, Boston, Massachusetts, U.S.A.
  • Katyayan A; Department of Neurology, Division of Child Neurology, University of North Carolina Hospitals, Chapel Hill, North Carolina, U.S.A.
  • Kistler I; Division of Neurology, Department of Pediatrics, University of Utah, Salt Lake City, Utah, U.S.A.
  • Kulkarni N; Department of Pediatric Neurology and Developmental Neuroscience, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, U.S.A.
  • Liu VB; Center for Biostatistics, The Ohio State University Wexner Medical Center, Columbus, Ohio, U.S.A.
  • McCabe C; Biostatistics Resource at Nationwide Children's Hospital, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, U.S.A.
  • Murray T; Department of Pediatrics, Division of Pediatric Neurology, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio, U.S.A.
  • Neville K; Division of Neurology, Orange California & Department of Pediatrics, Children's Hospital of Orange County, UC Irvine, Orange, California, U.S.A.
  • Patel SH; Department of Pediatrics, Division of Pediatric Neurology, Nationwide Children's Hospital, Columbus, Ohio, U.S.A.
  • Pavuluri S; Department of Pediatrics, Division of Pediatric Neurology, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio, U.S.A.
  • Phillips DJ; Department of Pediatrics, Division of Pediatric Neurology, University of Michigan, Ann Arbor, Michigan, U.S.A.
  • Samanta D; Department of Pediatrics, Division of Pediatric Neurology, Duke University Medical Center, Durham, North Carolina, U.S.A.
  • Sirsi D; Children's Hospital and Medical Center, Omaha, Nebraska, U.S.A.
  • Spelbrink EM; Division of Neurology, Orange California & Department of Pediatrics, Children's Hospital of Orange County, UC Irvine, Orange, California, U.S.A.
  • Stafstrom CE; Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, U.S.A.
  • Steenari M; Department of Pediatrics, Division of Pediatric Neurology, University of Texas Southwestern Medical Center, Dallas, Texas, U.S.A.
  • Takacs DS; Department of Neurology, Division of Child Neurology, Stanford Children's Hospital, Stanford University, Palo Alto, California, U.S.A.
  • Terrill T; Division of Pediatric Neurology, Departments of Neurology and Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A.
  • Tran L; Division of Neurology, Orange California & Department of Pediatrics, Children's Hospital of Orange County, UC Irvine, Orange, California, U.S.A.
  • Vidaurre J; Department of Pediatric Neurology and Developmental Neuroscience, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, U.S.A.
  • Shrey DW; Department of Pediatrics, Division of Pediatric Neurology, University of Texas Southwestern Medical Center, Dallas, Texas, U.S.A.
J Clin Neurophysiol ; 2024 Jul 11.
Article em En | MEDLINE | ID: mdl-38995949
ABSTRACT

PURPOSE:

The best possible outcomes in infantile epileptic spasms syndrome require electroclinical remission; however, determining electrographic remission is not straightforward. Although the determination of hypsarrhythmia has inadequate interrater reliability (IRR), the Burden of AmplitudeS and Epileptiform Discharges (BASED) score has shown promise for the reliable interictal assessment of infantile epileptic spasms syndrome. Our aim was to develop a BASED training program and assess the IRR among learners. We hypothesized moderate or better IRR for the final BASED score and the presence or absence of epileptic encephalopathy (+/-EE).

METHODS:

Using a web-based application, 31 learners assessed 12 unmarked EEGs (length 1-6 hours) from children with infantile epileptic spasms syndrome.

RESULTS:

For all readers, the IRR was good for the final BASED score (intraclass correlation coefficient 0.86) and +/-EE (Marginal Multirater Kappa 0.63). For all readers, the IRR was fair to good for all individual BASED score elements.

CONCLUSIONS:

These findings support the use of our training program to quickly learn the BASED scoring method. The BASED score may be a valuable clinical and research tool. Given that the IRR for the determination of epileptic encephalopathy is not perfect, clinical acumen remains paramount. Additional experience with the BASED scoring technique among learners and advances in collaborative EEG evaluation platforms may improve IRR.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article