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Inter-rater Reliability of Physical Abuse Determinations and Abusive Fracture Incidence at a Level 1 Pediatric Trauma Center
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| 자료유형 | 학위논문 |
|---|---|
| 서명/저자사항 | Inter-rater Reliability of Physical Abuse Determinations and Abusive Fracture Incidence at a Level 1 Pediatric Trauma Center. |
| 개인저자 | Buesser, Katherine Elizabeth. |
| 단체저자명 | Yale University. Yale School of Medicine. |
| 발행사항 | [S.l.]: Yale University., 2018. |
| 발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2018. |
| 형태사항 | 53 p. |
| 기본자료 저록 | Dissertation Abstracts International 79-11B(E). Dissertation Abstract International |
| ISBN | 9780438132498 |
| 학위논문주기 | Thesis (M.D.)--Yale University, 2018. |
| 일반주기 |
Source: Dissertation Abstracts International, Volume: 79-11(E), Section: B.
Advisers: Melinda S. Sharkey |
| 요약 | As there is no "gold standard" in determining whether a fracture is caused by accident or abuse, agreement among medical providers is paramount. Using abstracted medical record data from children <36 months of age presenting to a level 1 pediatr |
| 요약 | Each physician independently rated each case using a 7-point ordinal scale designed to distinguish accidental from abusive injuries. For any discrepancy in independent ratings, the two specialists discussed the case and came to a joint rating. W |
| 요약 | From 2007 to 2010, 551 children presented to the Yale New Haven Children's Hospital Pediatric ED with 572 fractures. Twenty-eight cases (5.1%) were determined to have fractures with a consensus rating indicating abuse. The skull was the most com |
| 요약 | Orthopaedists (kappa=.78) and CAPs (kappa=.67) had substantial within-specialty agreement, while radiologists (kappa=.53) had moderate agreement. Orthopaedists and CAPs had almost perfect between-specialty agreement (kappa=.81), while agreement |
| 일반주제명 | Medicine. |
| 언어 | 영어 |
| 바로가기 | 
: 이 자료의 원문은 한국교육학술정보원에서 제공합니다. |
