Agreement on Radiological Diagnosis of Acute Lower Respiratory Tract Infection in Children

作者：Correia Marta A; Mello Maria J G; Petribu Natacha C; Silva Eduardo J C; Bezerra Patricia G M; Duarte Maria C M B; Correia Jailson B^*

来源：Journal of Tropical Pediatrics, 2011, 57(3): 204-207.

DOI：10.1093/tropej/fmq071

• Inter-observer agreement
• Kappa
• chest radiograph

Chest radiographs are often used to support the decision to use antibiotics in children aged < 5 years with moderate to severe lower acute respiratory infection (ARI). This study aimed to evaluate inter-observer agreement in the interpretation of chest radiographs of children with suspected lower ARI. Three experienced paediatric sub-specialists: a radiologist, an intensivist and a pulmonologist were provided with basic clinical information on each of 48 cases, but the individual standardized evaluations were blinded for clinical diagnoses and for the assessment by the other two specialists. While for specific radiographic findings Kappa agreement values revealed considerable variation, agreement was higher (fair to substantial) on overall diagnostic impression. These findings reiterate that radiographs of children with a clinical suspicion of lower ARI are a limited but potentially useful resource for case management.

• 出版日期2011-6
• 单位河北医科大学