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University of Oslo.
Linköping University, Department of Medical and Health Sciences, Physiology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Centre, Department of Thoracic and Vascular Surgery in Östergötland.
University of Oslo.
University of Oslo.
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2011 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, Vol. 43, no 10, 892-899 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate the inter-rater reliability of the Early Functional Abilities (EFA) scale. less thanbrgreater than less thanbrgreater thanDesign: An observational study of inter-rater reliability in an open cohort. less thanbrgreater than less thanbrgreater thanPatients: Twenty-four patients with traumatic brain injury in need of medical or surgical intervention in the early rehabilitation section of the intensive care unit. less thanbrgreater than less thanbrgreater thanMethods: The EFA was assessed by 4 different professions in the rehabilitation team. Inter-rater reliability was assessed using linear weighted kappa statistics. less thanbrgreater than less thanbrgreater thanResults: The overall weighted kappa values of the different EFA items varied from 0.27 to 0.60. The items in the sensorimotor functional area had the highest pairwise agreement, with a mean kappa range of 0.68-0.76. The vegetative stability, position tolerance and wakefulness items had the lowest mean kappa values (0.49, 0.33 and 0.49, respectively). Agreement was good to excellent between the occupational therapist and physiotherapist across the majority of the items, whereas the physician and nurse agreed less with one another. less thanbrgreater than less thanbrgreater thanConclusion: The inter-rater reliability of the EFA scale was good for most items among all the raters. The scale may be used by all members of the interdisciplinary team after training in administration and scoring. A reduction in the number of items in the vegetative functional domain is recommended.

Place, publisher, year, edition, pages
Foundation for Rehabilitation Information , 2011. Vol. 43, no 10, 892-899 p.
Keyword [en]
traumatic brain injury, rehabilitation outcome, assessment
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-72661DOI: 10.2340/16501977-0855ISI: 000296745400004OAI: diva2:461129
Available from: 2011-12-02 Created: 2011-12-02 Last updated: 2011-12-02

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Walther, Sten
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PhysiologyFaculty of Health SciencesDepartment of Thoracic and Vascular Surgery in Östergötland
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