The interobserver agreement of ECG abnormalities using Minnesota codes in people with type 2 diabetes.

<h4>Objectives</h4>To assess the interobserver agreement in categories of electrocardiogram (ECG) abnormalities using the Minnesota Code criteria.<h4>Methods</h4>We used a random sample of 180 ECGs from people with type 2 diabetes. ECG abnormalities were classified and coded...

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Autores principales: Giel Nijpels, Amber A W A van der Heijden, Petra Elders, Joline W J Beulens, Henrica C W de Vet
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:9828fa9656a04119a729b66282886df22021-12-02T20:18:17ZThe interobserver agreement of ECG abnormalities using Minnesota codes in people with type 2 diabetes.1932-620310.1371/journal.pone.0255466https://doaj.org/article/9828fa9656a04119a729b66282886df22021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255466https://doaj.org/toc/1932-6203<h4>Objectives</h4>To assess the interobserver agreement in categories of electrocardiogram (ECG) abnormalities using the Minnesota Code criteria.<h4>Methods</h4>We used a random sample of 180 ECGs from people with type 2 diabetes. ECG abnormalities were classified and coded using the Minnesota ECG Classification. Each ECG was independently rated on several abnormalities by an experienced rater (rater 1) and by two cardiologists (raters 2 and 3) trained to apply the Minnesota codes on four Minnesota codes; 1-codes as an indication for myocardial infarction, 4 en 5-codes as an indication for ischemic abnormalities, 3-codes as an indication for left ventricle hypertrophy, 7-1-codes as an indication for ventricular conduction abnormalities, and 8-3-codes as an indication for atrial fibrillation / atrial flutter. After all pairwise tables were summed, the overall agreement, the specific positive and negative agreement were calculated with a 95% confidence interval (CI) for each abnormality. Also, Kappa's with a 95% CI were calculated.<h4>Results</h4>The overall agreement (with 95% CI) were for myocardial infarction, ischemic abnormalities, left ventricle hypertrophy, conduction abnormalities and atrial fibrillation/atrial flutter respectively: 0.87 (0.84-0.91), 0.79 (0.74-0.84), 0.81 (0.76-0.85), 0.93 (0.90-0.95), 0.96 (0.93-0.97).<h4>Conclusion</h4>This study shows that the overall agreement of the Minnesota code is good to excellent.Giel NijpelsAmber A W A van der HeijdenPetra EldersJoline W J BeulensHenrica C W de VetPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255466 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Giel Nijpels
Amber A W A van der Heijden
Petra Elders
Joline W J Beulens
Henrica C W de Vet
The interobserver agreement of ECG abnormalities using Minnesota codes in people with type 2 diabetes.
description <h4>Objectives</h4>To assess the interobserver agreement in categories of electrocardiogram (ECG) abnormalities using the Minnesota Code criteria.<h4>Methods</h4>We used a random sample of 180 ECGs from people with type 2 diabetes. ECG abnormalities were classified and coded using the Minnesota ECG Classification. Each ECG was independently rated on several abnormalities by an experienced rater (rater 1) and by two cardiologists (raters 2 and 3) trained to apply the Minnesota codes on four Minnesota codes; 1-codes as an indication for myocardial infarction, 4 en 5-codes as an indication for ischemic abnormalities, 3-codes as an indication for left ventricle hypertrophy, 7-1-codes as an indication for ventricular conduction abnormalities, and 8-3-codes as an indication for atrial fibrillation / atrial flutter. After all pairwise tables were summed, the overall agreement, the specific positive and negative agreement were calculated with a 95% confidence interval (CI) for each abnormality. Also, Kappa's with a 95% CI were calculated.<h4>Results</h4>The overall agreement (with 95% CI) were for myocardial infarction, ischemic abnormalities, left ventricle hypertrophy, conduction abnormalities and atrial fibrillation/atrial flutter respectively: 0.87 (0.84-0.91), 0.79 (0.74-0.84), 0.81 (0.76-0.85), 0.93 (0.90-0.95), 0.96 (0.93-0.97).<h4>Conclusion</h4>This study shows that the overall agreement of the Minnesota code is good to excellent.
format article
author Giel Nijpels
Amber A W A van der Heijden
Petra Elders
Joline W J Beulens
Henrica C W de Vet
author_facet Giel Nijpels
Amber A W A van der Heijden
Petra Elders
Joline W J Beulens
Henrica C W de Vet
author_sort Giel Nijpels
title The interobserver agreement of ECG abnormalities using Minnesota codes in people with type 2 diabetes.
title_short The interobserver agreement of ECG abnormalities using Minnesota codes in people with type 2 diabetes.
title_full The interobserver agreement of ECG abnormalities using Minnesota codes in people with type 2 diabetes.
title_fullStr The interobserver agreement of ECG abnormalities using Minnesota codes in people with type 2 diabetes.
title_full_unstemmed The interobserver agreement of ECG abnormalities using Minnesota codes in people with type 2 diabetes.
title_sort interobserver agreement of ecg abnormalities using minnesota codes in people with type 2 diabetes.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/9828fa9656a04119a729b66282886df2
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