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Intra- and inter-rater reproducibility of ultrasound imaging of patellar and quadriceps tendons in critically ill patients.
Castro, Joana; Livino de Carvalho, Karina; Silva, Paulo Eugênio; Fachin-Martins, Emerson; Babault, Nicolas; Marqueti, Rita de Cássia; Durigan, João Luiz Quagliotti.
Afiliação
  • Castro J; Graduate Program in Rehabilitation Sciences, University of Brasília (UnB), Ceilândia, Federal District, Brazil.
  • Livino de Carvalho K; Institute of Strategic Health Management of the Federal District (IGESDF), Brasília, Brazil.
  • Silva PE; Graduate Program in Rehabilitation Sciences, University of Brasília (UnB), Ceilândia, Federal District, Brazil.
  • Fachin-Martins E; Institute of Strategic Health Management of the Federal District (IGESDF), Brasília, Brazil.
  • Babault N; Graduate Program in Science and Technology in Health, University of Brasília (UnB), Ceilândia, Federal District, Brazil.
  • Marqueti RC; Graduate Program in Rehabilitation Sciences, University of Brasília (UnB), Ceilândia, Federal District, Brazil.
  • Durigan JLQ; Graduate Program in Science and Technology in Health, University of Brasília (UnB), Ceilândia, Federal District, Brazil.
PLoS One ; 14(6): e0219057, 2019.
Article em En | MEDLINE | ID: mdl-31247020
Since the outset of body image reconstruction for diagnosis purposes, ultrasound has been used to investigate structural changes located in tendons. Ultrasound has clinical applications in the intensive care unit, but its utility for tendon imaging remains unknown. Thus, we aimed to determine intra- and inter-rater reproducibility of measures obtained by images generated through morphological tendon sonographic analysis recorded from critically ill patients. We designed a cross-sectional study to assess thickness, cross-sectional area, and echogenicity of patellar and quadriceps tendons in a convenience sample formed with 20 critically ill patients. Two independent raters (experienced and novice) recorded repeated measures, checking for agreement (Kappa statistics) and reliability (Intraclass coefficient Correlation-ICC and Bland-Altman). The quality of images acquired by the two independent raters substantially agreed (k = 0.571-1.000), regardless of the region on the patellar tendon or the studied tendon (patellar or quadriceps). Regardless of how much experience the rater had, their repeated records (intra-rater reliability) always demonstrated almost complete correlation, ICC ranging from 0.89 to 0.98 for both tendons in all outcomes. At the same way, the statistically significant inter-rater ICC ranging from 0.87 to 0.97. Both repeated measures by the raters (intra-rater) and the repeated single and double measures between the raters (inter-rater) presented a minimum measurement error constituting a predominant pattern of random variability. We conclude that ultrasound imaging acquisition performed by independent raters for tendon thickness, CSA, and echogenicity monitoring of critically ill patients are acceptable and are not influenced by rater experience.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tendões / Ultrassonografia / Ligamento Patelar / Músculo Quadríceps Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: PLoS One Assunto da revista: CIENCIA / MEDICINA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tendões / Ultrassonografia / Ligamento Patelar / Músculo Quadríceps Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: PLoS One Assunto da revista: CIENCIA / MEDICINA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos