{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:56:30Z","timestamp":1787316990127,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2009,7,13]],"date-time":"2009-07-13T00:00:00Z","timestamp":1247443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Care providers for children with bronchiolitis use various tools to evaluate respiratory status. The use of a single tool by different types of care provider requires a high level of inter\u2010observer agreement, an aspect rarely studied. This study, involving 82 physicians, nurses, and respiratory therapists aimed to evaluate inter\u2010observer agreement for clinical evaluations in children hospitalized for a first episode of bronchiolitis. Respiratory evaluation included three frequently reported parameters of respiratory status: respiratory rate, retraction signs, and wheezing. The frequency of concordance for observers from the same and from different care provider groups was assessed using a weighted kappa statistic and considering all possible combinations of care providers. We also calculated inter\u2010provider agreement as a function of patient age, regardless of care provider type. Overall inter\u2010observer agreement for all provider pairs was 93.1%, with a weighted kappa statistic of 0.72 (95% CI, 0.66\u20130.78), indicating substantial agreement, with no difference as a function of pair composition. Inter\u2010observer agreements for the various age groups ranged from 87% to 93%, with kappa scores ranging from 0.62 to 0.78. We conclude that a simple clinical evaluation for respiratory status assessment has a high level of inter\u2010observer agreement within and between physicians, nurses and respiratory therapists. Thus, once the validity of this test has been confirmed in a large population sample, it should be possible to use this test to monitor children hospitalized with bronchiolitis and as an endpoint in clinical trials. Pediatr Pulmonol. 2009; 44:754\u2013762. \u00a9 2009 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ppul.21016","type":"journal-article","created":{"date-parts":[[2009,7,13]],"date-time":"2009-07-13T15:15:39Z","timestamp":1247498139000},"page":"754-762","source":"Crossref","is-referenced-by-count":54,"title":["Inter\u2010observer agreement between physicians, nurses, and respiratory therapists for respiratory clinical evaluation in bronchiolitis"],"prefix":"10.1002","volume":"44","author":[{"given":"V.","family":"Gajdos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Beydon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Bommenel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Pellegrino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"de Pontual","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Bailleux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Labrune","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Bouyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,7,13]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.1995.tb01210.x"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-0496(199809)26:3<162::AID-PPUL2>3.0.CO;2-N"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.37.3.477"},{"key":"e_1_2_1_5_2","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1542\/peds.93.6.907","article-title":"Efficacy of albuterol in the management of bronchiolitis","volume":"93","author":"Gadomski AM","year":"1994","journal-title":"Pediatrics"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.69.6.650"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.10425"},{"key":"e_1_2_1_8_2","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1542\/peds.79.6.939","article-title":"Wheezing in infants: the response to epinephrine","volume":"79","author":"Lowell DI","year":"1987","journal-title":"Pediatrics"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(98)70316-6"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(05)80706-1"},{"key":"e_1_2_1_11_2","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1542\/peds.71.1.13","article-title":"Dexamethasone and salbutamol in the treatment of acute wheezing in infants","volume":"71","author":"Tal A","year":"1983","journal-title":"Pediatrics"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/145.1.106"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa022226"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.pec.0000215136.44286.8f"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(96)00027-3"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-2223"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1214\/ss\/1177013815"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/1536867X0400400404"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(95)91748-9"},{"key":"e_1_2_1_21_2","first-page":"151","article-title":"Outpatient assessment of infants with bronchiolitis","volume":"145","author":"Shaw KN","year":"1991","journal-title":"Am J Dis Child"},{"key":"e_1_2_1_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(90)91314-Z"},{"key":"e_1_2_1_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/000992280504400508"},{"key":"e_1_2_1_24_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.279.4.308"},{"key":"e_1_2_1_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mej.0000206194.85072.33"},{"key":"e_1_2_1_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2006.03.021"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fppul.21016","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.21016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T15:15:30Z","timestamp":1699888530000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.21016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,7,13]]},"references-count":25,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2009,8]]}},"alternative-id":["10.1002\/ppul.21016"],"URL":"https:\/\/doi.org\/10.1002\/ppul.21016","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,7,13]]}}}