{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T05:09:57Z","timestamp":1780722597467,"version":"3.54.1"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,3,16]],"date-time":"2015-03-16T00:00:00Z","timestamp":1426464000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["H34MC04372-01-00"],"award-info":[{"award-number":["H34MC04372-01-00"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The objective was to describe the interobserver agreement between trained chart reviewers and physician reviewers in a multicenter retrospective chart review study of children with cervical spine injuries (<jats:styled-content style=\"fixed-case\">CSI<\/jats:styled-content>s).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records of children younger than 16\u00a0years old with cervical spine radiography from 17 Pediatric Emergency Care Applied Research Network (<jats:styled-content style=\"fixed-case\">PECARN<\/jats:styled-content>) hospitals from years 2000 through 2004 were abstracted by trained reviewers for a study aimed to identify predictors of <jats:styled-content style=\"fixed-case\">CSI<\/jats:styled-content>s in children. Independent physician\u2010reviewers abstracted patient history and clinical findings from a random sample of study patient medical records at each hospital. Interobserver agreement was assessed using percent agreement and the weighted kappa (\u03ba) statistic, with lower 95% confidence intervals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Moderate or better agreement (\u03ba\u00a0&gt;\u00a00.4) was achieved for most candidate <jats:styled-content style=\"fixed-case\">CSI<\/jats:styled-content> predictors, including altered mental status (\u03ba\u00a0=\u00a00.87); focal neurologic findings (\u03ba\u00a0=\u00a00.74); posterior midline neck tenderness (\u03ba\u00a0=\u00a00.74); any neck tenderness (\u03ba\u00a0=\u00a00.89); torticollis (\u03ba\u00a0=\u00a00.79); complaint of neck pain (\u03ba\u00a0=\u00a00.83); history of loss of consciousness (\u03ba\u00a0=\u00a00.89); nonambulatory status (\u03ba\u00a0=\u00a00.74); and substantial injuries to the head (\u03ba\u00a0=\u00a00.50), torso\/trunk (\u03ba\u00a0=\u00a00.48), and extremities (\u03ba\u00a0=\u00a00.59). High\u2010risk mechanisms showed near\u2010perfect agreement (diving, \u03ba\u00a0=\u00a01.0; struck by car, \u03ba\u00a0=\u00a00.93; other motorized vehicle crash, \u03ba\u00a0=\u00a00.93; fall, \u03ba\u00a0=\u00a00.92; high\u2010risk motor vehicle collision, \u03ba\u00a0=\u00a00.89; hanging, \u03ba\u00a0=\u00a00.80). Fair agreement was found for clotheslining mechanisms (\u03ba\u00a0=\u00a00.36) and substantial face injuries (\u03ba\u00a0=\u00a00.40).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most retrospectively assessed variables thought to be predictive of <jats:styled-content style=\"fixed-case\">CSI<\/jats:styled-content>s in blunt trauma\u2013injured children had at least moderate interobserver agreement, suggesting that these data are sufficiently valid for use in identifying potential predictors of <jats:styled-content style=\"fixed-case\">CSI<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.12630","type":"journal-article","created":{"date-parts":[[2015,3,17]],"date-time":"2015-03-17T00:29:00Z","timestamp":1426552140000},"page":"487-491","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Interobserver Agreement in Retrospective Chart Reviews for Factors Associated With Cervical Spine Injuries in Children"],"prefix":"10.1111","volume":"22","author":[{"given":"Cody S.","family":"Olsen","sequence":"first","affiliation":[{"name":"The Division of Critical Care Department of Pediatrics University of Utah School of Medicine Salt Lake City UT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Kuppermann","sequence":"additional","affiliation":[{"name":"The University of California Davis, School of Medicine CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Jaffe","sequence":"additional","affiliation":[{"name":"The Department of Pediatrics Washington University and St. Louis Children's Hospital St. Louis MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Brown","sequence":"additional","affiliation":[{"name":"The Division of Emergency Medicine Department of Pediatrics George Washington University School of Medicine Washington DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Babcock","sequence":"additional","affiliation":[{"name":"The Division of Emergency Medicine Department of Pediatrics University of Cincinnati and Cincinnati Children's Hospital Medical Center Cincinnati OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashant V.","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Children's Hospital of Michigan and Division of Emergency Medicine Department of Pediatrics Wayne State University School of Medicine Detroit MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie C.","family":"Leonard","sequence":"additional","affiliation":[{"name":"The Department of Pediatrics Washington University and St. Louis Children's Hospital St. Louis MO"},{"name":"Nationwide Children's Hospital and the Ohio State University Columbus OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"The Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Injury Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,3,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.108.2.e20"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2010.08.038"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4610.2000.00004.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/001316447303300309"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2012.04.004"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(98)70306-3"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2008.00206.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12132"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.74.3.348"}],"container-title":["Academic Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Facem.12630","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acem.12630","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T13:41:09Z","timestamp":1694439669000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/acem.12630"}},"subtitle":[],"editor":[{"given":"Michelle L.","family":"Macy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2015,3,16]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015,4]]}},"alternative-id":["10.1111\/acem.12630"],"URL":"https:\/\/doi.org\/10.1111\/acem.12630","archive":["Portico"],"relation":{},"ISSN":["1069-6563","1553-2712"],"issn-type":[{"value":"1069-6563","type":"print"},{"value":"1553-2712","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,3,16]]},"assertion":[{"value":"2014-08-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-11-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-03-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication 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