Intra-rater agreement of the anorectal exam and classification of injury severity in children with spinal cord injury.

Intra-rater agreement of the anorectal exam and classification of injury severity in children with spinal cord injury.Vogel L, Samdani A, Chafetz R, Gaughan J, Betz R, Mulcahey MJ.[1] 1Shriners Hospitals for Children, Chicago, IL, USA [2] 2Rush Medical College, Chicago, IL, USA.Study design:Intra-rater reliability study, cross-sectional design.Objectives:To report on the intra-rater agreement of the anorectal examinations and classification of injury severity in children with spinal cord injury (SCI).Setting:Two, non-profit children's hospitals specializing in pediatric SCI.Methods:180 subjects had at least two trials of the anorectal examinations as defined by the International Standards for Neurological Classification of Spinal Cord Injury. Intraclass correlation coefficients (ICC) and 95% confidence intervals (CI) were used to evaluate the agreement. ICC>0.90=high agreement; ICC between 0.75-0.89=moderate agreement; ICC<0.75=poor icc="0.56)" icc="0.70)" icc="0.69)." icc="0.81)" icc="0.78)" icc="0.67)." icc="0.56)" icc="0.74)" icc="0.11)" icc="0.63).">