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Table 4 Weighted kappa values for the interrater agreement for the FOUR score

From: Inter-rater reliability of the Full Outline of UnResponsiveness score and the Glasgow Coma Scale in critically ill patients: a prospective observational study

Rater Pair n Total Eye response Motor response Brainstem reflexes Respiration
Neurologist-Neurologist 100 0.80 ± 0.09 0.85 ± 0.09 0.88 ± 0.09 0.87 ± 0.12 1.0 ± 0.00
Neurologist-ICU staff 393 0.66 ± 0.09 0.77 ± 0.09 0.73 ± 0.09 0.71 ± 0.18 0.87 ± 0.08
ICU staff- ICU staff 321 0.63 ± 0.08* 0.85 ± 0.07 0.77 ± 0.09 0.53 ± 0.16* 0.87 ± 0.08*
Overall 437 0.68 ± 0.05* 0.82 ± 0.05 0.78 ± 0.05 0.67 ± 0.10 0.90 ± 0.04
  1. Data = weighted kappa ± 95% confidence interval. * P < 0.05 vs. neurologist-neurologist at same component of the score; † P < 0.05 vs. all other components of the FOUR score with the same raters.
  2. FOUR score = Full Outline of UnResponsiveness.