Concordance in Discriminating Recordings of Different Lung Sounds Between Physiotherapists.

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  • Additional Information
    • Affiliation:
      Clínica Indisa, Santiago, Chile
      Peter Swuan Hospitalización Domiciliaria, Chile
      Universidad Andres Bello, Escuela de Kinesiologia, Facultad de Ciencias de la Rehabilitación, Santiago, Chile
      Departamento de Salud Pública y Epidemiología, Universidad de los Andes, Santiago, Chile
      Escuela de Kinesiologia, Facultad de Medicina, Universidad San Sebastian, Santiago, Chile
      División de Pediatría, Unidad de Enfermedades Respiratorias Pediátricas, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      BACKGROUND: Auscultation is a fundamental part of the physical examination, but its utility has been questioned due to the low inter-rater concordance. We therefore sought to evaluate the concordance of the discrimination of lung sound recordings between experienced physiotherapists. METHODS: Lung sound recordings were selected and validated by an expert panel when Fleiss K concordance was > 0.75. Eleven recordings were played for subject recognition using a portable computer in their workplace. Results were analyzed using Fleiss K when looking for concordance between physiotherapists. Univariate regression was performed to determine if there was an association with clinical training, years of experience, academic accomplishment, or university affiliation. RESULTS: Sixty-nine physiotherapists with a median of 4 years of working experience (interquartile range 2-6 y) completed the study. There was moderate concordance (K = 0.562; 95% CI 0.462-0.605) for overall lung sound recording discrimination. For continuous and noncontinuous lung sound recordings, discrimination concordance was substantial (K = 0.63 and K = 0.76, respectively). A bivariate analysis revealed that years of experience presented an inverse association with stridor recognition. CONCLUSION: Concordance between physiotherapists in discriminating recorded lung sounds was moderate. The ability to recognize stridor was inversely associated with years of work experience.
    • Journal Subset:
      Allied Health; Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA
    • ISSN:
      0020-1324
    • MEDLINE Info:
      NLM UID: 7510357
    • Publication Date:
      20200213
    • Publication Date:
      20200224
    • DOI:
      10.4187/respcare.06624
    • Accession Number:
      141657286
  • Citations
    • ABNT:
      MUÑOZ BARRAZA, J. A. et al. Concordance in Discriminating Recordings of Different Lung Sounds Between Physiotherapists. Respiratory Care, [s. l.], v. 65, n. 2, p. 177–182, 2020. DOI 10.4187/respcare.06624. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=141657286. Acesso em: 24 out. 2020.
    • AMA:
      Muñoz Barraza JA, Saavedra Benardis CN, Adasme Jeria RS, Arellano Sepúlveda DH, Sánchez Díaz I, Bertrand Navarrete PJ. Concordance in Discriminating Recordings of Different Lung Sounds Between Physiotherapists. Respiratory Care. 2020;65(2):177-182. doi:10.4187/respcare.06624
    • APA:
      Muñoz Barraza, J. A., Saavedra Benardis, C. N., Adasme Jeria, R. S., Arellano Sepúlveda, D. H., Sánchez Díaz, I., & Bertrand Navarrete, P. J. (2020). Concordance in Discriminating Recordings of Different Lung Sounds Between Physiotherapists. Respiratory Care, 65(2), 177–182. https://doi.org/10.4187/respcare.06624
    • Chicago/Turabian: Author-Date:
      Muñoz Barraza, Jaime Andrés, Camilo Nicolas Saavedra Benardis, Rodrigo Sebastián Adasme Jeria, Daniel Humberto Arellano Sepúlveda, Igancio Sánchez Díaz, and Pablo José Bertrand Navarrete. 2020. “Concordance in Discriminating Recordings of Different Lung Sounds Between Physiotherapists.” Respiratory Care 65 (2): 177–82. doi:10.4187/respcare.06624.
    • Harvard:
      Muñoz Barraza, J. A. et al. (2020) ‘Concordance in Discriminating Recordings of Different Lung Sounds Between Physiotherapists’, Respiratory Care, 65(2), pp. 177–182. doi: 10.4187/respcare.06624.
    • Harvard: Australian:
      Muñoz Barraza, JA, Saavedra Benardis, CN, Adasme Jeria, RS, Arellano Sepúlveda, DH, Sánchez Díaz, I & Bertrand Navarrete, PJ 2020, ‘Concordance in Discriminating Recordings of Different Lung Sounds Between Physiotherapists’, Respiratory Care, vol. 65, no. 2, pp. 177–182, viewed 24 October 2020, .
    • MLA:
      Muñoz Barraza, Jaime Andrés, et al. “Concordance in Discriminating Recordings of Different Lung Sounds Between Physiotherapists.” Respiratory Care, vol. 65, no. 2, Feb. 2020, pp. 177–182. EBSCOhost, doi:10.4187/respcare.06624.
    • Chicago/Turabian: Humanities:
      Muñoz Barraza, Jaime Andrés, Camilo Nicolas Saavedra Benardis, Rodrigo Sebastián Adasme Jeria, Daniel Humberto Arellano Sepúlveda, Igancio Sánchez Díaz, and Pablo José Bertrand Navarrete. “Concordance in Discriminating Recordings of Different Lung Sounds Between Physiotherapists.” Respiratory Care 65, no. 2 (February 2020): 177–82. doi:10.4187/respcare.06624.
    • Vancouver/ICMJE:
      Muñoz Barraza JA, Saavedra Benardis CN, Adasme Jeria RS, Arellano Sepúlveda DH, Sánchez Díaz I, Bertrand Navarrete PJ. Concordance in Discriminating Recordings of Different Lung Sounds Between Physiotherapists. Respiratory Care [Internet]. 2020 Feb [cited 2020 Oct 24];65(2):177–82. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=141657286