Agreement of Clinician‐Administered and Modified Parent‐Administered House‐Brackmann Scales in Children with Bell's Palsy
Abstract Objective Currently there is no parent administered scale for facial nerve function in children. We set out to assess the agreement between a newly developed parent‐administered modified version of the House‐Brackmann (HB) scale and the standard clinician‐administered HB scale in children w...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | OTO Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/oto2.44 |
| _version_ | 1797537442877669376 |
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| author | Franz E. Babl Nitaa Eapen David Herd Meredith L. Borland Amit Kochar Michael Zhang Ed Oakley Sandy M. Hopper Robert G. Berkowitz Catherine L. Wilson Amanda Williams Mark T. Mackay Katherine J. Lee Stephen Hearps the PREDICT (Paediatric Research in Emergency Departments International Collaborative) research network |
| author_facet | Franz E. Babl Nitaa Eapen David Herd Meredith L. Borland Amit Kochar Michael Zhang Ed Oakley Sandy M. Hopper Robert G. Berkowitz Catherine L. Wilson Amanda Williams Mark T. Mackay Katherine J. Lee Stephen Hearps the PREDICT (Paediatric Research in Emergency Departments International Collaborative) research network |
| author_sort | Franz E. Babl |
| collection | DOAJ |
| description | Abstract Objective Currently there is no parent administered scale for facial nerve function in children. We set out to assess the agreement between a newly developed parent‐administered modified version of the House‐Brackmann (HB) scale and the standard clinician‐administered HB scale in children with Bell's palsy. Study Design Secondary analysis of a triple‐blind, randomized, placebo‐controlled trial of corticosteroids to treat idiopathic facial paralysis (Bell's palsy) in children (6 months to <18 years). Setting Multicenter study at pediatric hospitals with recruitment in emergency departments. Methods Children were recruited within 72 hours of symptom onset and assessed using the clinician‐administered and the parent‐administered modified HB scales at baseline, and at 1, 3, and 6 months until recovered. Agreement between the 2 scales was assessed using intraclass coefficient (ICC) and a Bland‐Altman plot. Results Data were available for 174 of the 187 children randomized from at least 1 study time point. The mean ICC between clinician and parent HB scores across all time points was 0.88 (95% confidence interval, CI: 0.86, 0.90). The ICC for the data collected at baseline was 0.53 (95% CI: 0.43, 0.64), at 1 month was 0.88 (95% CI: 0.84, 0.91), at 3 months was 0.80 (95% CI: 0.71, 0.87) and at 6 months was 0.73 (95% CI: 0.47, 0.89). A Bland‐Altman plot indicated a mean difference between the 2 scores (clinician‐reported minus parent‐reported) of only −0.07 (95% limits of agreement −1.37 to 1.23). Conclusion There was good agreement between the modified parent‐administered and the clinician‐administered HB scales. |
| first_indexed | 2024-03-10T12:16:13Z |
| format | Article |
| id | doaj.art-3bd67d9952a340c1ac33c8b46b0bfa6e |
| institution | Directory Open Access Journal |
| issn | 2473-974X |
| language | English |
| last_indexed | 2024-03-10T12:16:13Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | OTO Open |
| spelling | doaj.art-3bd67d9952a340c1ac33c8b46b0bfa6e2023-11-21T15:50:29ZengWileyOTO Open2473-974X2023-01-0171n/an/a10.1002/oto2.44Agreement of Clinician‐Administered and Modified Parent‐Administered House‐Brackmann Scales in Children with Bell's PalsyFranz E. Babl0Nitaa Eapen1David Herd2Meredith L. Borland3Amit Kochar4Michael Zhang5Ed Oakley6Sandy M. Hopper7Robert G. Berkowitz8Catherine L. Wilson9Amanda Williams10Mark T. Mackay11Katherine J. Lee12Stephen Hearps13the PREDICT (Paediatric Research in Emergency Departments International Collaborative) research networkEmergency Department Royal Children's Hospital Parkville Victoria AustraliaEmergency Department Royal Children's Hospital Parkville Victoria AustraliaEmergency Department Queensland Children's Hospital Brisbane Queensland AustraliaEmergency Department Perth Children's Hospital Perth AustraliaEmergency Department Women's and Children's Hospital Adelaide South Australia AustraliaEmergency Department John Hunter Hospital Newcastle New South Wales AustraliaEmergency Department Royal Children's Hospital Parkville Victoria AustraliaEmergency Department Royal Children's Hospital Parkville Victoria AustraliaClinical Sciences, Murdoch Children's Research Institute Parkville Victoria AustraliaClinical Sciences, Murdoch Children's Research Institute Parkville Victoria AustraliaEmergency Department Royal Children's Hospital Parkville Victoria AustraliaClinical Sciences, Murdoch Children's Research Institute Parkville Victoria AustraliaDepartment of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences University of Melbourne Parkville Victoria AustraliaClinical Sciences, Murdoch Children's Research Institute Parkville Victoria AustraliaAbstract Objective Currently there is no parent administered scale for facial nerve function in children. We set out to assess the agreement between a newly developed parent‐administered modified version of the House‐Brackmann (HB) scale and the standard clinician‐administered HB scale in children with Bell's palsy. Study Design Secondary analysis of a triple‐blind, randomized, placebo‐controlled trial of corticosteroids to treat idiopathic facial paralysis (Bell's palsy) in children (6 months to <18 years). Setting Multicenter study at pediatric hospitals with recruitment in emergency departments. Methods Children were recruited within 72 hours of symptom onset and assessed using the clinician‐administered and the parent‐administered modified HB scales at baseline, and at 1, 3, and 6 months until recovered. Agreement between the 2 scales was assessed using intraclass coefficient (ICC) and a Bland‐Altman plot. Results Data were available for 174 of the 187 children randomized from at least 1 study time point. The mean ICC between clinician and parent HB scores across all time points was 0.88 (95% confidence interval, CI: 0.86, 0.90). The ICC for the data collected at baseline was 0.53 (95% CI: 0.43, 0.64), at 1 month was 0.88 (95% CI: 0.84, 0.91), at 3 months was 0.80 (95% CI: 0.71, 0.87) and at 6 months was 0.73 (95% CI: 0.47, 0.89). A Bland‐Altman plot indicated a mean difference between the 2 scores (clinician‐reported minus parent‐reported) of only −0.07 (95% limits of agreement −1.37 to 1.23). Conclusion There was good agreement between the modified parent‐administered and the clinician‐administered HB scales.https://doi.org/10.1002/oto2.44Bell's palsyemergency departmentHouse‐Brackman scalemulticenter trial |
| spellingShingle | Franz E. Babl Nitaa Eapen David Herd Meredith L. Borland Amit Kochar Michael Zhang Ed Oakley Sandy M. Hopper Robert G. Berkowitz Catherine L. Wilson Amanda Williams Mark T. Mackay Katherine J. Lee Stephen Hearps the PREDICT (Paediatric Research in Emergency Departments International Collaborative) research network Agreement of Clinician‐Administered and Modified Parent‐Administered House‐Brackmann Scales in Children with Bell's Palsy OTO Open Bell's palsy emergency department House‐Brackman scale multicenter trial |
| title | Agreement of Clinician‐Administered and Modified Parent‐Administered House‐Brackmann Scales in Children with Bell's Palsy |
| title_full | Agreement of Clinician‐Administered and Modified Parent‐Administered House‐Brackmann Scales in Children with Bell's Palsy |
| title_fullStr | Agreement of Clinician‐Administered and Modified Parent‐Administered House‐Brackmann Scales in Children with Bell's Palsy |
| title_full_unstemmed | Agreement of Clinician‐Administered and Modified Parent‐Administered House‐Brackmann Scales in Children with Bell's Palsy |
| title_short | Agreement of Clinician‐Administered and Modified Parent‐Administered House‐Brackmann Scales in Children with Bell's Palsy |
| title_sort | agreement of clinician administered and modified parent administered house brackmann scales in children with bell s palsy |
| topic | Bell's palsy emergency department House‐Brackman scale multicenter trial |
| url | https://doi.org/10.1002/oto2.44 |
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