Table 4

Inter-rater reliability of the NRS, BPS, and Ramsay Scale

Agreement between

Exact agreement

Agreement within 1 scale point

Kappa (CI)

Number


All patients

NRS

59%

94%

0.71 (0.61–0.81)

113

BPS

80%

100%

0.67 (0.54–0.80)

57

Ramsay Scale

91%

100%

0.66 (0.36–0.97)

44

Non-ventilated patients

NRS

66%

95%

0.63 (0.45–0.82)

56

Volume-controlled ventilated patients

NRS

56%

94%

0.64 (0.48–0.81)

36

BPS

81%

100%

0.59 (0.36–0.82)

36

Pressure-support ventilated patients

NRS

48%

90%

0.80 (0.68–0.93)

21

BPS

81%

100%

0.76 (0.62–0.90)

21

Cardiothoracic patients

NRS

60%

94%

0.65 (0.53–0.77)

83

Non-cardiothoracic patients

NRS

57%

93%

0.80 (0.65–0.93)

30


BPS, Behavioral Pain Scale; CI, confidence interval; NRS, Numerical Rating Scale.

Ahlers et al. Critical Care 2008 12:R15   doi:10.1186/cc6789

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