Reliability of the modified Rankin Scale applied by telephone

Katia Savio, Gian Luca Della Pietra, Elodie Oddone, Monica Reggiani, Maurizio A. Leone

Research output: Contribution to journalArticlepeer-review


We aimed to evaluate the reliability of the modified Rankin Scale applied telephonically compared with face-to-face assessment in clinically stable hospitalized patients with acute stroke. One hundred and thirty-one patients were interviewed twice by 2 certified nurses (unstructured interview). Half of the patients were randomized to be interviewed by telephone followed by the face-to-face assessment, and half in the reverse order. The median value of the modified Rankin Scale score was 4 (first to third interquartile range 3-5) by telephone as well as by face-to-face assessment (P=0.8). The weighted kappa between the two methods was 0.82 (95% confidence interval: 0.77-0.88). Sensitivity of the telephone assessment was lower for scores 2 and 3 (17% and 46%, respectively) than for the other scores (range 67-90%). Telephone assessment of stroke disability with the modified Rankin Scale is reliable in comparison to direct face- to-face assessment.

Original languageEnglish
Pages (from-to)6-7
Number of pages2
JournalNeurology International
Issue number1
Publication statusPublished - Feb 19 2013


  • Interview
  • Modified Rankin Scale
  • Reliability
  • Stroke
  • Telephone

ASJC Scopus subject areas

  • Clinical Neurology


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