Within listener agreementListener (N=number of recordings interpreted by each panellist)
Dichotomous lung examination groupOverall
(n=136)
Listener #1
(n=18)
Listener #2
(n=13)
Listener #3
(n=20)
Listener #4
(n=19)
Listener #5
(n=18)
Listener #6
(n=17)
Listener #7
(n=16)
Listener #8
(n=15)
Abnormal or normal†Agreement, n (%)110 (80.8)16 (88.8)11 (84.6)14 (70.0)14 (73.6)16 (88.8)16 (94.2)11 (68.8)12 (80.0)
Kappa statistic (95% CI)0.61 (0.48 to 0.75)0.750.680.420.440.730.770.230.55
PABAK (95% CI)**0.62 (0.49 to 0.75)0.780.690.400.470.780.880.380.60
Crackle or no crackleAgreement, n/N (%)112 (82.4)15 (83.4)13 (100.0)12 (60.0)17 (89.4)17 (94.4)15 (88.2)12 (75.0)11 (73.4)
Kappa statistic (95% CI)0.62 (0.48 to 0.76)0.671.000.200.460.820.770.500.47
PABAK (95% CI)††0.65 (0.52 to 0.78)0.671.000.20.790.890.770.50.47
Wheeze or no wheezeAgreement, n/N (%)114 (83.8)14 (77.8)11 (84.6)16 (80.0)16 (84.217 (94.4)16 (94.2)13 (81.2)11 (73.4)
Kappa statistic (95% CI)0.67 (0.55 to 0.80)0.560.680.570.620.770.850.630.47
PABAK (95% CI)‡‡0.68 (0.55 to 0.80)0.560.690.600.680.890.880.630.47
  • *Excludes uninterpretable primary listener lung examination results for 83/792 cases. Primary listeners were the first two listeners randomly assigned to interpret a lung sound examination.

  • †Crackle and/or wheeze (abnormal) or no crackle and/or wheeze (normal).

  • ‡Prevalence index 0.30, bias index −0.04.

  • §Prevalence index −0.15, bias index 0.01.

  • ¶Prevalence index 0.1, bias index −0.05.

  • **Prevalence index 0.13, bias index 0.03.

  • ††Prevalence index −0.28, bias index 0.

  • ‡‡Prevalence index −0.13, bias index 0.03.

  • PABAK, prevalence-adjusted, bias-adjusted kappa statistic.