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https://hdl.handle.net/2440/137856
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Type: | Journal article |
Title: | Agreement Between House-Brackmann and Sunnybrook Facial Nerve Grading Systems in Bell's Palsy in Children: Secondary Analysis of a Randomized, Placebo-Controlled Multicenter Trial |
Author: | Williams, A. Eapen, N. Kochar, A. Lawton, B. Hort, J. West, A. George, S. Berkowitz, R. Lee, K.J. Dalziel, S.R. Hearps, S. Babl, F.E. |
Citation: | Journal of Child Neurology, 2023; 38(1-2):44-51 |
Publisher: | SAGE Publications |
Issue Date: | 2023 |
ISSN: | 0883-0738 1708-8283 |
Statement of Responsibility: | Amanda Williams, Nitaa Eapen, Amit Kochar, Ben Lawton, Jason Hort, Adam West, Shane George, Robert Berkowitz, Katherine J Lee, Stuart R Dalziel, Stephen Hearps, Franz E Babl, and on behalf of the PREDICT, Paediatric Research in Emergency Departments International Collaborative, research network |
Abstract: | Background: There is limited evidence on the use of facial nerve function grading scales in acute facial nerve paralysis in children. Objective: To investigate the agreement between and the usability of the House-Brackmann and Sunnybrook scales in children with idiopathic facial paralysis (Bell’s palsy) and to compare their ease of administration. Methods: Data from a randomized controlled trial in children aged 6 months to <18 years with Bell’s palsy was used. Children were recruited within 72 hours of symptom onset and assessed using the House-Brackmann and the Sunnybrook scales at baseline and at 1, 3, and 6 months until recovered. Agreement between the scales was assessed using the intraclass correlation coefficient (ICC) at each time point and using a Bland-Altman plot. Ease of administration was assessed using an 11-point Likert scale. Results: Comparative data were available for 169 of the 187 children randomized. The ICC between the 2 scales across all time points was 0.92 (95% confidence interval [CI] 0.91-0.93), at baseline 0.37 (95% 0.25, 0.51), at 1 month 0.91 (95% CI 0.89-0.94), at 3 months 0.85 (95% CI 0.80-0.89), and at 6 months 0.96 (95% CI 0.95-0.97). The median score for the ease of administration for the House-Brackmann and Sunnybrook scales was 3 (interquartile range [IQR]: 1-5) and 7 (IQR: 4-8) respectively (P< .001, Wilcoxon signed-rank test). Conclusions: There was excellent agreement between House-Brackmann and Sunnybrook scales, with poorer agreement at baseline. Clinicians found the House-Brackmann scale easier to administer. These findings suggest that both scales can be applied in children. |
Keywords: | Bell’s palsy; child; House-Brackmann scale; Sunnybrook scale |
Rights: | © The Author(s) 2023 |
DOI: | 10.1177/08830738221144082 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1078069 |
Published version: | http://dx.doi.org/10.1177/08830738221144082 |
Appears in Collections: | Paediatrics publications |
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