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Table 6 The Danish Regions Pediatric triage as a screening tool to detect the most urgent and non-urgent children

From: The danish regions pediatric triage model has a limited ability to detect both critically ill children as well as children to be sent home without treatment – a study of diagnostic accuracy

  Gold standard
  Standard reference Clinical outcome
  I II III IV
  Ability to detect very urgent patients Ability to detect the no-urgent patients Ability to detect critically ill patients (1) Ability to detect patients who went home with no treatment
Number of patients
True positive 15 37 5 132
True negative 479 316 492 143
False positive 23 161 33 66
False negative 33 36 20 209
Screening values
Sensitivity 31% (19-46) 51% (39-63) 20% (7-41) 39% (34-44)
Specificity 95% (93-97) 66% (62-71) 94% (91-96) 68% (62-75)
Positive predictive value 40% (24-57) 19% (14-25) 13% (4-28) 67% (60-73)
Negative predictive value 94% (91-96) 90% (86-93) 96% (94-98) 41% (36-46)
Accuracy 90% (87-92) 64% (60-68) 90% (88-93) 50% (46-54)
Likelihood ratios
of positive test 6.8 (3.8-12.2) 1.5 (1.2-2.0) 3.2 (1.4-7.5) 1.2 (0.9-1.6)
of negative test a7 (a6-0.9) a7 (0.6-a9) 0.9 (0.7-1.0) ag (a8-1.0)
  1. 95%-confidence intervals are indicated in brackets
  2. (1) Critical ill is defined as transferring to a higher hospital level or ICU, assigned by nurse during review of patient file, dangerous intoxication, severe sepsis, foreign body, critical hyperglycemia, pertussis, seizures, acute peritonsillar abscess and respiratory insufficiency