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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