Table 7 The Danish Regions Pediatric triage as a screening tool to detect A) the most ill children and B) those who went home with no treatment. Both divided by reasons for referral
Neurological reasons for referral | Respiratory reasons for referral | Abdominal and urological reasons for referral | Fever as reason for referral | Other reasons for referral | |
|---|---|---|---|---|---|
A | |||||
Ability to detect critically ill patients | |||||
Number of patients | |||||
True positive | 1 | 1 | 0 | 0 | 3 |
True negative | 60 | 125 | 143 | 58 | 131 |
False positive | 3 | 19 | 3 | 7 | 5 |
False negative | 1 | 3 | 2 | 3 | 12 |
Screening values | |||||
Sensitivity | 50% (1-99) | 25% (1-81) | 0% (0-84) | 0% (0-71) | 20% (4-48) |
Specificity | 95% (87-99) | 87% (80-92) | 98% (94-100) | 89% (79-96) | 96% (92-99) |
PPV | 25% (1-81) | 5% (0-25) | 0% (0-71) | 0% (0-41) | 38% (9-76) |
NPV | 98% (91-100) | 98% (93-100) | 99% (95-100) | 95% (86-99) | 92% (86-96) |
Accuracy | 94% (88-100) | 85% (79-91) | 97% (94-100) | 85% (77-94) | 89% (84-94) |
Likelihood ratios | |||||
of positive test | 10.5 (1.8-61.8) | 1.9 (0.3-10.9) | 0.0 | 0.0 | 5.4 (1.4-20.5) |
of negative test | 0.5 (0.1-2.1) | 0.9 (0.5-1.5) | 1.0 (1.0-1.1) | 1.1 (1.0-1.2) | 0.8 (0.6-1.1) |
B | |||||
Ability to detect patients who went home with no treatment | |||||
Number of patients | |||||
True positive | 11 | 30 | 40 | 6 | 50 |
True negative | 22 | 34 | 37 | 26 | 36 |
False positive | 28 | 75 | 39 | 33 | 44 |
False negative | 4 | 9 | 32 | 3 | 21 |
Screening values | |||||
Sensitivity | 28% (15-45) | 29% (20-38) | 51% (39-62) | 15% (6-31) | 53% (43-64) |
Specificity | 85% (65-96) | 79% (64-90) | 54% (41-66) | 90% (73-98) | 63% (49-76) |
PPV | 73% (45-92) | 77% (61-89) | 56% (43-67) | 67% (30-93) | 70% (58-81) |
NPV | 44% (30-59) | 31% (23-41) | 49% (37-60) | 44% (31-58) | 45% (34-57) |
Accuracy | 51% (38-63) | 43% (35-51) | 52% (44-60) | 47% (35-59) | |
Likelihood ratios | |||||
of positive test | 1.8 (0.7-5.1) | 1.4 (0.7-2.6) | 1.1 (0.8-1.5) | 1.5 (0.45.5) | 1.4 (10-2.1) |
of negative test | 0.9 (0.7-1.1) | 0.9 (0.7-1.1) | 0.9 (0.7-1.3) | 0.9 (0.8-11) | 0.7 (0.6-1.0) |