Table 1.

Overview of selected clinical prediction rules

Clinical prediction ruleYear of publicationCountry of derivationSettingModelAgePatients, nSerious infections, %CPR variables
High/Low risk prediction
1. Van den Bruel et al 62007BelgiumPrimaryCART0–16 years39810.8Clinician’s instinct something is wrong, dyspnoea, temperature, age, diarrhoea
2. Thompson et al 182009UKSecondaryHigh/low3 months – 16 years52715Temperature, oxygen saturation ≤94%, tachypnoea, tachycardia
3. Pantell et al 192004US, Colombia, Puerto RicoPaediatric practices/secondaryCART<3 months30662.9Age, ill appearance, temperature
Continuous risk prediction
4. Pantell et al 192004US, Colombia, Puerto RicoPaediatric practices/secondaryMLRM<3 months30662.9Age, ill appearance, temperature, abnormal cry, Medicaid insurance, ill family members, inner-city clinic, URTI diagnosed
5. Bleeker et al 202007NetherlandsSecondaryMLRM1–36 months38127Ill clinical appearance, poor peripheral circulation, chest wall retractions ± tachypnoea, duration of fever, history of vomiting
6. Berger et al 211996NetherlandsSecondaryMLRM2 weeks −1 year13824Clinical impression, duration of fever >48 hours, history of diarrhoea, CRP
7. YICSSG222008Bangladesh, Bolivia, Ghana, India, Pakistan, South AfricaSecondary (mimic primary care)MLRM<2 months88897–70Cyanosis, temperature, prolonged capillary refill, movement on stimulation only, tachypnoea, severe chest indrawings, history of convulsions, stiff limbs, history of difficulty feeding, lethargic, grunting
8. Brent et al 232011UKSecondaryMLRM1 months – 15 years19514State variation, temperature, capillary refill ≥2 seconds, hypoxia, tachypnoea, dehydration, history of developmental delay, risk factor for infection (comorbidity)
  • CART = classification and regression tree. CRP = C-reactive protein. MLRM = multivariate logistic regression model. URTI = upper respiratory tract infection. YICSSG = Young Infants Clinical Signs Study Group.