Clinical prediction rule | Year of publication | Country of derivation | Setting | Model | Age | Patients, n | Serious infections, % | CPR variables |
---|---|---|---|---|---|---|---|---|
High/Low risk prediction | ||||||||
1. Van den Bruel et al 6 | 2007 | Belgium | Primary | CART | 0–16 years | 3981 | 0.8 | Clinician’s instinct something is wrong, dyspnoea, temperature, age, diarrhoea |
2. Thompson et al 18 | 2009 | UK | Secondary | High/low | 3 months – 16 years | 527 | 15 | Temperature, oxygen saturation ≤94%, tachypnoea, tachycardia |
3. Pantell et al 19 | 2004 | US, Colombia, Puerto Rico | Paediatric practices/secondary | CART | <3 months | 3066 | 2.9 | Age, ill appearance, temperature |
Continuous risk prediction | ||||||||
4. Pantell et al 19 | 2004 | US, Colombia, Puerto Rico | Paediatric practices/secondary | MLRM | <3 months | 3066 | 2.9 | Age, ill appearance, temperature, abnormal cry, Medicaid insurance, ill family members, inner-city clinic, URTI diagnosed |
5. Bleeker et al 20 | 2007 | Netherlands | Secondary | MLRM | 1–36 months | 381 | 27 | Ill clinical appearance, poor peripheral circulation, chest wall retractions ± tachypnoea, duration of fever, history of vomiting |
6. Berger et al 21 | 1996 | Netherlands | Secondary | MLRM | 2 weeks −1 year | 138 | 24 | Clinical impression, duration of fever >48 hours, history of diarrhoea, CRP |
7. YICSSG22 | 2008 | Bangladesh, Bolivia, Ghana, India, Pakistan, South Africa | Secondary (mimic primary care) | MLRM | <2 months | 8889 | 7–70 | Cyanosis, 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 23 | 2011 | UK | Secondary | MLRM | 1 months – 15 years | 1951 | 4 | State 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.