Table 3.

Univariable associations (P<0.01) with parental and clinician illness severity score

Significant variablesParent high severity score (≥7)aParent normal and low severity score (<7)Clinician high severity score (≥4)aClinician normal and low severity score (<4)
n%n%P-valuen%n%P-value
Sociodemographics and past medical history
Malebbbbb1578/293853.72735/542250.4<0.010
≥2 children at home1493/213470.04004/619664.6<0.0012035/292569.63457/539764.1<0.001
Illness deteriorated recently before consultation1742/214381.33778/621660.8<0.0012300/293678.33214/541459.4<0.001
Current asthmacbbbbb308/293810.5437/54228.1<0.001
Parent-/carer-reported general symptoms
Change in cry498/213223.4880/620714.2<0.001634/293021.6742/540313.7<0.001
Rapid breathing1085/214350.61885/622330.3<0.0011419/293848.31549/541928.6<0.001
Wheezing/whistling in the chest991/214346.22287/622036.8<0.0011395/293747.51879/541834.7<0.001
Vomiting, including after a cough738/214334.41603/623325.7<0.001933/293831.81407/541926.0<0.001
Parent-/carer-reported symptoms (in previous 24 hours)
Severe dry cough256/213712.0302/62024.9<0.001242/29318.3319/54015.9<0.001
Severe fever296/213413.9243/62043.9<0.001347/292211.9193/54063.6<0.001
Severe disturbed sleep539/213325.3806/619313.0<0.001625/292321.4722/539413.4<0.001
Severe reduction in eating217/213110.2210/62013.4<0.001252/29188.6177/54053.3<0.001
Rapid breathing712/213733.3916/621614.7<0.001852/293429.0777/541014.4<0.001
Moderate-to-severe wheezing in chest581/214127.11033/621116.6<0.001784/293126.7827/541215.3<0.001
Moderate-to-severe diarrhoea126/21435.9216/62163.5<0.001bbbbb
Moderate-to-severe vomiting (including after a cough)316/213814.8521/62198.4<0.001340/293411.6496/54149.2<0.001
Moderate-to-severe reduced fluid intake467/213321.9688/621211.1<0.001551/292418.8601/541211.1<0.001
Moderate-to-severe reduction in urine passed202/21329.5260/62064.2<0.001261/29318.9203/54013.8<0.001
General clinical examination
Pallordddddd331/293411.3489/54169.0<0.001
Gruntingddddd59/29332.016/54160.3<0.001
Nasal flaringddddd79/29342.722/54170.4<0.001
Temperature ≥37.8°Cddddd690/292923.6351/54096.5<0.001
Raised respiratory rate (age-related cut-offs)ddddd681/293223.2560/539510.4<0.001
Low oxygen saturation (≤95%)ddddd234/137817.0167/28046.0<0.001
Irritable or drowsyddddd88/29363.029/54130.5<0.001
Clinician’s gut feeling that something is wrongddddd1213/293141.4483/54138.9<0.001
Inflamed pharynx/tonsilsddddd196/92821.1187/54033.5<0.001
Chest examination
Wheezedddddd776/293126.5454/54168.4<0.001
Crackles/crepitationsddddd1140/293238.9452/54158.3<0.001
Raised respiratory rate (age-related cut-offs)ddddd681/293223.2560/539510.4<0.001
Inter/subcostal recessionddddd350/293411.953/54161.0<0.001
  • a Based on upper quartile of total dataset (n = 8394).

  • b Not significantly associated.

  • c Defined as present if asthma in medical notes and asthma medication issued in the previous 12 months.

  • d Parents were not expected to clinically examine their child.