Challen, K., Bentley, A., Bright, J. et al. (2 more authors) (2011) National swine flu adult assessment guidelines: retrospective validation of objective criteria in three proxy datasets. Emergency Medicine Journal, 28 (4). 287 - 289. ISSN 1472-0205
Abstract
OBJECTIVES: To validate the objective criteria in the Department of Health Adult Swine Flu Assessment Tool against proxy datasets for pandemic influenza. DESIGN: Comparative validation study with 3 datasets. SETTING: Urban Emergency Department (group 1) and prehospital care (groups 2 and 3). PARTICIPANTS: Adults with community-acquired pneumonia (group 1, n=281), shortness of breath (group 2, n=211) or any respiratory diagnosis (group 3, n=300). OUTCOME MEASURES: Hospital admission (group 1), hospital admission or intravenous therapy (group 2) and transfer to emergency department (group 3). RESULTS: Sensitivity and specificity of the tool were 0.73 (95% CI 0.67 to 0.8) and 0.83 (0.72 to 0.9) in group 1, 0.64 (0.55 to 0.71) and 0.63 (0.52 to 0.73) in group 2 and 0.84 (0.75 to 0.9) and 0.55 (0.48 to 0.62) in group 3. Analysis of individual components of the tool and a summative score is presented. CONCLUSIONS: The objective criteria of the proposed DH assessment tool do not perform particularly well in predicting relevant clinical outcomes in feasible proxy conditions for pandemic influenza.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Keywords: | Adolescent; Adult; Aged; Community-Acquired Infections; Comorbidity; Decision Making; Emergency Service, Hospital; England; Female; Glasgow Coma Scale; Humans; Influenza A Virus, H1N1 Subtype; Influenza, Human; Male; Middle Aged; Pandemics; Practice Guidelines as Topic; ROC Curve; Retrospective Studies; Sensitivity and Specificity |
Dates: |
|
Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > The Medical School (Sheffield) > Academic Unit of Medical Education (Sheffield) The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 19 Feb 2016 16:28 |
Last Modified: | 19 Feb 2016 16:28 |
Published Version: | http://dx.doi.org/10.1136/emj.2009.083683 |
Status: | Published |
Publisher: | BMJ Publishing Group |
Identification Number: | 10.1136/emj.2009.083683 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:93500 |