National swine flu adult assessment guidelines: retrospective validation of objective criteria in three proxy datasets

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dc.contributor.authorChallen, K.
dc.contributor.authorBentley, A.
dc.contributor.authorBright, J.
dc.contributor.authorGray, J.
dc.contributor.authorWalter, D.
dc.date.accessioned2020-02-07T08:12:55Z
dc.date.available2020-02-07T08:12:55Z
dc.date.issued2011-04
dc.description.abstractOBJECTIVES: 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. https://emj.bmj.com/content/emermed/28/4/287.full.pdf This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/emj.2009.083683
dc.identifier.citationChallen, K. et al, 2011. National swine flu adult assessment guidelines: retrospective validation of objective criteria in three proxy datasets. Emergency Medicine Journal : EMJ, 28 (4), 287-289.en_US
dc.identifier.doi10.1136/emj.2009.083683
dc.identifier.issn1472-0205
dc.identifier.issn1472-0213
dc.identifier.urihttp://hdl.handle.net/20.500.12417/735
dc.language.isoenen_US
dc.source.journaltitleEmergency Medicine Journalen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectPandemicsen_US
dc.subjectInfluenzaen_US
dc.subjectClinical Protocolsen_US
dc.titleNational swine flu adult assessment guidelines: retrospective validation of objective criteria in three proxy datasetsen_US
dc.typeJournal Article/Review
dcterms.dateAccepted2020-01-22
dspace.entity.typePublication
html.description.abstractOBJECTIVES: 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. https://emj.bmj.com/content/emermed/28/4/287.full.pdf This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/emj.2009.083683en_US
refterms.dateFirstOnline2010-06
refterms.panelUnspecifieden_US
rioxxterms.licenseref.startdate2020-01-22
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.versionNAen_US
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