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Table 2 Comparison of clinical variables to predictions

From: How good is our diagnostic intuition? Clinician prediction of bacteremia in critically ill children

Clinical variables

Predict negative blood culture (n)

Predict positive blood culture (n)

OR (95% CI)

p-value

Afebrile

120

78

  

Febrile

130 (52%)

70 (47%)

0.83 (0.356, 1.927)

p = 0.662

Normothermia

193

126

  

Hypothermia

57 (22%)

18 (13%)

0.48 (0.228, 1.027)

p = 0.059

Normotension

175

83

  

Hypotension

67 28%

40 (33%)

1.26 (0.477, 3.322)

p = 0.642

Normal WBC count

92

63

  

Abnormal WBC count

90 (49%)

68 (52%)

1.10 (0.419, 2.904)

p = 0.842

No bandemia

81

23

  

Bandemia

46 (36%)

58 (72%)

4.44 (1.970, 10.009)

p < 0.001

Normal Plt count

111

62

  

Thrombocytopenia

71 (39%)

69 (53%)

1.74 (0.792, 3.821)

p = 0.168

Normal CRP

29

3

  

Abnormal CRP

72 (71%)

65 (96%)

8.73 (2.581, 29.501)

p = 0.001

Normal lactate

55

25

  

Lactemia

21 (28%)

40 (62%)

4.19 (1.383, 12.699)

p = 0.011

Normal pH

56

43

  

Acidosis

83 (60%)

59 (58%)

0.93 (0.421, 2.037)

p = 0.848

Normal HCO3

116

78

  

Low HCO3

23 (17%)

24 (24%)

1.55 (0.468, 5.141)

p = 0.472

No base deficit

82

51

  

Base deficit

61 (43%)

50 (50%)

1.32 (0.519, 3.349)

p = 0.562

  1. Results of unadjusted logistic regression analysis comparing clinical variables to provider predictions of culture results. Abbreviations: WBC white blood cell count, Plt platelet, CRP C-reactive protein, HCO3 serum bicarbonate, CI confidence interval