Details:

Alternative Title:
BMC Med
Publisher's site:
http://dx.doi.org/10.1186/s12916-014-0127-0
Personal Author:
Liao, Qiaohong ; Ip, Dennis K M ; Tsang, Tim K ; Cao, Bin ; Jiang, Hui ; ... More +
Liao, Qiaohong ; Ip, Dennis K M ; Tsang, Tim K ; Cao, Bin ; Jiang, Hui ; Liu, Fengfeng ; Zheng, Jiandong ; Peng, Zhibin ; Wu, Peng ; Huai, Yang ; Lau, Eric H Y ; Feng, Luzhao ; Leung, Gabriel M ; Yu, Hongjie ; Cowling, Benjamin J ; Less -
Description:
Background Human infections with avian influenza A(H7N9) virus are associated with severe illness and high mortality. To better inform triage decisions of hospitalization and management, we developed a clinical prediction rule for diagnosing patients with A(H7N9) and determined its predictive performance. Methods Clinical details on presentation of adult patients hospitalized with either A(H7N9)(n = 121) in China from March to May 2013 or other causes of acute respiratory infections (n = 2,603) in Jingzhou City, China from January 2010 through September 2012 were analyzed. A clinical prediction rule was developed using a two-step coefficient-based multivariable logistic regression scoring method and evaluated with internal validation by bootstrapping. Results In step 1, predictors for A(H7N9) included male sex, poultry exposure history, and fever, haemoptysis, or shortness of breath on history and physical examination. In step 2, haziness or pneumonic consolidation on chest radiographs and leukopenia were also associated with a higher probability of A(H7N9). The observed risk of A(H7N9) was 0.3% for those assigned to the low-risk group and 2.5%, 4.3%, and 44.0% for tertiles 1 through 3, respectively, in the high-risk group. This prediction rule achieved good model performance, with an optimism-corrected sensitivity of 0.93, a specificity of 0.80, and an area under the receiver-operating characteristic curve of 0.96. Conclusions A simple decision rule based on data readily obtainable in the setting of patients’ first clinical presentations from the first wave of the A/H7N9 epidemic in China has been developed. This prediction rule has achieved good model performance in predicting their risk of A(H7N9) infection and should be useful in guiding important clinical and public health decisions in a timely and objective manner. Data to be gathered with its use in the current evolving second wave of the A/H7N9 epidemic in China will help to inform its performance in the field and contribute to its further refinement. Electronic supplementary material The online version of this article (doi:10.1186/s12916-014-0127-0) contains supplementary material, which is available to authorized users.
Subject:
[+]
Avian Influenza A(H7N9)
Clinical Diagnosis
Clinical Prediction Rule
Hospital Emergency Setting
Research Article

Source:
BMC Med. 12(1). ;
Document Type:
Journal Article ;
Funding:
U19 AI51915/AI/NIAID NIH HHS/United States ; U54 GM088558/GM/NIGMS NIH HHS/United States ; U54 GM088558/GM/NIGMS NIH HHS/United States ;
U19 AI51915/AI/NIAID NIH HHS/United States ; U54 GM088558/GM/NIGMS NIH HHS/United States ; U54 GM088558/GM/NIGMS NIH HHS/United States ; Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:875656551acfc172ed3971c695e8125f9e10f789c936fff761edf94646c8625a
File Type:

Supporting Files

• 	12916_2014_Article_127.nxml	txt
  	license.txt	txt
  	12916_2014_127_Fig1_HTML.gif	gif
  	12916_2014_127_Fig1_HTML.jpg	jpeg
  	12916_2014_127_Fig2_HTML.gif	gif
  	12916_2014_127_Fig2_HTML.jpg	jpeg
  	12916_2014_127_MOESM1_ESM.docx	docx
  	12916_2014_127_MOESM2_ESM.pdf	pdf

More +