What gives rise to clinician gut feeling, its influence on management decisions and its prognostic value for children with RTI in primary care: a prospective cohort study

Table 1 Determinants: Multivariable associations between parent-reported symptoms, clinician-reported observations, clinician profile and ‘gut feeling’

Significant predictors	No gut feeling		Yes gut feeling		OR	95% CI	p-value
Significant predictors	n/N	%	n/N	%	OR	95% CI	p-value
Years qualified (Categorical)
1-9 years	646/720	89.7	74/720	10.3	Ref	Ref	< 0.001 5 d.f.^*
10-14 years	1790/2213	80.9	423/2213	19.1	0.55	0.30-1.02
15-19 years	971/1206	80.5	235/1206	19.5	1.44	0.71-2.90
20-24 years	1219/1586	76.9	367/1586	23.1	1.28	0.57-2.87
25-29 years	875/1159	75.5	284/1159	24.5	1.67	0.76-3.68
30+ years	1170/1493	78.4	323/1493	21.6	1.08	0.47-2.46
Parent reported symptoms
High parent illness severity score (≥7/10)	1459/6650	21.9	681/1702	40.0	1.67	1.39-2.01	< 0.001
Fever in the last 24 h (severe)	363/6647	5.5	177/1700	10.4	1.66	1.23-2.26	0.001
Low energy during illness	3404/6669	51.0	1100/1704	65.6	1.65	1.36-1.99	< 0.001
Shortness of breath during illness	2115/6670	31.7	857/1704	50.3	1.50	1.25-1.81	< 0.001
Illness worse recently	4182/6663	62.8	1339/1704	78.6	1.44	1.18-1.76	< 0.001
Clinical signs
Crackles and crepitations	695/6661	10.4	901/1704	52.9	14.56	11.71-18.12	< 0.001
Recession	164/6663	2.5	239/1704	14.0	3.31	2.29-4.79	< 0.001
Pallor	6185/6663	7.2	345/1705	20.2	3.10	2.30-4.18	< 0.001
Bronchial breath	136/6658	2.0	142/1703	8.3	2.99	1.90-4.70	< 0.001
Wheeze (recorded in consultation)	675/6663	10.1	560/1703	32.9	2.78	2.23-3.46	< 0.001
High temperature (≥37.8 °C recorded in consultation)	629/6653	9.5	415/1702	24.4	2.32	1.84-2.91	< 0.001
High respiratory rate (age related cut offs)	825/6634	12.4	414/1698	24.4	1.64	1.30-2.07	< 0.001
Inflamed pharynx	1873/6647	28.2	521/1702	30.6	1.51	1.23-1.86	< 0.001

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