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 3 Prognosis: relationship between ‘gut feeling’ and children’s health outcomes

Health outcome	No gut feeling		Yes gut feeling		Univariable analysis controlling for clustering			Multivariable analysis controlling for clustering and significant covariates
Health outcome	n/N	%	n/N	%	OR	95% CI	P-value	OR	95% CI	P-value
Health outcome
Re-consultation for the same illness with evidence of illness deterioration (≥1) in the 30 days following recruitment	271/6523	4.2	83/1670	5.0	1.30	0.99 -1.71	0.06	1.08	0.80-1.46	0.60^¥
Admitted to hospital in the 30 days following recruitment	48/6671	0.7	30/1706	1.8	2.47	1.55-3.95	< 0.001	1.11	0.65-1.89	0.71^≠
Sensitivity analysis
Admitted to hospital in the ≤7 days post recruitment	24/6647	0.4	25/1681	1.5	4.20	2.34-7.54	< 0.001	1.62	0.83-3.14	0.16^α

^¥Co-variates of re-consultation for the same RTI with evidence of deterioration (retained at the < 5% level): ≥2 consultations for RTI in primary care in the year prior to baseline, low illness duration prior to baseline, previous asthma diagnosis, current asthma diagnosis, child’s age at baseline (< 2 years), white ethnicity, parent reported barking cough, wheeze and taking fewer fluids during the illness, moderate/severe vomiting and fewer fluids in the 24 h prior to baseline, severe eating less in the 24 h prior to baseline, wheeze and recession (as reported by the clinician)
^≠Co-variates of hospitalisation (retained at the < 5% level): child’s age (< 2 years), low illness duration prior to baseline, current asthma diagnosis, moderate/severe vomiting, recession, wheeze (as reported by the clinician), high temperature (age related cut offs)
^αCo-variates of hospitalisation ≤7 days post recruitment (retained at the < 5% level): child’s age (< 2 years), low illness (< 3 days) duration prior to baseline, current asthma diagnoses, moderate/severe vomiting, recession, wheeze (as reported by the clinician), high temperature (age related cut offs)

ISSN: 2731-4553