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

From: 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

Significant predictors No gut feeling Yes gut feeling OR 95% CI p-value
n/N % n/N %
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
  1. N = 8217/8377 (98.1% of the sample) 514 clusters (clinicians)
  2. *Degrees of freedom