Skip to main content

Table 2 Management decisions: relationship between ‘gut feeling’ and subsequent clinical management

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

Treatment No gut feeling Yes gut feeling Univariable analysis controlling for clustering Multivariable analysis controlling for clustering and significant covariates
n/N % n/N % OR 95% CI P-value OR 95% CI P-value
Prescribed antibiotics at baseline consultation
 Any antibiotics prescribed 1707/6671 25.6 1403/1706 82.2 20.80 17.42-24.83 < 0.001 5.85 4.67-7.32 < 0.001±
Referred for acute admission (during the recruiting consultation)
 Referral for acute admission 16/6671 0.2 58/1706 3.4 19.27 9.83-37.79 < 0.001 12.64 6.31-25.32 < 0.001¥
  1. ±Co-variates of any antibiotic prescription (retained at the < 1% level): illness has got worse recently, child’s age (< 2 years), barking cough, fever, diarrhoea, low energy and productive cough during the illness, moderate/severe wheeze and severe fever in the last 24 h, recession, crackles and crepitations, wheeze (as reported by the clinician), bronchial breath, inflamed pharynx, high temperature, high clinician and parent illness severity scores, low illness duration and gut feeling that something is wrong
  2. ¥Co-variates of referral for acute admission (retained at the < 1% level): Recession, gut feeling that something is wrong and capillary refill time (CRT)