Table 1.

Characteristics of Included Studies That Develop or Validate Clinical Prediction Rules for Influenza

StudyNo. of PatientsMean Age (Years)Population StudiedFlu StrainReference StdCountry (Year)
Afonso, 2012*456Swiss: 34.3
US: 38.8
Swiss: Adult outpatients with ILI
US: adult outpatients with acute RTI symptoms
A + BSwiss: Culture
US: PCR
Switzerland (1999 to 2000), US (2002)
Ebell, 2012*,456Swiss: 34.3
US: 38.8
Swiss: Adult outpatients with ILI
US: adult outpatients with acute RTI symptoms
A + BSwiss: Culture
US: PCR
Switzerland (1999 to 2000), US (2002)
Anderson, 2018457210.7Patients > 6 months of age with fever and cough or sore throat, presenting within 3 days if outpatient and within 5 days if in-patientA + BPCRThailand (2009 to 2014)
Dugas, 2019194148.6An ED patient who reported 1 or more of the following: measured fever >100.4°F, subjective fever, cough, nasal congestion, sinus congestion, rhinorrhea, sore throat, or shortness of breathNRPCRUS (2013 to 2014)
Govaert, 19981791Range: 60–91Adults aged 60 or older presenting to GP with ILI
Patients with heart, lung, kidney disease, or diabetes excluded
NRSerologyNetherlands (1991 to 1992)
Ranjan, 201263846.4Travelers quarantined in an airport during swine flu outbreak with ILIAPCRIndia (2009)
van Vugt, 2015180148Adult outpatients and older with clinical presentation of LRTI, symptom onset < 7 daysA + BPCR12 European countries (2007 to 2010)
Vuichard-Gysin, 20192191NRChildren and adults of Canadian Hutterite communities with ARTI defined as at least 2 of: chills, cough, earache, fatigue, fever, headache, myalgias, coryza, or sore throatA + BPCRCanada (2008 to 2011)
Woolpert, 201278931.2Outpatients with subjective fever and/or temperature >38.0°C, plus cough or sore throatA + BPCRUS (2007 to 2008)
Zimmerman, 2016417334.1Outpatients > 6 months of age, seeking care for ARTI with cough or feverA + BPCRUS (2011 to 2012)
  • ARTI, acute respiratory tract infection; ED, emergency department; GP, general practice; ILI, influenza-like illness; LRTI, lower respiratory tract infection; NR, not reported; PCR, polymerase chain reaction; RTI, respiratory tract infection; Std, standard; US, United States.

  • * These studies used the same dataset but different methods for generating a clinical prediction rule.

  • The FluScore was developed in the study by Ebell and colleagues and validated in the study by van Vugt and colleagues.