Variables | OR | 95% CI |
---|---|---|
Triage | ||
Concerned parents during triage | 1.17 | 0.70–1.93 |
Physical examination | ||
Coughing | 1.34 | 0.87–2.08 |
Runny nose | 2.07 | 1.32–3.23 |
Drooling | 1.33 | 0.79–2.23 |
Nasal flaring during breathing | 1.11 | 0.12–10.64 |
Capillary refill >2 seconds | 1.45 | 0.63–3.33 |
Abnormalities of the skin | 0.74 | 0.45–1.22 |
Lymph nodes palpable in neck | 0.95 | 0.61–1.48 |
Not able to get chin on chest | 1.55 | 0.42–5.77 |
Patient history (signs present at moment of contacting out-of-hours service) | ||
Temperature measured at home before contacting the out-of-hours service | 0.63 | 0.32–1.22 |
Child previously seen by own family physician | 1.26 | 0.68–2.33 |
Out-of-hours service repeatedly contacted | 0.84 | 0.38–1.83 |
Diarrhea | 0.93 | 0.56–1.54 |
Vomiting | 1.25 | 0.80–1.96 |
Drowsy/difficult to wake | 1.41 | 0.92–2.16 |
Pale/gray/spotted skin | 1.41 | 0.92–2.16 |
Skin rash | 0.82 | 0.48–1.42 |
Fast breathing | 1.44 | 0.93–2.23 |
Moaning | 0.89 | 0.58–1.36 |
Febrile seizure | 0.59 | 0.19–1.77 |
Problems during previous febrile episode | 1.19 | 0.71–1.99 |
Preterm labor | 0.81 | 0.45–1.46 |
Under treatment of a pediatrician | 0.67 | 0.36–1.26 |
Under treatment of an ear, nose, and throat physician | 1.33 | 0.56–3.16 |
Received all recommended vaccinations | 1.49 | 0.41–5.37 |
Language barrier | 1.44 | 0.67–3.07 |
Played as usual | 0.80 | 0.51–1.23 |
Drinking less than half than normal | 1.09 | 0.70–1.70 |
Cough | 1.17 | 0.74–1.84 |
Restless/confused | 0.99 | 0.62–1.58 |
Irritable/irritated | 1.14 | 0.73–1.76 |
Drooling | 0.95 | 0.55–1.65 |
Different illness than usual | 1.21 | 0.78–1.88 |
Eye contact | 1.10 | 0.60–2.03 |
Inconsolable crying | 1.23 | 0.80–1.88 |
Crying by picking up | 1.14 | 0.72–1.81 |
Demographic data | ||
Sex (if male) | 1.27 | 0.83–1.95 |
Country of birth of mother, not Dutch | 1.29 | 0.84–1.97 |
Country of birth of father, not Dutch | 0.81 | 0.53–1.24 |
Education of mother: high | 0.95 | 0.56–1.59 |
Education of father: high | 1.10 | 0.69–1.76 |
Ethnicity of child according to parents, not Dutch | 1.13 | 0.72–1.78 |
Income | 1.08 | 0.92–1.26 |
Bold: P < .10. The history and physical examination forms included categorical variables with possible answers: “no, little, very, very much.” These variables were dichotomized using a cutoff point between “little” and “very.” Categorical variables with possible answers: “no, little, almost normal, normal” were dichotomized using a cutoff point between “no” and “little.” Diarrhea was characterized as reported diarrhea more than twice a day. Decreased urine production was considered if micturition was much decreased or if there was no micturition at all. Income was categorized before the analysis in net income per month: “<450,” “451 to 635,” “636 to 860,” “861 to 1135,” “1136 to 1600,” “1601 to 2270,” “>2270 Euro.”
CI, confidence interval; OR, odds ratio.