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. 2013 Dec 30;64(618):e1–e9. doi: 10.3399/bjgp14X676393

Table 3.

GPs’ referral management and guideline adherence12

Referral indication according to national guidancea Observed in practice
Total
Referredb Not referred
Yes (% of total) 633 (19) 2791 3424 (35)
No (% of total) 161 (3) 6209 6370 (65)
794 (8.1) 9000 9794 (100)
a

Defined as the presence of at least one of the following alarm features: age <1 month, age 1–3 months with fever of unknown origin, ill appearance, decreased consciousness, abnormal circulation, persistent vomiting, petechial rash, meningeal irritation, severe shortness of breath, and signs of dehydration.

b

161 (20%) of 794 contacts were referred to the emergency department without an alarm sign present (that is, no referral indication by the guideline).