Table 2. Risk factors for medical suboptimal care.

	Optimal n = 489 (%)	Suboptimal n = 81 (%)	Univariate analysis			Multivariate analysis *,**
			OR	95% CI	p	aOR	95% CI	p
Age
<1 yr	125 (26)	35 (43)	1			1
1–2	95 (19)	10 (12)	0.38	0.18–0.81	0.009	0.32	0.11–0.98	0.046
2–5 yr	119 (24)	16 (20)	0.48	0.25–0.92	0.02	0.37	0.14–0.98	0.045
≥5 yr	150 (31)	20 (25)	0.48	0.26–0.87	0.01	0.24	0.09–0.64	0.004
Physician qualification, n (%)
General practitioner	55 (11)	27 (33)	1			1
Adult emergency	16 (3)	7 (9)	0.90	0.33–2.44	0.82	0.63	0.15–2.62	0.53
Pediatric emergency	322 (66)	37 (46)	0.23	0.13–0.42	<0.001	0.16	0.08–0.35	<0.001
Mobile medical unit	83 (17)	6 (7)	0.15	0.05–0.40	<0.001	0.09	0.03–0.31	<0.001
Pediatric ward	13 (3)	4 (5)	0.63	0.18–2.13	0.45	0.65	0.11–3.67	0.63
Severity signs at first consultation, n (%)
No	182 (87)	28 (13)	1			1
Yes	307 (85)	53(15)	1.12	0.68–1.84	0.6	1.3	0.59–2.90	0.51
Final diagnosis, n (%)
Other	210 (86)	35 (14)	1			1
Meningitis	279 (86)	46 (14)	0.99	0.62–1.59	0.9	0.73	0.34–1.59	0.43

*Multivariate analysis involved a hierarchical logistic regression model with random intercept and effects.

**Significant associations remained when age was transformed into polynomials (X = 10/[age – 2.5]), aOR for age 1.04, 95% CI 1.01–1.07, p = 0.003.