Table 5. PPV and sensitivity of the algorithms to identify AECOPD including only patients for whom additional information was available from their GP questionnaire.
Algorithm (inclusive definitions) | N events identified in the CPRD | N events confirmed by reference standard | PPV (95% CI) | N events identified in the CPRD in last year | N extra events identified by GPs in last year | Sensitivity (95% CI) |
---|---|---|---|---|---|---|
1.OCS prescription | 367 | 265 | 72.2 (66.5–77.9) | 44 | 150 | 22.7 (16.1–29.2) |
2.Antibiotic prescription | 2245 | 1376 | 61.3 (58.3–64.3) | 123 | 71 | 63.4 (55.4–71.4) |
3.OCS and antibiotic prescription | 251 | 200 | 79.7 (73.5–85.8) | 36 | 158 | 18.6 (12.4–24.7) |
4. Symptoms definition | 83 | 53 | 63.9 (52.7–75.0) | 4 | 190 | 2.1 (0.1–4.0) |
5. Symptoms definition and OCSPrescription | 50 | 47 | 94.0 (88.0–100.0) | 4 | 190 | 2.1 (0.1–4.0) |
6. Symptoms definition and antibiotic prescription | 36 | 34 | 94.4 (86.8–100.0) | 3 | 191 | 1.6 (0.1–3.2) |
7. Symptoms definition and OCS & antibiotic prescription | 31 | 31 | 100.0 (88.8–100.0) | 3 | 191 | 1.6 (0.1–3.2) |
8. LRTI code | 693 | 574 | 82.8 (78.8–86.9) | 48 | 146 | 24.7 (18.8–30.7) |
9. LRTI code and OCS prescription | 621 | 525 | 84.5 (80.6–88.5) | 40 | 154 | 20.6 (15.2–26.0) |
10. LRTI code and antibiotic prescription | 142 | 132 | 93.0 (88.3–97.6) | 24 | 170 | 12.4 (7.8–16.9) |
11. LRTI code and OCS & antibiotic prescription | 129 | 119 | 92.2 (87.1–97.4) | 21 | 173 | 10.8 (6.7–15.0) |
12. AECOPD code | 350 | 344 | 98.3 (96.9–99.6) | 52 | 142 | 26.8 (19.7–33.9) |
13. AECOPD code and OCS prescription | 236 | 234 | 99.2 (98.1–100.0) | 36 | 158 | 18.6 (12.4–24.7) |
14. AECOPD code and antibiotic prescription | 155 | 152 | 98.1 (96.0–100.0) | 33 | 161 | 17.0 (10.8–23.2) |
15. AECOPD code and OCS & antibiotic prescription | 140 | 138 | 98.6 (96.8–100.0) | 30 | 164 | 15.5 (9.7–21.2) |
Antibiotics = selected antibiotics with clinical application in management of AECOPD
OCS = oral corticosteroids specific to AECOPD management