Table 3.
Accordance of the tool’s disease assessments and the physicians’ findings ordered to the respective treatment recommendation
Agreement (%) | Cohen’s kappa | p-valuea | Sensitivity (%) |
Specificity (%) |
PPVb | NPVc | Prevalenced (%) |
|
---|---|---|---|---|---|---|---|---|
A | ||||||||
Neurological emergency | 77.2 | − 0.01 | 0.71 | 0 | 77.5 | 0 | 99.5 | 0.4 |
Severe RTIe | 84.0 | 0.3 | < 0.01 | 54.6 | 87.0 | 30.0 | 94.9 | 9.3 |
GI-infectionf with severe dehydration | 93.3 | 0.08 | 0.09 | 16.7 | 95.2 | 8.3 | 97.8 | 2.5 |
Inability to drink/breastfeed | n/a | n/a | n/a | n/a | n/a | n/a | n/a | n/a |
Severe febrile disease | n/a | n/a | n/a | n/a | n/a | n/a | n/a | n/a |
B | ||||||||
Febrile disease | 78.9 | 0.51 | < 0.01 | 83.2 | 68.6 | 86.3 | 63.2 | 70.5 |
Moderate RTIe | 63.7 | 0.05 | 0.21 | 27.3 | 77.8 | 32.1 | 73.5 | 27.9 |
GI-infectionf with some dehydration | 81.9 | 0.25 | < 0.01 | 66.7 | 82.9 | 20.8 | 97.4 | 6.3 |
Dysentery | 84.0 | 0.17 | < 0.01 | 71.4 | 84.3 | 12.2 | 99.0 | 3.0 |
C | ||||||||
Mild RTIe | 62.5 | −0.07 | 0.87 | 17.0 | 75.5 | 16.7 | 76.0 | 22.4 |
GI-infectionf with no dehydration | 73.4 | 0.2 | < 0.01 | 27.4 | 89.7 | 48.6 | 77.7 | 26.2 |
A = requiring emergency treatment
B = requiring causal treatment
C = requiring home care
ap-value for Cohen’s Kappa
bPPV = positive predictive value
cNPV = negative predictive value
dPrevalence of the disease assessments made by the physicians
eRTI = respiratory tract infection
fGI-infection = gastrointestinal infection