Table 7.
A comparison of our model and several previous models for predicting emergency department disposition decisions for bronchiolitis.
| Model | EDa visits (n) | Method for building the model | Features included in the final model | Accuracy (%) | Sensitivity (%) | Specificity (%) | AUCb | PPVc (%) | NPVd (%) |
| Our model | 7599 | Random forest | As listed in the Results section | 90.66 | 92.09 | 89.96 | 0.960 | 81.80 | 95.87 |
| Walsh et al [27] | 119 | Neural network ensemble | Age, respiratory rate after initial treatment, heart rate before initial treatment, oxygen saturation before and after initial treatment, dehydration, maternal smoking, increased work of breathing, poor feeding, wheezes only without associated crackles, entry temperature, and presence of both crackles and wheezes | 81 | 78 | 82 | —e | 68 | 89 |
| Marlais et al [7] | 449 | Scoring system | Age, respiratory rate, heart rate, oxygen saturation, and duration of symptoms | — | 74 | 77 | 0.81 | 67 | 83 |
| Destino et al [28] | 195 | Single variable | The Children’s Hospital of Wisconsin respiratory score | — | 65 | 65 | 0.68 | — | — |
| Laham et al [8] | 101 | Logistic regression | Age, need for intravenous fluids, hypoxia, and nasal wash lactate dehydrogenase concentration |
80 | 81 | 77 | 0.87 | 88 | 66 |
| Corneli et al [9] | 598 | Decision tree | Oxygen saturation, the Respiratory Distress Assessment Instrument score computed from wheezing and retractions, and respiratory rate | — | 56 | 74 | — | — | — |
| Walsh et al [29] | 300 | Logistic regression | Age, dehydration, increased work of breathing, and heart rate | — | 91 | 83 | — | 62 | — |
aED: emergency department
bAUC: area under the receiver operating characteristic curve
cPPV: positive predictive value
dNPV: negative predictive value
eThe performance metric is unreported in the original paper describing the model.