Parental and clinician agreement of illness severity in children with RTIs: secondary analysis of data from a prospective cohort study.
Adult
Attitude of Health Personnel
Attitude to Health
Child
Clinical Decision-Making
/ methods
Cohort Studies
Female
Humans
Male
Parents
Physicians, Primary Care
Professional-Family Relations
Prospective Studies
Respiratory Tract Infections
/ diagnosis
Severity of Illness Index
Symptom Assessment
/ methods
fever
illness severity assessment
primary health care
respiratory tract infections
Journal
The British journal of general practice : the journal of the Royal College of General Practitioners
ISSN: 1478-5242
Titre abrégé: Br J Gen Pract
Pays: England
ID NLM: 9005323
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
04
07
2018
accepted:
13
11
2018
pubmed:
13
3
2019
medline:
3
1
2020
entrez:
13
3
2019
Statut:
ppublish
Résumé
Severity assessments of respiratory tract infection (RTI) in children are known to differ between parents and clinicians, but determinants of perceived severity are unknown. To investigate the (dis)agreement between, and compare the determinants of, parent and clinician severity scores. Secondary analysis of data from a prospective cohort study of 8394 children presenting to primary care with acute (≤28 days) cough and RTI. Data on sociodemographic factors, parent-reported symptoms, clinician-reported findings, and severity assessments were used. Kappa (κ)-statistics were used to investigate (dis) agreement, whereas multivariable logistic regression was used to identify the factors associated with illness severity. Parents reported higher illness severity (mean 5.2 [standard deviation (SD) 1.8], median 5 [interquartile range (IQR) 4-7]), than clinicians (mean 3.1 [SD 1.7], median 3 [IQR 2-4], Clinicians and parents use different factors and make different judgements about the severity of children's RTI. Improved understanding of the factors that concern parents could improve parent-clinician communication and consultation outcomes.
Sections du résumé
BACKGROUND
BACKGROUND
Severity assessments of respiratory tract infection (RTI) in children are known to differ between parents and clinicians, but determinants of perceived severity are unknown.
AIM
OBJECTIVE
To investigate the (dis)agreement between, and compare the determinants of, parent and clinician severity scores.
DESIGN AND SETTING
METHODS
Secondary analysis of data from a prospective cohort study of 8394 children presenting to primary care with acute (≤28 days) cough and RTI.
METHOD
METHODS
Data on sociodemographic factors, parent-reported symptoms, clinician-reported findings, and severity assessments were used. Kappa (κ)-statistics were used to investigate (dis) agreement, whereas multivariable logistic regression was used to identify the factors associated with illness severity.
RESULTS
RESULTS
Parents reported higher illness severity (mean 5.2 [standard deviation (SD) 1.8], median 5 [interquartile range (IQR) 4-7]), than clinicians (mean 3.1 [SD 1.7], median 3 [IQR 2-4],
CONCLUSION
CONCLUSIONS
Clinicians and parents use different factors and make different judgements about the severity of children's RTI. Improved understanding of the factors that concern parents could improve parent-clinician communication and consultation outcomes.
Identifiants
pubmed: 30858333
pii: bjgp19X701837
doi: 10.3399/bjgp19X701837
pmc: PMC6428461
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e236-e245Subventions
Organisme : Department of Health
ID : RP-PG-0608-10018
Pays : United Kingdom
Informations de copyright
© British Journal of General Practice 2019.
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