The identification of risk factors for infectious patients with acute fever and formulation of activation criteria to alert outpatient clinic doctors
Identifieur interne : 002700 ( Main/Exploration ); précédent : 002699; suivant : 002701The identification of risk factors for infectious patients with acute fever and formulation of activation criteria to alert outpatient clinic doctors
Auteurs : Hongli Xiao ; Haiyu Qi ; Xingwang Li [République populaire de Chine] ; Jing Wang ; Xiaoli Li ; Suxia Ma ; Zongli Diao ; Yan Wang ; Fangfang Sun ; Chenghong Yin [République populaire de Chine]Source :
- Journal of Evaluation in Clinical Practice [ 1356-1294 ] ; 2010-12.
English descriptors
- Teeft :
- Activation criteria, Acute fever, Alanine aminotransferase, Alert outpatient clinic doctors, Bacterial infection, Bacterial infections, Beijing, Beijing ditan hospital, Beijing friendship hospital, Blackwell publishing, Clinical characteristics, Clinical data, Community outbreak, Conjunctival hyperaemia, Contagious diseases, Critical illness, Diagnostic accuracy, Diagnostic reliability, Diarrhoea, Early warning, Early warning infectiosity score, Early warning infectiosity score system, Early warning score, Emergency doctors, Emergency patients, England journal, Ewis, High mortality, Hong kong, Hospital admission, Hospital mortality, Human cases, Human infection, Infection, Infectiosity, Infectious cases, Infectious department, Infectious disease, Infectious diseases, Infectious patients, Kappa test, Kappa value, Kappa values, Laboratory examinations, Mews score, Observation group, Odds ratio, Outbreak, Outpatient clinic doctors, Outpatient clinics, Population distribution, Receiver operator, Reliability, Respiratory syndrome, Risk factors, Sars, Sars patients, Syndrome, Virus infection, Virus investigation team.
Abstract
Rationale, aims and objectives Acute fever is the most common clinical symptom for infectious diseases. It is necessary to identify risk factors for infectious patients with acute fever and formulate activation criteria of early warning infectiosity score system (EWIS) to alert outpatient clinic doctors. Methods Logistic regression analysis was used to determine risk factors for infectious diseases from the clinical data of 758 patients with acute fever. Risk factors were weighted and an EWIS was formulated. A receiver operator characteristic (ROC) analysis of weighted cumulative scores was performed to evaluate the diagnostic accuracy of EWIS, and the Kappa test used to confirm diagnostic reliability. A χ2‐test for trend was applied to determine the relevance between EWIS and incidence of infectious diseases. Results Risk factors for infections included conjunctival hyperaemia, rash, diarrhoea, increased alanine aminotransferase, splenomegaly and abnormal percentage of peripheral neutrophils (NE%). Risk factors were weighted and tabulated. The areas under the ROC curves of the EWIS was 0.929 and ≥4 points predicted infectious diseases, and the Kappa values were 0.750. As the score increased, the incidence of infectious diseases increased. The areas under the ROC curves of the EWIS predicting on single viral and bacterial infectious diseases were 0.961 and 0.896, and the Kappa values were 0.807 and 0.701, respectively. Conclusions Risk factors for infections have been identified, quantified and formulated into a table of EWIS that have high diagnostic accuracy and reliability for the early identification of contagious diseases.
Url:
DOI: 10.1111/j.1365-2753.2009.01306.x
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 000355
- to stream Istex, to step Curation: 000355
- to stream Istex, to step Checkpoint: 000953
- to stream Main, to step Merge: 002739
- to stream Main, to step Curation: 002700
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">The identification of risk factors for infectious patients with acute fever and formulation of activation criteria to alert outpatient clinic doctors</title><author><name sortKey="Xiao, Hongli" sort="Xiao, Hongli" uniqKey="Xiao H" first="Hongli" last="Xiao">Hongli Xiao</name></author><author><name sortKey="Qi, Haiyu" sort="Qi, Haiyu" uniqKey="Qi H" first="Haiyu" last="Qi">Haiyu Qi</name></author><author><name sortKey="Li, Xingwang" sort="Li, Xingwang" uniqKey="Li X" first="Xingwang" last="Li">Xingwang Li</name></author><author><name sortKey="Wang, Jing" sort="Wang, Jing" uniqKey="Wang J" first="Jing" last="Wang">Jing Wang</name></author><author><name sortKey="Li, Xiaoli" sort="Li, Xiaoli" uniqKey="Li X" first="Xiaoli" last="Li">Xiaoli Li</name></author><author><name sortKey="Ma, Suxia" sort="Ma, Suxia" uniqKey="Ma S" first="Suxia" last="Ma">Suxia Ma</name></author><author><name sortKey="Diao, Zongli" sort="Diao, Zongli" uniqKey="Diao Z" first="Zongli" last="Diao">Zongli Diao</name></author><author><name sortKey="Wang, Yan" sort="Wang, Yan" uniqKey="Wang Y" first="Yan" last="Wang">Yan Wang</name></author><author><name sortKey="Sun, Fangfang" sort="Sun, Fangfang" uniqKey="Sun F" first="Fangfang" last="Sun">Fangfang Sun</name></author><author><name sortKey="Yin, Chenghong" sort="Yin, Chenghong" uniqKey="Yin C" first="Chenghong" last="Yin">Chenghong Yin</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:C063972CB5A1B4B5B08BF082C80D581F8E9E6E51</idno><date when="2010" year="2010">2010</date><idno type="doi">10.1111/j.1365-2753.2009.01306.x</idno><idno type="url">https://api.istex.fr/ark:/67375/WNG-8MBJBNF6-P/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">000355</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000355</idno><idno type="wicri:Area/Istex/Curation">000355</idno><idno type="wicri:Area/Istex/Checkpoint">000953</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000953</idno><idno type="wicri:doubleKey">1356-1294:2010:Xiao H:the:identification:of</idno><idno type="wicri:Area/Main/Merge">002739</idno><idno type="wicri:Area/Main/Curation">002700</idno><idno type="wicri:Area/Main/Exploration">002700</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">The identification of risk factors for infectious patients with acute fever and formulation of activation criteria to alert outpatient clinic doctors</title><author><name sortKey="Xiao, Hongli" sort="Xiao, Hongli" uniqKey="Xiao H" first="Hongli" last="Xiao">Hongli Xiao</name><affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Qi, Haiyu" sort="Qi, Haiyu" uniqKey="Qi H" first="Haiyu" last="Qi">Haiyu Qi</name><affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Li, Xingwang" sort="Li, Xingwang" uniqKey="Li X" first="Xingwang" last="Li">Xingwang Li</name><affiliation wicri:level="3"><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Professor, Infectious Department, Beijing Ditan Hospital, Capital Medical University, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Wang, Jing" sort="Wang, Jing" uniqKey="Wang J" first="Jing" last="Wang">Jing Wang</name><affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Li, Xiaoli" sort="Li, Xiaoli" uniqKey="Li X" first="Xiaoli" last="Li">Xiaoli Li</name><affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Ma, Suxia" sort="Ma, Suxia" uniqKey="Ma S" first="Suxia" last="Ma">Suxia Ma</name><affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Diao, Zongli" sort="Diao, Zongli" uniqKey="Diao Z" first="Zongli" last="Diao">Zongli Diao</name><affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Wang, Yan" sort="Wang, Yan" uniqKey="Wang Y" first="Yan" last="Wang">Yan Wang</name><affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Sun, Fangfang" sort="Sun, Fangfang" uniqKey="Sun F" first="Fangfang" last="Sun">Fangfang Sun</name><affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Yin, Chenghong" sort="Yin, Chenghong" uniqKey="Yin C" first="Chenghong" last="Yin">Chenghong Yin</name><affiliation wicri:level="3"><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Professor, Department of Infectious Disease and Critical Care Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation><affiliation wicri:level="1"><country wicri:rule="url">République populaire de Chine</country></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Evaluation in Clinical Practice</title><title level="j" type="alt">JOURNAL OF EVALUATION IN CLINICAL PRACTICE</title><idno type="ISSN">1356-1294</idno><idno type="eISSN">1365-2753</idno><imprint><biblScope unit="vol">16</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="1248">1248</biblScope><biblScope unit="page" to="1253">1253</biblScope><biblScope unit="page-count">6</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2010-12">2010-12</date></imprint><idno type="ISSN">1356-1294</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1356-1294</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Activation criteria</term><term>Acute fever</term><term>Alanine aminotransferase</term><term>Alert outpatient clinic doctors</term><term>Bacterial infection</term><term>Bacterial infections</term><term>Beijing</term><term>Beijing ditan hospital</term><term>Beijing friendship hospital</term><term>Blackwell publishing</term><term>Clinical characteristics</term><term>Clinical data</term><term>Community outbreak</term><term>Conjunctival hyperaemia</term><term>Contagious diseases</term><term>Critical illness</term><term>Diagnostic accuracy</term><term>Diagnostic reliability</term><term>Diarrhoea</term><term>Early warning</term><term>Early warning infectiosity score</term><term>Early warning infectiosity score system</term><term>Early warning score</term><term>Emergency doctors</term><term>Emergency patients</term><term>England journal</term><term>Ewis</term><term>High mortality</term><term>Hong kong</term><term>Hospital admission</term><term>Hospital mortality</term><term>Human cases</term><term>Human infection</term><term>Infection</term><term>Infectiosity</term><term>Infectious cases</term><term>Infectious department</term><term>Infectious disease</term><term>Infectious diseases</term><term>Infectious patients</term><term>Kappa test</term><term>Kappa value</term><term>Kappa values</term><term>Laboratory examinations</term><term>Mews score</term><term>Observation group</term><term>Odds ratio</term><term>Outbreak</term><term>Outpatient clinic doctors</term><term>Outpatient clinics</term><term>Population distribution</term><term>Receiver operator</term><term>Reliability</term><term>Respiratory syndrome</term><term>Risk factors</term><term>Sars</term><term>Sars patients</term><term>Syndrome</term><term>Virus infection</term><term>Virus investigation team</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Rationale, aims and objectives Acute fever is the most common clinical symptom for infectious diseases. It is necessary to identify risk factors for infectious patients with acute fever and formulate activation criteria of early warning infectiosity score system (EWIS) to alert outpatient clinic doctors. Methods Logistic regression analysis was used to determine risk factors for infectious diseases from the clinical data of 758 patients with acute fever. Risk factors were weighted and an EWIS was formulated. A receiver operator characteristic (ROC) analysis of weighted cumulative scores was performed to evaluate the diagnostic accuracy of EWIS, and the Kappa test used to confirm diagnostic reliability. A χ2‐test for trend was applied to determine the relevance between EWIS and incidence of infectious diseases. Results Risk factors for infections included conjunctival hyperaemia, rash, diarrhoea, increased alanine aminotransferase, splenomegaly and abnormal percentage of peripheral neutrophils (NE%). Risk factors were weighted and tabulated. The areas under the ROC curves of the EWIS was 0.929 and ≥4 points predicted infectious diseases, and the Kappa values were 0.750. As the score increased, the incidence of infectious diseases increased. The areas under the ROC curves of the EWIS predicting on single viral and bacterial infectious diseases were 0.961 and 0.896, and the Kappa values were 0.807 and 0.701, respectively. Conclusions Risk factors for infections have been identified, quantified and formulated into a table of EWIS that have high diagnostic accuracy and reliability for the early identification of contagious diseases.</div></front></TEI><affiliations><list><country><li>République populaire de Chine</li></country><settlement><li>Pékin</li></settlement></list><tree><noCountry><name sortKey="Diao, Zongli" sort="Diao, Zongli" uniqKey="Diao Z" first="Zongli" last="Diao">Zongli Diao</name><name sortKey="Li, Xiaoli" sort="Li, Xiaoli" uniqKey="Li X" first="Xiaoli" last="Li">Xiaoli Li</name><name sortKey="Ma, Suxia" sort="Ma, Suxia" uniqKey="Ma S" first="Suxia" last="Ma">Suxia Ma</name><name sortKey="Qi, Haiyu" sort="Qi, Haiyu" uniqKey="Qi H" first="Haiyu" last="Qi">Haiyu Qi</name><name sortKey="Sun, Fangfang" sort="Sun, Fangfang" uniqKey="Sun F" first="Fangfang" last="Sun">Fangfang Sun</name><name sortKey="Wang, Jing" sort="Wang, Jing" uniqKey="Wang J" first="Jing" last="Wang">Jing Wang</name><name sortKey="Wang, Yan" sort="Wang, Yan" uniqKey="Wang Y" first="Yan" last="Wang">Yan Wang</name><name sortKey="Xiao, Hongli" sort="Xiao, Hongli" uniqKey="Xiao H" first="Hongli" last="Xiao">Hongli Xiao</name></noCountry><country name="République populaire de Chine"><noRegion><name sortKey="Li, Xingwang" sort="Li, Xingwang" uniqKey="Li X" first="Xingwang" last="Li">Xingwang Li</name></noRegion><name sortKey="Yin, Chenghong" sort="Yin, Chenghong" uniqKey="Yin C" first="Chenghong" last="Yin">Chenghong Yin</name><name sortKey="Yin, Chenghong" sort="Yin, Chenghong" uniqKey="Yin C" first="Chenghong" last="Yin">Chenghong Yin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/SrasV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002700 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 002700 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= SrasV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:C063972CB5A1B4B5B08BF082C80D581F8E9E6E51
|texte= The identification of risk factors for infectious patients with acute fever and formulation of activation criteria to alert outpatient clinic doctors
}}
| This area was generated with Dilib version V0.6.33. |  |