An evaluation of the accuracy of clinical diagnosis at admission in a population with epidemic meningococcal disease
Abstract Mathiassen B, Thomsen H, Landsfeldt U (Department of Internal Medicine. Landssygehuset (Queen Alexandrina's Hospital). Torshavn. Faroe Islands). An evaluation of the accuracy of clinical diagnosis at admission in a population with epidemic meningococcal disease. The accuracy (sensitivi...
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crwiley:10.1111/j.1365-2796.1989.tb01364.x 2023-12-03T10:22:28+01:00 An evaluation of the accuracy of clinical diagnosis at admission in a population with epidemic meningococcal disease MATHIASSEN, B. THOMSEN, H. LANDSFELDT, U. 1989 http://dx.doi.org/10.1111/j.1365-2796.1989.tb01364.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1365-2796.1989.tb01364.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1365-2796.1989.tb01364.x en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Journal of Internal Medicine volume 226, issue 2, page 113-116 ISSN 0954-6820 1365-2796 Internal Medicine journal-article 1989 crwiley https://doi.org/10.1111/j.1365-2796.1989.tb01364.x 2023-11-09T14:07:11Z Abstract Mathiassen B, Thomsen H, Landsfeldt U (Department of Internal Medicine. Landssygehuset (Queen Alexandrina's Hospital). Torshavn. Faroe Islands). An evaluation of the accuracy of clinical diagnosis at admission in a population with epidemic meningococcal disease. The accuracy (sensitivity and positive predictive value) of the clinical diagnosis given by the general practitioner before admission to hospital was evaluated retrospectively in a population with epidemic meningococcal disease. The study population consisted of approximately 32000 subjects. In a 12‐year period, 344 patients were discharged from hospital with CNS infections, 274 of whom were admitted with a diagnosis suspecting a CNS infection. A further 401 patients were admitted with suspicion for, but discharged without a CNS infection. Overall, the sensitivity was 79.7% and the positive predictive value was 40.6%. There were no significant changes in the accuracy during the study. The sensitivity differed significantly between the age groups ( P < 0.001) and was lowest among the adults (15 + years, 67.9%) and the 0–2‐year‐old children (72.7%). Also among the 0–2 year‐olds, the positive predictive value was low (34.1%) and not significant, indicating that it was more difficult to obtain the correct clinical diagnosis in this group. Article in Journal/Newspaper Faroe Islands Torshavn Wiley Online Library (via Crossref) Faroe Islands Thomsen ENVELOPE(-66.232,-66.232,-65.794,-65.794) Journal of Internal Medicine 226 2 113 116 |
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Wiley Online Library (via Crossref) |
op_collection_id |
crwiley |
language |
English |
topic |
Internal Medicine |
spellingShingle |
Internal Medicine MATHIASSEN, B. THOMSEN, H. LANDSFELDT, U. An evaluation of the accuracy of clinical diagnosis at admission in a population with epidemic meningococcal disease |
topic_facet |
Internal Medicine |
description |
Abstract Mathiassen B, Thomsen H, Landsfeldt U (Department of Internal Medicine. Landssygehuset (Queen Alexandrina's Hospital). Torshavn. Faroe Islands). An evaluation of the accuracy of clinical diagnosis at admission in a population with epidemic meningococcal disease. The accuracy (sensitivity and positive predictive value) of the clinical diagnosis given by the general practitioner before admission to hospital was evaluated retrospectively in a population with epidemic meningococcal disease. The study population consisted of approximately 32000 subjects. In a 12‐year period, 344 patients were discharged from hospital with CNS infections, 274 of whom were admitted with a diagnosis suspecting a CNS infection. A further 401 patients were admitted with suspicion for, but discharged without a CNS infection. Overall, the sensitivity was 79.7% and the positive predictive value was 40.6%. There were no significant changes in the accuracy during the study. The sensitivity differed significantly between the age groups ( P < 0.001) and was lowest among the adults (15 + years, 67.9%) and the 0–2‐year‐old children (72.7%). Also among the 0–2 year‐olds, the positive predictive value was low (34.1%) and not significant, indicating that it was more difficult to obtain the correct clinical diagnosis in this group. |
format |
Article in Journal/Newspaper |
author |
MATHIASSEN, B. THOMSEN, H. LANDSFELDT, U. |
author_facet |
MATHIASSEN, B. THOMSEN, H. LANDSFELDT, U. |
author_sort |
MATHIASSEN, B. |
title |
An evaluation of the accuracy of clinical diagnosis at admission in a population with epidemic meningococcal disease |
title_short |
An evaluation of the accuracy of clinical diagnosis at admission in a population with epidemic meningococcal disease |
title_full |
An evaluation of the accuracy of clinical diagnosis at admission in a population with epidemic meningococcal disease |
title_fullStr |
An evaluation of the accuracy of clinical diagnosis at admission in a population with epidemic meningococcal disease |
title_full_unstemmed |
An evaluation of the accuracy of clinical diagnosis at admission in a population with epidemic meningococcal disease |
title_sort |
evaluation of the accuracy of clinical diagnosis at admission in a population with epidemic meningococcal disease |
publisher |
Wiley |
publishDate |
1989 |
url |
http://dx.doi.org/10.1111/j.1365-2796.1989.tb01364.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1365-2796.1989.tb01364.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1365-2796.1989.tb01364.x |
long_lat |
ENVELOPE(-66.232,-66.232,-65.794,-65.794) |
geographic |
Faroe Islands Thomsen |
geographic_facet |
Faroe Islands Thomsen |
genre |
Faroe Islands Torshavn |
genre_facet |
Faroe Islands Torshavn |
op_source |
Journal of Internal Medicine volume 226, issue 2, page 113-116 ISSN 0954-6820 1365-2796 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/j.1365-2796.1989.tb01364.x |
container_title |
Journal of Internal Medicine |
container_volume |
226 |
container_issue |
2 |
container_start_page |
113 |
op_container_end_page |
116 |
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1784270393700253696 |