The value of the main clinical indicators, assessed at presentation, for predicting four clinical outcomes determined at day 4 review (wheezy diseases, pneumonia, death and death or deterioration). Accuracy and predictive value expressed as sensitivity and specificity plus positive and negative predictive values. All values are percentages
| Clinical indicators | Sensitivity/specificity | Positive/negative predictive value |
|---|---|---|
| Predicting wheezy disease | ||
| Wheeze on auscultation | 82.2/87.8 | 84.1/86.2 |
| >2 previous episodes | 43.0/85.4 | 69.9/65.5 |
| Wheeze and/or >2 past episodes | 85.9/76.1 | 73.8/87.3 |
| Predicting pneumonia | ||
| Crackles or bronchial breathing on auscultation | 69.7/90.6 | 81.1/83.7 |
| Crackles or bronchial breathing and/or temperature >38.6° | 78.5/70.2 | 69.5/79.1 |
| Major patches or effusion or lobar changes on CXR | 77.2/68.5 | 58.7/83.8 |
| Crackles or bronchial breathing and/or major CXR changes | 82.9/70.2 | 71.6/95.4 |
| Predicting death | ||
| Unconscious or only responds to pain | 87.5/94.2 | 18.4/99.8 |
| Predicting death or subsequent deterioration | ||
| Pulse >166/min and/or respiratory rate >66/min | 80.0/78.9 | 12.6/99.1 |
| Conscious level P or U and/or weight for age z score > −3.0 | 75.0/97.7 | 60.0/98.8 |