Comparison of thermal care interventions between pediatrician and PRISMS | Comparison of investigation recommendations between pediatrician and PRISMS | ||||||
---|---|---|---|---|---|---|---|
Intervention | Agreement (%) | Kappa | p-value | Recommendation | Agreement (%) | Kappa | p-Value |
Remove wet clothsb | 54.8 | 0.00 | 0.5000 | Complete blood count | 50 | 0.04 | 0.3036 |
Prolonged skin-skin- care (KMC) | 66.7 | 0.29 | 0.0092 | Blood culture | 45.2 | 0.00 | 0.5000 |
Cover with blankets and hat | 64.3 | 0.23 | 0.0104 | Random blood sugar | 47.6 | 0.14 | 0.0682 |
Reduce clothingb | – | TD | – | Lumber puncture | 31.0 | 0.07 | 0.1184 |
Recheck Temp in 1 Hourb | – | TD | – | Coombs test | 95.2 | 0.64 | 0.0000 |
 |  |  |  | Bilirubin total and differential | 97.6 | 0.84 | 0.0000 |
Comparison of treatment recommendations between pediatrician and PRISMS | Comparison of management Interventions between pediatrician and PRISMS | ||||||
Intervention | Agreement (%) | Kappa | p-Value | Intervention | Agreement (%) | Kappa | p-Value |
IV 10% Dextrose bolus | 73.8 | 0.50 | 0.0001 | Check / position airway | 57.1 | 0.01 | 0.5 |
IV Normal Saline | 73.8 | 0.45 | 0.0014 | Bag-valve-mask ventilation | 90.5 | −0.05 | 0.6270 |
Antibioticsa | 73.8 | 0.11 | 0.2410 | Alternative feeding (NGT/EBM) | 64.3 | 0.34 | 0.0036 |
Anticonvulsants | 100 | 1.0 | 0.0000 | Supplemental oxygen | 69.1 | 0.40 | 0.0034 |
Blood Transfusion | 81.0 | 0.60 | 0.0000 | Â | Â | Â | Â |
Phototherapy | 90.5 | 0.62 | 0.0000 | Â | Â | Â | Â |
Exchange Transfusion | – | TA | – |  |  |  |  |