Skip to main content

Table 4 Table showing level of agreement in newborn case management between PRISMS and Pediatricians on 42 case assessments

From: First-step validation of a text message-based application for newborn clinical management among pediatricians

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     
Phototherapy 90.5 0.62 0.0000     
Exchange Transfusion TA     
  1. TD Total (100%) Disagreement. TA Total (100%) Agreement
  2. aPediatricians were less likely to prescribe antibiotics compared to PRISMS
  3. bPediatricians were less likely to remove wet clothes, reduce clothing and recheck temperature