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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