The Tal score as diagnostic test and the clinical diagnosis as gold standard in the infant acute

Sergio Puebla Molina^a, L Bustos^b, M Valenzuela^c, M Hidalgo^d, C Alliu^e, G Moscoso^e, N Mora^a

^aDepartamento de Pediatría, Salud Pública y CIGES, Universidad de la Frontera y UCI Pediátrica del Hospital Hernán Henríquez Aravena de Temuco. Chile.
^bCIGES y Departamento de Salud Pública, Universidad de la Frontera. Chile.
^cUCI Pediátrica, Hospital Dr. Hernán Henríquez Aravena de Temuco. Chile.
^dConsultorio Santa Rosa. Temuco. Chile.
^eServicio de Pediatría, Hospital Dr. Hernán Henríquez Aravena de Temuco. Chile.

Correspondence: S Puebla. E-mail: spuebla@ufro.cl

Reference of this article: Puebla Molina S, Bustos L, Valenzuela M, Hidalgo M, Alliu C, Moscoso G, et al. The Tal score as diagnostic test and the clinical diagnosis as gold standard in the infant acute. Rev Pediatr Aten Primaria. 2008;10:45-53.

Published in Internet: 31-03-2008 - Visits: 29594

Abstract

Objective: to evaluate the Tal score like diagnostic test applied by non-medical professionals and "clinical impression" (clinical diagnosis) like Gold Standard in the diagnosis of infants with acute wheezing bronchitis.

Material and methods: a diagnostic test study.

Results: the sensitivity of Tal score was 77% (confidence interval 95% [CI] 70-82%) and the specificity 88.4% (CI 95%: 84-92%). The positive predictive value was 87% (CI 95%: 81- 91%) and the negative predictive value 80% (IC 95%: 74-85%).

Conclusions: in this study the Tal score as diagnostic test applied by non-medical professionals compared with "clinical impression" (clinical diagnosis) like Gold Standard show a good correlation in the diagnosis of infants with acute wheezing bronchitis.

Keywords

● Acute wheezing bronchitis ● Clinical score ● Diagnostic test

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