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Table 4 Effect of training for baseline and post-intervention period in prospective data and retrospective data

From: Assessment of paediatric inpatient care during a multifaceted quality improvement intervention in Kenyan District Hospitals – use of prospectively collected case record data

 

Prospective

 

Retrospective

 

Indicator

Baseline OR

Post intervention OR

Ratio of OR

Baseline OR

Post intervention OR

Ratio of OR

All Children

Childs weight documented

3.95(1.92-8.15)

4.99(2.51-9.94)

1.26(0.76-2.10)

9.32(3.28-26.46)

4.06(1.45-11.39)

0.44(0.33-0.57)

Child’s temperature documented

0.68(0.07-6.23)

4.09(0.46-36.08)

5.99(3.10-11.57)

0.81(0.09-7.34)

1.75(0.20-15.59)

2.15(1.53-3.03)

Vitamin A Administered on Admission

0.23(0.06-0.93)

1.18(0.40-3.53)

5.08(1.87-13.84)

0.32(0.07-1.55)

2.44(0.53-11.29)

7.61(4.93-11.75)

Provider Initiated HIV testing

13.08(2.63-65.14)

1.21(0.56-2.61)

0.09(0.02-0.42)

2.24(0.97-5.18)

5.65(3.57-8.93)

2.52(1.14-5.57)

Vaccination status documented

0.08(0.02-0.38)

4.56(1.22-17.09)

56.29(22.06-143.58)

0.23(0.06-0.81)

4.38(1.24-15.43)

19.42(14.07-26.81)

Average assessment score (range, 0–1)

Mean = −0.04(−0.17-0.09)

Mean = 0.33(0.20-0.45)

Differences in Means = 0.37(0.32-0.41)

Mean = 0.01(−0.10-0.12)

Mean = 0.27(0.16-0.38)

Differences in Means = 0.26(0.24-0.28)

Children with diagnosis of malaria

Proportion of malaria with a severity classification

2.92(0.95-8.96)

15.28(5.80-40.27)

5.22(2.05-13.31)

6.10(2.35-15.85)

8.80(4.01-19.28)

1.44(0.77-2.69)

Proportion with quinine loading dose

5.72(0.95-34.50)

7.38(2.22-24.61)

1.29(0.28-5.97)

0.41(0.14-1.19)

6.63(2.47-17.76)

16.24(9.28-28.41)

Proportion with twice daily quinine maintenance dose

4.37(1.07-17.89)

5.68(2.30-14.03)

1.30(0.31-5.48)

0.05(0.01-0.24)

6.45(2.23-18.65)

131.29(37.51-459.47)

Proportion with quinine daily dose > =40 mg/kg

2.68(0.16-44.63)

3.25(0.21-49.51)

1.21(0.09-16.85)

1.45(0.77-2.71)

0.50(0.24-1.02)

0.35(0.17-0.68)

Children with diagnosis of pneumonia

Proportion of pneumonia with a severity classification

2.00(0.34-11.71)

23.33(3.93-138.58)

11.68(3.40-40.07)

1.72(0.59-4.99)

7.29(2.70-19.66)

4.24(2.40-7.48)

Proportion with once daily gentamicin dose

0.65(0.11-3.93)

6.09(1.05-35.31)

9.34(3.05-28.57)

0.29(0.11-0.76)

1.81(0.95-3.43)

6.24(2.78-14.02)

Proportion with gentamicin daily dose <4 mg/kg

2.76(0.60-12.67)

1.38(0.26-7.48)

0.50(0.10-2.63)

2.20(1.18-4.10)

0.21(0.11-0.41)

0.09(0.05-0.16)

Proportion with gentamicin daily dose > =10 mg/kg

1.54(0.28-8.55)

0.67(0.24-1.84)

0.44(0.06-3.19)

0.44(0.24-0.81)

0.90(0.59-1.38)

2.07(1.07-4.00)

Children with diagnosis of diarrhea/dehydration

Proportion of diarrhoea/dehydration diagnosis with a severity classification

0.23(0.03-1.59)

12.80(1.42-115.47)

55.99(3.03-1034.44)

0.78(0.47-1.28)

5.85(3.07-11.17)

7.53(3.63-15.62)

Correct fluid prescription

3.9e + 06(0.00- .)

15.81(4.13-60.59)

0.00(0.00- .)

0.18(0.06-0.59)

3.57(1.72-7.42)

19.56(7.04-54.40)