Development and Validation of a Calculator for Estimating the Probability of Urinary Tract Infection in Young Febrile Children
Abstract
Importance Accurately estimating the probability of urinary tract infection (UTI) in febrile preverbal children is necessary to appropriately target testing and treatment. Objective To develop and test a calculator (UTICalc) that can first estimate the probability of UTI based on clinical variables and then update that probability based on laboratory results. Design, Setting, and Participants Review of electronic medical records of febrile children aged 2 to 23 months who were brought to the emergency department of Children’s Hospital of Pittsburgh, Pittsburgh, Pennsylvania. An independent training database comprising 1686 patients brought to the emergency department between January 1, 2007, and April 30, 2013, and a validation database of 384 patients were created. Five multivariable logistic regression models for predicting risk of UTI were trained and tested. The clinical model included only clinical variables; the remaining models incorporated laboratory results. Data analysis was performed between June 18, 2013, and January 12, 2018. Exposures Documented temperature of 38°C or higher in children aged 2 months to less than 2 years. Main Outcomes and Measures With the use of culture-confirmed UTI as the main outcome, cutoffs for high and low UTI risk were identified for each model. The resultant models were incorporated into a calculation tool, UTICalc, which was used to evaluate medical records. Results A total of 2070 children were included in the study. The training…
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