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The Diagnosis of Strep Throat in Adults in the Emergency Room
Abstract
Adult patients who presented to an urban emergency room complaining of a sore throat had cultures and clinical information recorded. Models were constructed, using logistic regression analysis, of both a positive culture for Group A beta streptococcus and a positive guess by a resident. The model of a positive culture consisted of four variables--tonsillar exudates, swollen tender anterior cervical nodes, lack of a cough, and history of fever. Patients with all 4 variables had a 56% probability of a positive culture; 3 variables, 32%; 2 variables, 15%; 1 variable, 6.5%; and 0 variables, 2.5%. The model of a positive guess by a resident demonstrated an over-reliance on physical exam and an underuse of history. The model of a positive culture allows stratification of patients to assist clinicians in the management strategies.
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Cited by
Edwards, J. E., Schwartz, M. M., Schmidt, C. S., Sobel, J. D., Nyirjesy, P., Schodel, F., Marchus, E., Lizakowski, M., DeMontigny, E. A., Hoeg, J., et al. (2018) · Clinical Infectious Diseases · doi:10.1093/cid/ciy185 · Cited by 213
Uscher-Pines, L., & Mehrotra, A. (2014) · Health Affairs · doi:10.1377/hlthaff.2013.0989 · Cited by 167
Mustafa, Z., & Ghaffari, M. (2020) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2020.563627 · Cited by 102
Explainable AI decision support improves accuracy during telehealth strep throat screening
Gomez, C., Smith, B.-L., Zayas, A., Unberath, M., & Canares, T. (2024) · Communications Medicine · doi:10.1038/s43856-024-00568-x · Cited by 30
Mann, D., Hess, R., McGinn, T., Richardson, S., Jones, S., Palmisano, J., Chokshi, S. K., Mishuris, R., McCullagh, L., Park, L., et al. (2020) · Journal of General Internal Medicine · doi:10.1007/s11606-020-06096-3 · Cited by 27
Metadata
- Authors
- Centor, R. M., Witherspoon, J. M., Dalton, H. P., Brody, C. E., & Link, K.
- Venue
- Medical Decision Making
- Publisher
- SAGE Publications
- Published
- 1981-08
- Volume
- 1
- Issue
- 3
- Pages
- 239-246
- ISSN
- 0272-989X (ISSN-L)
- 1552-681X
- OpenAlex
- W2073493981
- Cited by
- 763
- References
- 0
- FWCI
- 1.32
- Type
- journal article
- Language
- en
- Open access
- closed
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- Centor, R. M., Witherspoon, J. M., Dalton, H. P., Brody, C. E., & Link, K. (1981). The Diagnosis of Strep Throat in Adults in the Emergency Room. Medical Decision Making. https://doi.org/10.1177/0272989x8100100304
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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