Inter-observer variation in paediatric clinical signs between different grades of staff examining children admitted to hospital in Tanzania

Tropical Medicine and International Health

Volumn 13, Issue 9, 2008, Pages 1213-1219

  Nadjm, B ^a,b   Jeffs, B ^a   Mtove, G ^b,c   Msuya, W ^b,d   Mndeme, L ^d   Mtei, F ^b   Chonya, S ^b   Reyburn, H ^a,b  

^a LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^b KILIMANJARO CHRISTIAN MEDICAL CENTRE   (Tanzania)

^c NATIONAL INSTITUTE FOR MEDICAL RESEARCH   (Tanzania)

^d Teule Hospital   (Tanzania)

Author keywords

Clinical signs; Hospital; Paediatric; Staff category; Training; Variability

Indexed keywords

CHILD CARE; CHILD HEALTH; COMPARATIVE STUDY; HEALTH WORKER; HOSPITAL SECTOR; TRAINING;

ARTICLE; CHILD HOSPITALIZATION; CLINICAL FEATURE; CRYING; HOSPITAL MANAGEMENT; HUMAN; INFANT; KAPPA STATISTICS; MAJOR CLINICAL STUDY; MEDICAL EXAMINATION; MEDICAL STAFF; NURSE TRAINING; PEDIATRIC NURSING; PRESCHOOL CHILD; REPEAT PROCEDURE; TANZANIA;

ATTITUDE OF HEALTH PERSONNEL; CHILD; CHILD, PRESCHOOL; CLINICAL COMPETENCE; FEMALE; HUMANS; MALE; MEDICAL STAFF, HOSPITAL; NURSING ASSESSMENT; NURSING STAFF, HOSPITAL; OBSERVER VARIATION; PHYSICAL EXAMINATION; QUALITY OF HEALTH CARE; TANZANIA;

AFRICA; EAST AFRICA; SUB-SAHARAN AFRICA; TANZANIA;

EID: 50049125466     PISSN: 13602276     EISSN: 13653156     Source Type: Journal    
DOI: 10.1111/j.1365-3156.2008.02129.x     Document Type: Article

References (19)

1. Berkley JA, Ross A, Mwangi I et al. (2003) Prognostic indicators of early and late death in children admitted to district hospital in Kenya: cohort study. British Medical Journal 326, 361.
2. Brewster DR, Pyakalyia T, Hiawalyer G O'Connell DL (1993) Evaluation of the ARI program: a health facility survey in Simbu, Papua, New Guinea. Papua and New Guinea Medical Journal 36, 285 296.
3. Chen L, Evans T, Anand S et al. (2004) Human resources for health: overcoming the crisis. Lancet 364, 1984 1990.
4. English M, Murphy S, Mwangi I, Crawley J, Peshu N Marsh K (1995) Interobserver variation in respiratory signs of severe malaria. Archives of Disease in Childhood 72, 334 336.
5. English M, Esamai F, Wasunna A et al. (2004) Assessment of inpatient paediatric care in first referral level hospitals in 13 districts in Kenya. Lancet 363, 1948 1953.
6. Gadomski AM, Khallaf N, el Ansary S Black RE (1993) Assessment of respiratory rate and chest indrawing in children with ARI by primary care physicians in Egypt. Bulletin of the World Health Organization 71, 523 527.
7. Kahigwa E, Schellenberg D, Schellenberg JA, Aponte JJ, Alonso PL Menendez C (2002) Inter-observer variation in the assessment of clinical signs in sick Tanzanian children. Transactions of the Royal Society of Tropical Medicine and Hygiene 96, 162 166.
8. Maitland K, Pamba A, English M et al. (2005) Pre-transfusion management of children with severe malarial anaemia: a randomised controlled trial of intravascular volume expansion. British Journal of Haematology 128, 393 400.
9. Molyneux ME, Taylor TE, Wirima JJ Borgstein A (1989) Clinical features and prognostic indicators in paediatric cerebral malaria: a study of 131 comatose Malawian children. Quarterly Journal of Medicine 71, 441 459.
10. Mullan F Frehywot S (2007) Non-physician clinicians in 47 sub-Saharan African countries. Lancet 370, 2158 2163.
11. Newton CR, Chokwe T, Schellenberg JA et al. (1997) Coma scales for children with severe falciparum malaria. Transactions of the Royal Society of Tropical Medicine and Hygiene 91, 161 165.
12. Otieno H, Were E, Ahmed I, Charo E, Brent A Maitland K (2004) Are bedside features of shock reproducible between different observers? Archives of Disease in Childhood 89, 977 979.
13. Reyburn H, Mwakasungula E, Chonya S et al. (2008) Clinical assessment and treatment in paediatric wards in the north-east of the United Republic of Tanzania. Bulletin of the World Health Organisation 86, 132 139.
14. Simoes EA McGrath EJ (1992) Recognition of pneumonia by primary health care workers in Swaziland with a simple clinical algorithm. Lancet 340, 1502 1503.
15. Simoes EAF, Roark R, Berman S, Esler LL Murphy J (1991) Respiratory rate:measurement of variability and accuracy at different counting periods. Archives of Diseases in Childhood 66, 1199 1203.
16. Simoes EA, Desta T, Tessema T, Gerbresellassie T, Dagnew M Gove S (1997) Performance of health workers after training in integrated management of childhood illness in Gondar, Ethiopia. Bulletin of World Health Organization 75 (Suppl 1 43 53.
17. Walsh P, Gonzales A, Satar A Rothenberg SJ (2006) The interrater reliability of a validated bronchiolitis severity assessment tool. Pediatric Emergency Care 22, 316 320.
18. Weber MW, Kellingray SD, Palmer A, Jaffar S, Mulholland EK Greenwood BM (1997) Pallor as a clinical sign of severe anaemia in children: an investigation in the Gambia. Bulletin of World Health Organanization 75 (Suppl 1 113 118.
19. WHO (2000) Management of the Child with a Serious Infection or Severe Malnutrition. WHO, Geneva.