0709 203000 - Nairobi 0709 983000 - Kilifi
0709 203000 - NRB 0709 983000 - Kilifi
0709 203000 - NRB | 0709 983000 - Kilifi

Abstract

Geographical validation of the Smart Triage Model by age group

Zhang C Wiens MO Dunsmuir D Pillay Y Huxford C Kimutai D Tenywa E Ouma M Kigo J Kamau S Chege M Kenya-Mugisha N Mwaka S Dumont GA Kissoon N Akech S Ansermino JM Pediatric Sepsis CoLab
PLOS Digit Health. 2024;3e0000311

Permenent descriptor
https://doi.org/10.1371/journal.pdig.0000311


Infectious diseases in neonates account for half of the under-five mortality in low- and middle-income countries. Data-driven algorithms such as clinical prediction models can be used to efficiently detect critically ill children in order to optimize care and reduce mortality. Thus far, only a handful of prediction models have been externally validated and are limited to neonatal in-hospital mortality. The aim of this study is to externally validate a previously derived clinical prediction model (Smart Triage) using a combined prospective baseline cohort from Uganda and Kenya with a composite endpoint of hospital admission, mortality, and readmission. We evaluated model discrimination using area under the receiver-operator curve (AUROC) and visualized calibration plots with age subsets (< 30 days,