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Table 2 Adjusted differences in process of care indicators during the post intervention period

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 of quality of care Intervention % Control % Difference [95% CI] Risk ratio [95% CI] Intervention % Control % Difference [95% CI] Risk ratio [95% CI]
All Children
Childs weight documented 79.1 45 36.2[21.0-51.4] 1.9[1.4-2.6] 82.8 59.1 26.8[12.8-40.8] 1.5[1.2-1.9]
Child’s temperature documented 63 30.5 30.2[−10.3-70.7] 3.7[0.6-22.4] 64.9 46 19.4[−14.8-53.7] 1.9[0.6-5.8]
Vitamin A Administered on Admission 16.4 17.3 −0.3[−8.5-7.9] 1.2[0.7-2.0] 22.2 11.9 10.5[−5.3-26.3] 2.1[0.5-9.9]
Provider Initiated HIV testing 18.1 15.8 3.3[−10.3-16.9] 1.3[0.5-3.2] 16 3.5 13.0[10.1-15.9] 5.8[2.6-12.7]
Vaccination status documented 41.3 18.6 23.9[6.0-41.7] 3.1[0.9-10.0] 50.8 27.2 26.9[9.9-44.0] 2.6[1.2-5.6]
Average assessment score (range, 0–1) 92.1 58.7 50.1[23.9-76.3]   92.6 67.2 49.9[30.5-69.2]  
Children with diagnosis of malaria
Proportion of malaria with a severity classification 91.9 43 50.9[23.7-78.0] 2.4[1.3-4.4] 89.1 46.8 41.4[14.3-68.5] 2.0[1.1-3.5]
Proportion with quinine loading dose 88.5 59.3 46.4[5.9-86.8] 2.5[0.9-7.1] 86.9 58.1 37.6[9.0-66.2] 2.0[1.0-3.8]
Proportion with twice daily quinine maintenance dose 94.1 74.9 24.7[11.4-38.1] 1.4[1.1-1.7] 79 42.5 37.5[14.2-60.7] 1.9[1.3-2.8]
Proportion with quinine daily dose > =40 mg/kg 4 1 3.0[−1.4-7.4]   2.2 8 −7.0[−13.4--0.5] 0.2[0.1-0.6]
Children with diagnosis of pneumonia
Proportion of pneumonia with a severity classification 95.8 63.6 46.8[−1.2-94.8] 1.5[1.1-2.0] 93.3 70.1 33.5[−2.7-69.7] 1.7[0.9-3.1]
Proportion with once daily gentamicin dose 86.8 57.6 27.6[11.6-43.5] 1.5[1.1-2.1] 79.1 68.1 14.9[9.7-20.1] 1.2[1.1-1.4]
Proportion with gentamicin daily dose <4 mg/kg 3.9 3.4 2.3[−3.3-7.9] 1.9[0.8-4.3] 3.9 15.3 −10.2[−12.3--8.1] 0.3[0.2-0.4]
Proportion with gentamicin daily dose > =10 mg/kg 4.7 6.8 −0.4[−6.0-5.2] 1.0[0.5-2.2] 8.6 9.9 −0.3[−3.1-2.5] 1.0[0.7-1.4]
Children with diagnosis of diarrhea/dehydration
Proportion of diarrhoea/dehydration diagnosis with a severity classification 98.6 85.2 8.2[−16.3-32.8] 1.1[0.8-1.5] 97.9 89.1 14.7[2.9-26.5] 1.2[1.0-1.4]
Correct fluid prescription 67.3 11.5 60.2[23.5-96.9] 2.7[1.4-5.3] 62.2 32.7 33.0[22.8-43.2] 2.1[1.6-2.9]