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Table 4 Effect of training for baseline and post-intervention period in prospective data and retrospective data

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 Baseline OR Post intervention OR Ratio of OR Baseline OR Post intervention OR Ratio of OR
All Children
Childs weight documented 3.95(1.92-8.15) 4.99(2.51-9.94) 1.26(0.76-2.10) 9.32(3.28-26.46) 4.06(1.45-11.39) 0.44(0.33-0.57)
Child’s temperature documented 0.68(0.07-6.23) 4.09(0.46-36.08) 5.99(3.10-11.57) 0.81(0.09-7.34) 1.75(0.20-15.59) 2.15(1.53-3.03)
Vitamin A Administered on Admission 0.23(0.06-0.93) 1.18(0.40-3.53) 5.08(1.87-13.84) 0.32(0.07-1.55) 2.44(0.53-11.29) 7.61(4.93-11.75)
Provider Initiated HIV testing 13.08(2.63-65.14) 1.21(0.56-2.61) 0.09(0.02-0.42) 2.24(0.97-5.18) 5.65(3.57-8.93) 2.52(1.14-5.57)
Vaccination status documented 0.08(0.02-0.38) 4.56(1.22-17.09) 56.29(22.06-143.58) 0.23(0.06-0.81) 4.38(1.24-15.43) 19.42(14.07-26.81)
Average assessment score (range, 0–1) Mean = −0.04(−0.17-0.09) Mean = 0.33(0.20-0.45) Differences in Means = 0.37(0.32-0.41) Mean = 0.01(−0.10-0.12) Mean = 0.27(0.16-0.38) Differences in Means = 0.26(0.24-0.28)
Children with diagnosis of malaria
Proportion of malaria with a severity classification 2.92(0.95-8.96) 15.28(5.80-40.27) 5.22(2.05-13.31) 6.10(2.35-15.85) 8.80(4.01-19.28) 1.44(0.77-2.69)
Proportion with quinine loading dose 5.72(0.95-34.50) 7.38(2.22-24.61) 1.29(0.28-5.97) 0.41(0.14-1.19) 6.63(2.47-17.76) 16.24(9.28-28.41)
Proportion with twice daily quinine maintenance dose 4.37(1.07-17.89) 5.68(2.30-14.03) 1.30(0.31-5.48) 0.05(0.01-0.24) 6.45(2.23-18.65) 131.29(37.51-459.47)
Proportion with quinine daily dose > =40 mg/kg 2.68(0.16-44.63) 3.25(0.21-49.51) 1.21(0.09-16.85) 1.45(0.77-2.71) 0.50(0.24-1.02) 0.35(0.17-0.68)
Children with diagnosis of pneumonia
Proportion of pneumonia with a severity classification 2.00(0.34-11.71) 23.33(3.93-138.58) 11.68(3.40-40.07) 1.72(0.59-4.99) 7.29(2.70-19.66) 4.24(2.40-7.48)
Proportion with once daily gentamicin dose 0.65(0.11-3.93) 6.09(1.05-35.31) 9.34(3.05-28.57) 0.29(0.11-0.76) 1.81(0.95-3.43) 6.24(2.78-14.02)
Proportion with gentamicin daily dose <4 mg/kg 2.76(0.60-12.67) 1.38(0.26-7.48) 0.50(0.10-2.63) 2.20(1.18-4.10) 0.21(0.11-0.41) 0.09(0.05-0.16)
Proportion with gentamicin daily dose > =10 mg/kg 1.54(0.28-8.55) 0.67(0.24-1.84) 0.44(0.06-3.19) 0.44(0.24-0.81) 0.90(0.59-1.38) 2.07(1.07-4.00)
Children with diagnosis of diarrhea/dehydration
Proportion of diarrhoea/dehydration diagnosis with a severity classification 0.23(0.03-1.59) 12.80(1.42-115.47) 55.99(3.03-1034.44) 0.78(0.47-1.28) 5.85(3.07-11.17) 7.53(3.63-15.62)
Correct fluid prescription 3.9e + 06(0.00- .) 15.81(4.13-60.59) 0.00(0.00- .) 0.18(0.06-0.59) 3.57(1.72-7.42) 19.56(7.04-54.40)