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Good Positive and Negative Likelihood Ratios

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Acute Otitis Media: Likelihood Ratios

Introduction: None written.

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Tags: Infection Pediatrics Tag this Diagnosis.

Prevalence

Population / CalculatorPrevalence Comments / Study / Link
Children 0-2 years visiting a pediatrician 17.4% JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123
Children 2-5 years visiting a pediatrician 18.1% JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123
Children 6-10 years visiting a pediatrician 10.5% JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123
More, Edit...

The likelihood ratios of findings for Acute Otitis Media are listed below. See the left navigation bar to change the display.

Good Positive and Negative Likelihood Ratios

Finding +LR-LR Comments, Study
Immobile Tympanic Membrane Edit 8.40

"distinctly immobile"

PLR for slightly impaired mobility = 1.1

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Cloudy Tympanic Membrane Edit 110.1

PLR for "distinctly red" TM = 2.6

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Bulging Tympanic Membrane Edit 200.4

PLR for retracted TM is 1.3

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Parental Diagnosis Edit 3.50.4

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Ear Pain Edit 4.40.5

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Good Negative Likelihood Ratio

Finding +LR-LR Comments, Study
Upper Respiratory Tract Infection Edit 1.40.1

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Good Positive Likelihood Ratio

Finding +LR-LR Comments, Study
Ear Rubbing Edit 3.20.7

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Poorly Diagnostic Findings

Finding +LR-LR Comments, Study
Excessive Crying Edit 1.80.7

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Poor Appetite Edit 1.11

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Restless Sleep Edit 1.30.7

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

hearing loss Edit 0.81.3

another study had different sens/spec but similar LRs

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Cough Edit 0.91.2

another study had different sens/spec but similar LRs (1.0)

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Rhinitis Edit 1.30.6

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123