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Description

Farion et al reported a classification and regression tree (CART) model for pediatric patients with asthma. The authors are from the University of Ottawa and the Polish Academy of Sciences.


Patient selection: 1 to 17 years old with asthma, post treatment

 

Parameters:

(1) wheeze on expiration

(2) retractions

(3) history of previous assessment in chest clinic

(4) respiratory rate in breaths per minute as z-score for age, race and sex

(5) heart rate in beats per minute as z-score for age, race and sex

 

z-score =

= ((patient value) - (mean for group)) / (standard deviation)

 

Wheeze

Retraction

Chest Clinic

Resp Rate

Heart Rate

Asthma

absent

absent

NA

NA

NA

mild

absent

present

yes

NA

NA

mild

absent

present

no

NA

NA

moderate or severe

present

absent

NA

<= -0.8

NA

mild

present

absent

NA

> -0.8

NA

moderate or severe

present

present

NA

NA

<= -1.5

mild

present

present

NA

NA

> -1.5

moderate or severe

 

Performance:

In the validation set the model had an area under the ROC curve of 0.83.


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