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The largest difference in failure rates was observed between the simplified Wells and simplified revised Geneva score (−1.98%, 95% confidence interval −3.33% to −0.74%) (table 4).
All models had moderate to good discriminative ability, with a C statistic ranging from 0.75 (simplified revised Geneva score) to 0.80 (original and modified Wells rules) (largest difference P=0.038; simplified revised Geneva v original Wells) (table 2 and appendix figure B).
Five of these models could be validated in the primary care dataset: the original Wells, modified Wells, simplified Wells, revised Geneva, and simplified revised Geneva models.
Contrastingly, for the (simplified) revised Geneva scores, the failure rates observed in this primary care cohort are slightly higher than those in the previous studies (fig 3).
Furthermore, the inclusion of the breathing frequency by the original and simplified Revised Trauma Score is problematic since this parameter is both observer dependent and treatment dependent, especially in ventilated patients.
Sensitivity ranged from 88% (simplified revised Geneva) to 96% (simplified Wells) and specificity from 48% (revised Geneva) to 53% (simplified revised Geneva).
Similar(50)
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Profit-sharing is a benefit first negotiated by the United Auto Workers union in 1982, and the formula for calculating payouts was simplified in 2011, then revised again during 2015 contract talks.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com