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Again, this demonstrated poor agreement between the two guidelines (kappa coefficient 0.13, p = 0.005).
The degree of agreement between the two guidelines on day 1 was poor, with Kappa being 0.24 (p = 0.0002).
72.7 and 11.1% of samples were above the WHO and national PL for Na+, respectively which represent a big difference between the two guidelines.
This demonstrates poor agreement between the two guidelines with the kappa coefficient on day 1 of 0.26 (p = 0.004) and 0.07 on day 3 (p = 0.34).
88.9 and 18.5% of the samples were above the recommended WHO and national PL, respectively, and highlights the big differences between the two guidelines.
We therefore considered the period from October 2000 (1 year before guideline publication) until December 2001 as the transitional phase between the two guidelines.
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And then we conducted a comparison between the nine guidelines who said they have followed the Guidance [ 9] with those that did not regarding to the core items proposed in the Guidance (Fig. 3).
Comparison of the two guidelines indicated that the definition of GN-MDRO, which is important for planning specific hygiene measures, differs between the Dutch and the German guidelines.
The main difference between these two guidelines is the addition of oblique chest radiographs in the RCR and RCPCH guideline.
The LN location was classified either according to the consensus guidelines [ 11] or the "Level" system by Som et al. [ 27] The only major differences between these two guidelines lie in their classification of supraclavicular nodes.
Current recommendations are dependent on radiographic measures which differ between these two guidelines.
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