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The sensitivity of the trigger screening was 91.3% (95% CI: 73.0% to 98.7%), as 22 out of 24 CLABSI were identified through trigger screening (see Table 2).
The sensitivity of the trigger screening was 92.3% (95% CI: 63.9% to 98.7%).
All patients with VAP in trigger screening were confirmed by traditional screening (100% positive predictive value), and all patients without VAP with trigger screening had no VAP according to traditional screening (100% specificity).
For VAP, labor time with trigger screening was reduced from 2.2 to 0.3 h/week, and for CLABSI, labor time with trigger screening was reduced from 2.2 to 0.1 h/week.
All patients with CLABSI in trigger screening were confirmed by traditional screening (100% positive predictive value), and all patients without CLABSI with trigger screening had no CLABSI according to traditional screening (100% specificity).
This finding results in a negative predictive value of 99.6% (95% CI: 98.6% to 99.9%) for the CLABSI trigger screening.
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The American Diabetes Association ADAA) has established high-risk ethnicity as one of 10 independent risk factors that should not only trigger diabetes screening in overweight patients <45 years (5) but should also identify minority patients as a high priority for screening at all ages.
Life on the master watchlist can trigger enhanced screening at borders and airports; being on the No Fly List, which is a subset of the larger terrorist watchlist, can prevent airline travel altogether.
The history of jaundice and blood transfusion during previous malarial infection may trigger the screening of patients for G6PD deficiency.
What proportion or absolute number of missed cases should trigger universal screening regardless of acknowledged risk is best addressed by cost-effectiveness analyses that include both risks for further transmission as well as morbidity in the index patients.
However, in the future, a strong family history, in its own right, may trigger proactive screening for DM and, thus, delay or prevent the onset of DM in high-risk populations [ 17].
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