Table 2

Multivariable analysis of alternative clinical prediction rule models 1–4

Explanatory variableModel 1*Model 2†Model 3‡Model 4§
Regression coefficient (95% CI)PointsRegression coefficient (95% CI)PointsRegression coefficient (95% CI)PointsRegression coefficient (95% CI)Points
Presence of a temperature >381.14 (–0.68 to 2.97)111.13 (–0.61 to 2.88)11
Presence of exudate on tonsils0.28 (–0.83 to 1.38)30.06 (–0.98 to 1.09)1
Presence of splenomegaly1.98 (–1.57 to 5.53)203.50 (–0.19 to 7.18)35
Presence of palatal petechiae0.21 (–0.87 to 1.30)20.16 (–0.81 to 1.13)2
Presence of enlarged/tender posterior cervical lymph nodes1.73 (0.70 to 2.76)174.55 (0.42 to 2.68)51.60 (0.66 to 2.55)161.56 (0.69 to 2.44)2
Absence of enlarged/tender inguinal lymph nodes0.40 (–2.18 to 2.97)40.51 (–2.32 to 3.33)5
Presence of enlarged/tender axillary lymph nodes0.35 (–2.21 to 2.92)40.49 (–2.17 to 0.15)5
Absence of shortness of breath1.38 (–0.17 to 2.92)141.18 (–0.18 to 2.53)12
Feeling generally unwell1.12 (–0.23 to 2.48)110.82 (–0.47 to 2.09)8
Clinician impression1.92 (0.47 to 3.37)191.67 (0.71 to 2.62)2
Presence of exudate on pharynx0.69 (–0.51 to 1.89)70.93 (–0.16 to 2.03)90.98 (0.08 to 1.87)1
Hosmer-Lemeshow goodness of fitχ2=3.15; p=0.87χ2=5.23; p=0.07χ2=0.26; p=0.88χ2=0.69; p=0.71
AUC (95% CI)0.81 (0.75 to 0.85)0.73 (0.63 to 0.82)0.77 (0.67 to 0.87)0.70 (0.62 to 0.79)
  • *Explanatory variables had to be of prior clinical importance or be associated with a threshold p value of ≤0.15 in univariate analysis. Score/points assigned to each predictor by multiplying the regression coefficient by 10 and rounding to nearest integer.

  • †Explanatory variables had to be of prior clinical importance or be associated with a threshold p value of ≤0.15 in univariate analysis, and then a backward selection was used with a p value threshold of 0.05. Score/points assigned to each predictor by rounding the regression coefficient to nearest integer.

  • ‡Explanatory variables had to be of prior clinical importance or be associated with a threshold p value of ≤0.15 in univariate analysis. Clinician impression was not used in this model. Score/points assigned to each predictor by multiplying the regression coefficient by 10 and rounding to nearest integer.

  • §Explanatory variables had to be of prior clinical importance or be associated with a threshold p value of ≤0.15 in univariate analysis, and then a backward selection was used with a p value threshold of 0.05. Clinician impression was not included in this model. Score/points assigned to each predictor by rounding the regression coefficient to nearest integer.

  • AUC, area under the receiver operating characteristic curve.