Development and Validation of an Emergency Department Electronic Medical Record Gout Flare Alert
Authors' conclusion
Our multicomponent gout flare alert had reasonable sensitivity and specificity, albeit a modest positive predictive value.
Study context
- Population
- Emergency department (ED) patient records potentially with an acute gout flare, 2 university-based EDs, January 2020
- Participants
- 202 patient records
- Comparison
- ED electronic medical record gout flare alert vs adjudicated expert consensus (gold standard)
- Gout flare alertn = 57
- Outcome
- Diagnostic characteristics of the gout flare alert for presence/absence of gout
Methodological details2 university-based EDs, manual medical record review, adjudicated expert consensus as gold standard
- 2 university-based EDs
- Manual medical record review
- Adjudicated expert consensus as gold standard
Performance
As reported in the abstract
Diagnostic properties of the gout flare alert
| Test or model | PPV | NPV | Sensitivity | Specificity |
|---|---|---|---|---|
| Gout flare alert | 47% (95% CI 34-60%) | 94% (95% CI 90-98%) | 75% (95% CI 61-89%) | 82% (95% CI 76-88%) |
Gout flare alert
PPV47% (95% CI 34-60%)
NPV94% (95% CI 90-98%)
Sensitivity75% (95% CI 61-89%)
Specificity82% (95% CI 76-88%)
Further findings
Diagnostic properties by institution
- Similar at both institutions
Original publication
Development and Validation of an Emergency Department Electronic Medical Record Gout Flare Alert. Arthritis Care Res (Hoboken). Published 19 February 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →