Table 3 Potential effects of SOP on diagnosis of SCI-AP, antibiotic treatment decision, and request of further diagnostic tests based on the eight case vignettes.

From: Clinical decision-making on spinal cord injury-associated pneumonia: a nationwide survey in Germany

Case

Diagnosis of SCI-AP

Treatment of SCI-AP

Further diagnostics

 

SOP+,n (%)

SOP−, n (%)

Odds ratio (95% CI)

SOP+, n (%)

SOP−, n (%)

Odds ratio (95% CI)

SOP+, n (%)

SOP− n (%)

Odds ratio (95% CI)

I

28 (78.0)

16 (84.2)

0.65 (0.15–2.83)

28 (78.0)

16 (84.2)

0.66 (0.15–2.83)

29 (80.5)

13 (68.4)

1.91 (0.54–6.82)

II

18 (50.0)

14 (73.7)

0.35 (0.11–1.20)

17 (47.2)

13 (68.4)

0.41 (0.13–1.32)

32 (88.9)

15 (78.9)

2.13 (0.47–9.71)

III

4 (11.0)

1 (5.3)

2.25 (0.23–21.71)

7 (19.4)

4 (21.1)

0.91 (0.23–3.59)

22 (61.1)

15 (78.9)

0.42 (0.12–1.52)

IV

5 (14.0)

6 (31.6)

0.34 (0.09–1.35)

6 (16.7)

5 (26.3)

0.56 (0.15–2.15)

22 (61.1)

14 (73.7)

0.56 (0.17–1.90)

V

11 (31.0)

10 (52.6)

0.40 (0.13–1.25)

10 (27.8)

7 (36.8)

0.66 (0.20–2.15)

27 (75.0)

12 (63.2)

1.75 (0.53–5.81)

VI

2 (6.0)

2 (10.5)

0.50 (0.65–3.86)

8 (22.3)

8 (42.1)

0.39 (0.12–1.31)

23 (63.9)

12 (63.2)

1.03 (0.32–3.27)

VII

16 (44.0)

7 (36.8)

1.37 (0.44–4.29)

11 (33.4)

7 (36.8)

0.75 (0.23–2.43)

27 (75.0)

12 (63.2)

1.75 (0.53–5.08)

VIII

18 (50.0)

9 (47.4)

1.11 (0.37–3.38)

17 (47.2)

9 (47.4)

0.99 (0.33–3.03)

23 (63.9)

11 (57.9)

1.29 (0.41–4.01)

  1. The effect of available SOP (SOP+) vs. unavailable SOP (SOP−) is described by odds ratios. Odds ratios <1.0 indicate a negative association with available SOP. SCI-AP spinal cord injury-associated pneumonia, SOP standard operating procedure.