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Table 3 Most relevant clinical features by clinical diagnosis and RT-qPCR confirmation, for differentiating arboviral infections from other febrile infections

From: Accuracy of Dengue, Chikungunya, and Zika diagnoses by primary healthcare physicians in Tegucigalpa, Honduras

A. Clinical Diagnosis

Binarya

Multinomial

Arbovirus

Dengue

  

Chikungunya

Zika

Variables

OR

CI 95%

Variables

OR

CI 95%

Variables

OR

CI 95%

Variables

OR

CI 95%

Arthritis

7.49

0.59–95.97

Conjunctivitisd

3.19*

1.31–7.81

Arthralgiab,c,d

27.44*

5.58–134.89

Rashd

25.43*

6.18–104.55

Conjunctivitisd

4.09*

1.76–9.52

Retro orbital painb

3.04*

1.62–5.73

Photophobia

5.73*

1.65–19.93

Conjunctivitisd

12.78*

3.24–50.35

Retro orbital painb

3.34*

1.76–6.31

Arthralgiab,c,d

2.84*

1.46–5.52

Dizziness

3.94*

1.38–11.28

Arthralgiab,c,d

2.97

0.89–9.88

Arthralgiab,c,d

3.25*

1.64–6.46

Rashd

2.48

0.80–7.65

Rashd

3.31

0.86–12.77

Photophobia

2.83

0.67–11.88

Rashd

2.62

0.89–7.71

Photophobia

2.07

0.69–6.19

Conjunctivitis

2.73

0.90–8.27

Retro orbital painb

1.25

0.41–3.87

Myalgia

2.03*

1.02–4.07

Dizziness

1.01

0.51–2.02

Retro orbital painb

2.42

0.96–6.13

Hematocrit

1.24*

1.09–1.43

Platelets

0.99*

0.98–0.99

Age

1.01

0.99–1.02

Age

1.03*

1.00–1.06

Dizziness

1.19

0.37–3.85

White Blood Cells

0.77*

0.69–0.86

Hematocrit

1.01

0.94–1.08

Neutrophils

1.02*

1.00–1.04

Neutrophils

1.05*

1.02–1.08

Anorexia

0.55

0.25–1.21

Neutrophils

1.01

0.99–1.02

Hematocrit

0.99

0.89–1.10

Age

1.03*

1.00–1.06

Abdominal pain

0.40*

0.21–0.76

Platelets

0.98*

0.97–0.99

Platelets

0.99

0.99–1.00

Platelets

0.99

0.98–1.00

Cough

0.26*

0.07–0.96

White Blood Cells

0.78*

0.71–0.86

White Blood Cells

0.79*

0.69–0.91

White Blood Cells

0.75*

0.62–0.91

Pharyngeal Hyperemia

0.02*

0.01–0.21

Abdominal pain

0.47*

0.25–0.89

Abdominal pain

0.29*

0.11–0.72

Abdominal pain

0.44

0.14–1.35

   

Pharyngeal Hyperemia

0.03*

0.01–0.28

Pharyngeal Hyperemia

NA

 

Pharyngeal Hyperemia

NA

 

B. RT-qPCR confirmation

Arbovirus

Dengue

Chikungunya

Zika

Variables

OR

CI 95%

Variables

OR

CI 95%

Variables

OR

CI 95%

Variables

OR

CI 95%

Pharyngeal Hyperemia

4.76*

1.49–15.25

Hematocrit

1.16

0.98–1.37

Photophobia

2.33

0.50–10.89

Photophobia

2.26*

1.29–3.97

Cough

3.70*

1.07–12.84

White Blood Cells

1.08

0.98–1.37

Hematocrit

1.40

0.85–2.30

Hematocrit

1.40*

1.18–1.66

Photophobia

1.72*

1.06–2.79

Platelets

0.99*

0.99–0.99

Platelets

1.00

0.99–1.01

White Blood Cells

0.99

0.91–1.09

Hematocrit

1.28*

1.12–1.45

Lymphocytes

0.99

0.99–1.00

Lymphocytes

0.96

0.92–1.01

Platelets

0.99*

0.99–0.99

Platelets

0.99*

0.99–0.99

Photophobia

0.78

0.36–1.67

White Blood Cells

0.61

0.37–1.02

Lymphocytes

0.98*

0.96–0.99

Lymph nodes

0.55

0.29–1.04

Hemoglobin

0.68

0.42–1.11

Hemoglobin

0.45

0.11–1.87

Vomit

0.54*

0.31–0.97

Bloating

0.52

0.26–1.07

Vomit

0.50

0.25–1.01

Vomit

0.38

0.07–2.16

Hemoglobin

0.39*

0.24–0.63

Hemoglobin

0.51*

0.35–0.74

         

Vomit

0.48*

0.30–0.78

         
  1. *P-value < 0.05
  2. ^NA Not available. The odds ratio of these variables cannot be calculated due to the small number of events.
  3. aBackward Stepwise Binary Logistic Regression, reference group febrile cases
  4. bDengue Criteria
  5. cChikungunya Criteria
  6. dZika Criteria