评估急性病毒性胃肠炎的严重程度:修改的Vesikari和Clark评分系统
Carlos Plancarte1, Tess Stopczynski2, Lubna Hamdan1
1Department of Pediatrics.
Hospital pediatrics
|May 2, 2024
概括
罗塔病毒比其他病毒更容易在儿童中引起严重的急性胃肠炎 (AGE). 修改后的韦西卡里分数 (MVS) 和克拉克分数 (CS) 有效地评估了AGE的严重程度,并且高度相关.
科学领域:
- 儿童传染病 儿童传染病
- 流行病学 流行病学
- 临床严重性评分 临床严重性评分
背景情况:
- 急性胃肠炎 (AGE) 是全球主要的儿童死亡原因.
- 对AGE严重程度的客观评估对于干预评估至关重要.
研究的目的:
- 为了确定严重AGE呈现的风险因素.
- 评估修改后的韦西卡里得分 (MVS) 和克拉克得分 (CS) 在评估AGE严重性的有用性.
主要方法:
- 从2012年12月到2016年6月,对患有AGE的儿童 (15天17岁) 的前性监测.
- 便样本检测常见的肠道病毒 (诺病毒,沙波病毒,轮状病毒,天体病毒).
- 人口和临床数据,MVS和CS的比较,按病毒检测和医疗保健环境划分.
主要成果:
- 罗塔病毒检测,年轻年龄,男性性别和住院治疗与更高的MVS和CS有关.
- 与非西班牙裔白人儿童相比,非西班牙裔黑人儿童的MVS/CS较低.
- 过早生育和急救部门的招生与更高的CS相关.
结论:
- 罗塔病毒仍然是严重的儿科AGE的重要原因.
- MVS和CS是可靠的,可比的工具来量化AGE的严重程度.
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