儿童关节超移动性的变化:一个元分析方法来设定切断分数
Cylie M Williams1, James J Welch2, Mark Scheper3,4,5,6
1School of Primary and Allied Health Care, Monash University, 47-49 Moorooduc Hwy, Frankston, VIC, 3199, Australia. cylie.williams@monash.edu.
European journal of pediatrics
|May 27, 2024
概括
建议比顿得分为6或以上,以确定儿童的通用性关节高移动性. 这项研究分析了全球数据,以建立一个新的基于证据的门,用于儿童高流动性评估.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 临床评估 临床评估
- 关节高移动性综合征 关节高移动性综合征
背景情况:
- 目前关于儿童普遍性关节高移动 (GJH) 的定义的国际共识依赖于专家意见.
- 在儿科患者群体中建立基于证据的贝顿得分截止值对于准确的诊断至关重要.
研究的目的:
- 为了确定贝顿分数在儿童中的全球流行率.
- 为Beighton分数切断界限提供数据驱动的建议,以确定儿童的GJH.
主要方法:
- 在AMED,OVID Medline,Embase和CINAHL数据库的系统文献搜索 (开始至2024年4月).
- 包括从一般人口中报告比顿得分的18岁以下儿童的研究.
- 提取了参与者的人口统计数据,贝顿分数和作者定义的超流动性切线.
主要成果:
- 分析了37篇文章,涉及28868名参与者.
- 在所有报告研究中,比顿分数切线≥6的结果是男性的患病率为6%,女性的患病率为13%.
- 由于数据有限,无法根据年龄,青春期状态或种族进行进一步的细分分析.
结论:
- 建议最低比顿分数为6或以上作为在儿童中识别GJH的工作门.
- 7或更高的门值可能更适合儿童高流动性评估,特别是在女性.
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