在一个大型综合医疗保健系统中,使用家长对社会互动的观察来进行自闭症查
Kek Khee Loo1, Su-Jau Yang2, Jerry C Cheng1
1Department of Pediatrics, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA.
The Journal of pediatrics
|December 14, 2024
概括
父母社会互动观察 (POSI) 工具在初级保健中对自闭症查具有很好的准确性. 这种自闭症查方法有效地识别了可能需要进一步评估的儿童.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 发育儿科 发育儿科
- 自闭症谱系障碍研究研究
背景情况:
- 早期发现自闭症谱系障碍 (ASD) 对于及时干预至关重要.
- 在初级保健机构进行普遍查可以提高识别率.
- 父母对社会互动的观察 (POSI) 是一个用于早期ASD查的工具.
研究的目的:
- 评估POSI工具对通用自闭症查的准确性.
- 评估POSI在一个大型医疗保健网络中的敏感性和特异性.
- 确定POSI在识别ASD儿童的实用性,在健康儿童的访问.
主要方法:
- 通过POSI查的儿童电子健康记录的回顾性分析.
- 在2022年18个月和24个月的健康儿童护理访问中进行查.
- 一年后,对ASD诊断进行了分析,以计算准确度指标 (灵敏度,特异性,LR+/LR-).
主要成果:
- 在18个月后,POSI灵敏度为77.9%,特异性为76.1%.
- 在24个月后,POSI灵敏度为76.5%,特异性为81.4%.
- 在被诊断为ASD的儿童中,阳性查的可能性是3.3至4.2倍.
结论:
- POSI屏幕显示了在初级保健中对自闭症查的适当敏感性和特异性.
- 在18个月和24个月访问时系统地部署POSI,可以有效地识别潜在的ASD病例.
- POSI结果可以帮助区分有或没有自闭症诊断的儿童.
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