尾炎炎炎症反应 (AIR) 评分的诊断价值. 一个系统的审查和元分析
Roland E Andersson1,2, Joachim Stark3
1Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden. roland.andersson@rjl.se.
World journal of emergency surgery : WJES
|February 8, 2025
概括
与阿尔瓦拉多分数相比,尾炎炎炎症反应 (AIR) 评分显示尾炎的诊断准确度更高. 这种评分系统提供了一种安全有效的方法来管理疑似尾炎的患者.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 外科手术的结果
- 临床决策支持 临床决策支持
背景情况:
- 临床评分算法对于可疑急性尾炎的经济有效管理至关重要.
- 这项研究系统地审查和元分析了尾炎炎炎症反应 (AIR) 评分的诊断特性,与已建立的阿尔瓦拉多评分相比.
研究的目的:
- 为了比较疑似急性尾炎患者的AIR得分和Alvarado得分的诊断性能.
- 评估两种评分系统在识别所有尾炎病例和晚期尾炎时的准确性.
主要方法:
- 对从2008年到2024年7月发表的研究进行了PubMed,EMBASE,Web of Science和Google Scholar数据库的全面搜索.
- 对两个分数进行了接收器操作特征 (ROC) 区域,灵敏度和特异性的元分析.
- 使用 QUADAS-2 工具评估偏差风险,并评估异质性.
主要成果:
- 与阿尔瓦拉多得分相比,AIR得分显示ROC曲线下的区域显著更高 (所有尾炎的0.86,高级的0.93) 与阿尔瓦拉多得分 (0.79所有,高级的0.88).
- 在各种值下观察到AIR得分的高灵敏度 (0.91-0.99) 和特异性 (0.98-0.99).
- 包括的研究显示偏差风险低,异质性低.
结论:
- 与尾炎的阿尔瓦拉多得分相比,AIR得分显示出更高的诊断能力.
- AIR评分是可靠和有效的工具,用于疑似尾炎患者的风险分层管理.
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