18个月的发育查使用尼皮辛区发育查.
Cornelia M Borkhoff1,2, Haris Imsirovic3, Imaan Bayoumi3,4
1Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario.
尼皮辛区发育屏幕 (NDDS) 显示不充分的灵敏度和特异性来识别18个月大的儿童的发育迟缓. 它的高错误阳性率使其无法用于常规发育查.
科学领域:
- 儿科 儿科 儿科
- 发育儿科 发育儿科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 加拿大儿科协会建议在18个月时进行发育查.
- 尼皮辛区发育屏幕 (NDDS) 是一个常用于此目的的工具.
- 本研究评估了NDDS在平均风险儿童中的有效性.
研究的目的:
- 评估NDDS在平均风险儿童中的预测有效性.
- 检查阳性NDDS查与医疗保健利用 (HCU) 之间的关联.
主要方法:
- 预期研究设计,802名儿童在18个月时接受查.
- NDDS结果与HCU的卫生行政数据相关联.
- 使用神经发育咨询作为标准计算的选测试属性.
主要成果:
- 35.5%的儿童在NDDS检查中呈阳性.
- 敏感度为50%,特异性为65%,假阳性率为35%.
- 阳性NDDS与大多数类型的HCU没有显著的关联.
结论:
- 对于18个月的发育查,NDDS显示的敏感度和特异性不足.
- 高错误阳性率是一个重大问题.
- 需要使用具有更好的性能特征的替代选工具.
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