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[新生儿坏死性小肠结肠炎预后评估方案]

[A protocol for prognostic evaluation of newborns with necrotizing enterocolitis].

作者信息

González L, Kunstmann G, García M

机构信息

Departamento de Pediatría y Cirugía Infantil, Facultad de Medicina, Universidad de Chile.

出版信息

Rev Chil Pediatr. 1991 Nov-Dec;62(6):367-70.

PMID:1845643
Abstract

A modified Vásquez-Estévez protocol for prognostic appraisal of newborns with necrotizing enterocolitis was retrospectively applied to 23 confirmed cases from year 1987 throughout 1989 in general metropolitan hospital at Santiago, Chile. Cases were classified as low (0-12 points) or high (13-30) risk according to its corresponding score. Case fatality rates ranged from 7.1% to 77.7% in low and high risk groups, respectively. Sensibility was 87.5%, specificity 86.6% and efficiency 86.6%. Instrument application was easy. It concluded that this is a valuable tool for the prognostic evaluation of necrotizing enterocolitis. A wider and deeper prospective application would allow to measure more exactly its usefulness in other settings.

摘要

一种改良的用于坏死性小肠结肠炎新生儿预后评估的瓦斯奎兹 - 埃斯特韦斯方案,于1987年至1989年在智利圣地亚哥的综合都市医院对23例确诊病例进行了回顾性应用。根据相应得分,病例被分为低风险(0 - 12分)或高风险(13 - 30分)。低风险和高风险组的病死率分别为7.1%至77.7%。敏感度为87.5%,特异度为86.6%,有效率为86.6%。该工具应用简便。得出结论,这是一种用于坏死性小肠结肠炎预后评估的有价值工具。更广泛深入的前瞻性应用将能更准确地衡量其在其他环境中的效用。

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