婴儿检查：一种用于评估6个月以下婴儿急性全身性疾病严重程度的评分系统。
Baby Check: a scoring system to grade the severity of acute systemic illness in babies under 6 months old.
作者信息
Morley C J, Thornton A J, Cole T J, Hewson P H, Fowler M A
机构信息
Department of Paediatrics, University of Cambridge.
出版信息
Arch Dis Child. 1991 Jan;66(1):100-5. doi: 10.1136/adc.66.1.100.
Abstract
A scoring system has been developed to grade the severity of acute systemic illness in babies under 6 months of age. Data were collected on 28 symptoms and 47 signs from 1007 babies with a spectrum of illness ranging from well to seriously ill. Ordinal regression analysis identified 19 symptoms and signs which in combination graded the severity of the illness most accurately. The coefficients were converted to scores. The higher the score the more serious the illness. When applied to a theoretical cohort of 10,000 babies at home, a score less than 8 has a specificity of 98%, and a score of 13 or more a sensitivity of 92%. The positive predictive value for serious illness increases from zero at a score of zero to approaching 100% at scores over 30. The scoring system has been developed into score cards for parents and professionals.
摘要
已开发出一种评分系统，用于对6个月以下婴儿急性全身性疾病的严重程度进行分级。收集了1007名患有从健康到重病等一系列疾病的婴儿的28种症状和47种体征的数据。有序回归分析确定了19种症状和体征，这些症状和体征相结合能最准确地对疾病严重程度进行分级。系数被转换为分数。分数越高，疾病越严重。当应用于理论上的10000名在家的婴儿队列时，得分低于8分的特异性为98%，得分13分或更高的敏感性为92%。重病的阳性预测值从零分的零增加到超过30分的接近100%。该评分系统已被开发成供家长和专业人员使用的记分卡。
相似文献
1
Baby Check: a scoring system to grade the severity of acute systemic illness in babies under 6 months old.婴儿检查：一种用于评估6个月以下婴儿急性全身性疾病严重程度的评分系统。
Arch Dis Child. 1991 Jan;66(1):100-5. doi: 10.1136/adc.66.1.100.
2
Field trials of the Baby Check score card: mothers scoring their babies at home.婴儿检查评分卡的现场试验：母亲在家中为婴儿评分。
Arch Dis Child. 1991 Jan;66(1):106-10. doi: 10.1136/adc.66.1.106.
3
Field trials of the Baby Check score card in hospital.婴儿检查记分卡在医院的现场试验。
Arch Dis Child. 1991 Jan;66(1):115-20. doi: 10.1136/adc.66.1.115.
4
Evaluation of the baby check score in emergency room.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1995 May-Jun;36(3):187-91.
5
Baby check in India: assessing the severity of illness in babies in a Calcutta out-patient clinic.印度的婴儿检查：评估加尔各答一家门诊诊所中婴儿的疾病严重程度。
J Trop Pediatr. 1995 Jun;41(3):158-63. doi: 10.1093/tropej/41.3.158.
6
Field trials of the Baby Check score card in general practice.
Arch Dis Child. 1991 Jan;66(1):111-4. doi: 10.1136/adc.66.1.111.
7
A trial of baby check scoring system to identify high-risk infants in a polyclinic in Oman.
J Trop Pediatr. 1998 Aug;44(4):218-21. doi: 10.1093/tropej/44.4.218.
8
Field trials of Baby Check: a scoring system to quantify illness in babies under 6 months.
Med Inform (Lond). 1990 Jul-Sep;15(3):261-8. doi: 10.3109/14639239009025273.
9
Evaluation of the severity of illness in infants by the Baby Check Score.
Zhonghua Yi Xue Za Zhi (Taipei). 1997 Jan;59(1):15-20.
10
Use of Baby Check to assess the severity of illness in babies attending a clinic in The Gambia.
J Trop Pediatr. 1994 Jun;40(3):144-8. doi: 10.1093/tropej/40.3.144.
引用本文的文献
1
Aspects of triage for infants: a narrative review.婴儿分诊的各个方面：一篇叙述性综述。
Eur J Pediatr. 2025 Apr 12;184(5):294. doi: 10.1007/s00431-025-06127-3.
2
Pediatric simple triage score: A simplified approach for triaging pediatric patients with fever in the emergency department.儿科简易分诊评分：急诊科对发热儿科患者进行分诊的一种简化方法。
Turk J Emerg Med. 2025 Jan 2;25(1):25-31. doi: 10.4103/tjem.tjem_101_24. eCollection 2025 Jan-Mar.
3
Signs and symptoms of serious illness in infants aged up to 6 months: rapid review of clinical guidelines.6 个月以下婴儿严重疾病的体征和症状：临床指南快速综述。
BMJ Paediatr Open. 2024 Jul 29;8(1):e002737. doi: 10.1136/bmjpo-2024-002737.
4
Accuracy of the "traffic light" clinical decision rule for serious bacterial infections in young children with fever: a retrospective cohort study.“红绿灯”临床决策规则对发热幼儿严重细菌感染的准确性：一项回顾性队列研究。
BMJ. 2013 Feb 13;346:f866. doi: 10.1136/bmj.f866.
5
A Simple Clinical Score "TOPRS" to Predict Outcome in Pediatric Emergency Department in a Teaching Hospital in India.一种用于预测印度一家教学医院儿科急诊科预后的简易临床评分“TOPRS”
Iran J Pediatr. 2012 Mar;22(1):97-101.
6
Infants' symptoms of illness assessed by parents: impact and implications.家长评估婴儿的疾病症状：影响与意义。
Scand J Prim Health Care. 2011 Jun;29(2):67-74. doi: 10.3109/02813432.2011.576863.
7
5 Assessment and identification of paediatric primary survey positive patients.5 儿科初级评估阳性患者的评估与识别。
Emerg Med J. 2004 Jul;21(4):511-7. doi: 10.1136/emj.2004.016501.
8
Are risk factors for sudden infant death syndrome different at night?婴儿猝死综合征的风险因素在夜间是否有所不同？
Arch Dis Child. 2002 Oct;87(4):274-8. doi: 10.1136/adc.87.4.274.
9
Assessment of impact of information booklets on use of healthcare services: randomised controlled trial.信息手册对医疗服务使用影响的评估：随机对照试验
BMJ. 2001 May 19;322(7296):1218-21. doi: 10.1136/bmj.322.7296.1218.
10
A clinical comparison of SIDS and explained sudden infant deaths: how healthy and how normal? CESDI SUDI Research Group. Confidential Inquiry into Stillbirths and Deaths in Infancy study.婴儿猝死综合征与已解释的婴儿猝死的临床比较：健康及正常程度如何？CESDI SUDI研究小组。婴儿死亡保密调查研究。
Arch Dis Child. 2000 Feb;82(2):98-106. doi: 10.1136/adc.82.2.98.
本文引用的文献
1
Clinical biostatistics. LIV. The biostatistics of concordance.临床生物统计学。第四十一部分。一致性的生物统计学。
Clin Pharmacol Ther. 1981 Jan;29(1):111-23. doi: 10.1038/clpt.1981.18.
2
Clinical prediction rules. Applications and methodological standards.临床预测规则。应用与方法学标准。
N Engl J Med. 1985 Sep 26;313(13):793-9. doi: 10.1056/NEJM198509263131306.
3
Acetaminophen prophylaxis of adverse reactions following vaccination of infants with diphtheria-pertussis-tetanus toxoids-polio vaccine.对婴儿接种白喉-百日咳-破伤风类毒素-脊髓灰质炎疫苗后用对乙酰氨基酚预防不良反应。
Pediatr Infect Dis J. 1987 Aug;6(8):721-5. doi: 10.1097/00006454-198708000-00005.
4
Reliability of eliciting physical signs in examination of the chest.胸部检查中引出体征的可靠性。
Lancet. 1988 Apr 16;1(8590):873-5. doi: 10.1016/s0140-6736(88)91613-3.
5
Symptoms in 298 infants under 6 months old, seen at home.在家中观察到的298名6个月以下婴儿的症状。
Arch Dis Child. 1990 Mar;65(3):280-5. doi: 10.1136/adc.65.3.280.
6
Markers of serious illness in infants under 6 months old presenting to a children's hospital.前往儿童医院就诊的6个月以下婴儿的重症标志物。
Arch Dis Child. 1990 Jul;65(7):750-6. doi: 10.1136/adc.65.7.750.
7
Field trials of the Baby Check score card in hospital.婴儿检查记分卡在医院的现场试验。
Arch Dis Child. 1991 Jan;66(1):115-20. doi: 10.1136/adc.66.1.115.
8
Field trials of the Baby Check score card in general practice.
Arch Dis Child. 1991 Jan;66(1):111-4. doi: 10.1136/adc.66.1.111.
9
Field trials of the Baby Check score card: mothers scoring their babies at home.婴儿检查评分卡的现场试验：母亲在家中为婴儿评分。
Arch Dis Child. 1991 Jan;66(1):106-10. doi: 10.1136/adc.66.1.106.
10
Unexpected postneonatal deaths (cot deaths) due to recognizable disease.由可识别疾病导致的意外新生儿后期死亡（婴儿猝死）。
Arch Dis Child. 1975 Mar;50(3):191-6. doi: 10.1136/adc.50.3.191.
Zotero 插件