Thornton A J, Morley C J, Cole T J, Green S J, Walker K A, Rennie J M
Department of Paediatrics, University of Cambridge.
Arch Dis Child. 1991 Jan;66(1):115-20. doi: 10.1136/adc.66.1.115.
The Baby Check score card was used by junior paediatric doctors to assess 262 babies under 6 months old presenting to hospital. The duty registrar and two consultants independently graded the severity of each baby's illness without knowledge of the Baby Check score. The registrars assessed the babies at presentation while the consultants reviewed the notes. The consultants and registrars agreed about the need for hospital admission only about 75% of the time. The score's sensitivity and predictive values were similar to those of the registrars' grading. The score's specificity was 87%. Babies with serious diagnosis scored high, while minor illnesses scored low. The predictive value for requiring hospital admission increased with the score, rising to 100% for scores of 20 or more. The appropriate use of Baby Check should improve the detection of serious illness. It could also reduce the number of babies admitted with minor illness, without putting them at increased risk.
初级儿科医生使用“婴儿检查”评分卡对262名6个月以下入院婴儿进行评估。值班住院医生和两名会诊医生在不知道“婴儿检查”评分的情况下，独立对每个婴儿的疾病严重程度进行分级。住院医生在婴儿入院时进行评估，会诊医生则查看病历。会诊医生和住院医生对于是否需要住院的判断只有约75%的时间是一致的。该评分的敏感性和预测值与住院医生的分级相似。该评分的特异性为87%。患有严重疾病的婴儿得分高，而患有轻微疾病的婴儿得分低。需要住院的预测值随着评分的增加而升高，评分为20分或更高时升至100%。正确使用“婴儿检查”应能改善对严重疾病的检测。它还可以减少因轻微疾病入院的婴儿数量，而不会增加他们的风险。
