一种用于改善急性中耳炎临床评估的简易评分系统。

A simple scoring system to improve clinical assessment of acute otitis media.

作者信息

Casey Janet R, Block Stan, Puthoor Pamela, Hedrick Jim, Almudevar Anthony, Pichichero Michael E

机构信息

Legacy Pediatrics, Rochester, NY, USA.

出版信息

Clin Pediatr (Phila). 2011 Jul;50(7):623-9. doi: 10.1177/0009922811398391. Epub 2011 Apr 5.

DOI:10.1177/0009922811398391

PMID:21471024

Abstract

OBJECTIVE

To evaluate an easy to use 10-point scoring system in clinical assessment of acute otitis media (AOM). Study design. Symptoms of AOM observed by validated otoscopists were tabulated and scored with a 10-point and a 30-point system at acute onset of illness and at the test-of-cure (TOC) 3 weeks later.

RESULTS

A total of 330 children (mean age = 13.1 months) with AOM were studied. At AOM onset, the mean 10-point and 30-point scores; were highly correlated (P < .001). At TOC, 256 children were cured, 69 failed, and 5 were lost to follow-up. The 10-point scores were 0.5 and 4.4 for children with cure and failure. The 10-point score had a sensitivity of 87%, specificity of 98%, positive predictive value of 91%, and negative predictive value of 97% compared with the diagnosis by validated otoscopists.

CONCLUSION

A simple, easy-to-use 10-point AOM scoring system was shown to discriminate AOM cure and failure at TOC.

摘要

目的

评估一种易于使用的10分评分系统在急性中耳炎（AOM）临床评估中的应用。研究设计。由经验证的耳镜检查医师观察到的AOM症状被列表记录，并在疾病急性发作时以及3周后的治愈测试（TOC）时分别用10分制和30分制进行评分。

结果

共研究了330例患有AOM的儿童（平均年龄 = 13.1个月）。在AOM发作时，10分制和30分制的平均得分高度相关（P <.001）。在TOC时，256例儿童治愈，69例未治愈，5例失访。治愈和未治愈儿童的10分制得分分别为0.5和4.4。与经验证的耳镜检查医师的诊断相比，10分制得分的敏感性为87%，特异性为98%，阳性预测值为91%，阴性预测值为97%。