Briend A, Wojtyniak B, Rowland M G
International Centre for Diarrhoeal Disease Research, Dakka, Bangladesh.
Lancet. 1987 Sep 26;2(8561):725-8. doi: 10.1016/s0140-6736(87)91084-1.
Mid upper arm circumference (MUAC) was measured monthly for 6 months in about 500 children aged 6-36 months from rural Bangladesh. Children who would die within 1 month of screening could be identified with 94% specificity and 56% sensitivity--almost twice the sensitivity achieved by other anthropometric screening schemes for this level of specificity. Specificity was slightly improved when the absence of breast-feeding, concurrent diarrhoea, oedema, and acute respiratory infection were taken into account. Children at high risk of death can be detected by monthly measurement of MUAC, which may be used in poor communities where interventions have to be selective.
在孟加拉国农村地区，对约500名6至36个月大的儿童进行了为期6个月的每月一次上臂中部周长（MUAC）测量。筛查后1个月内可能死亡的儿童能够以94%的特异性和56%的敏感性被识别出来——对于这种特异性水平，其敏感性几乎是其他人体测量筛查方案的两倍。当考虑到未进行母乳喂养、并发腹泻、水肿和急性呼吸道感染等情况时，特异性略有提高。通过每月测量MUAC可以检测出有高死亡风险的儿童，这可用于必须进行选择性干预的贫困社区。
