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马驹新生儿败血症早期诊断评分系统的开发。

Development of a scoring system for the early diagnosis of equine neonatal sepsis.

作者信息

Brewer B D, Koterba A M

机构信息

Department of Medical Sciences, University of Florida College of Veterinary Medicine, Gainesville 32610.

出版信息

Equine Vet J. 1988 Jan;20(1):18-22. doi: 10.1111/j.2042-3306.1988.tb01445.x.

DOI:10.1111/j.2042-3306.1988.tb01445.x
PMID:3366100
Abstract

A sepsis scoring system was developed and tested prospectively in a blind study of 190 neonatal foals admitted to the University of Florida Veterinary Medical Teaching Hospital's neonatal intensive care unit. The system used 14 readily available historical, clinical or laboratory variables and weighted each item to arrive at a sepsis score. The score was found to have a sensitivity of 93 per cent, a specificity of 86 per cent, positive accuracy rate of 89 per cent and negative accuracy rate of 92 per cent. The sepsis score was far more sensitive and specific for infection, even in very early cases, and had fewer false positive and false negative values than did any parameter taken individually.

摘要

在一项针对入住佛罗里达大学兽医学院新生儿重症监护病房的190匹新生马驹的前瞻性盲法研究中,开发并测试了一种脓毒症评分系统。该系统使用了14个易于获得的病史、临床或实验室变量,并对每个项目进行加权以得出脓毒症评分。结果发现,该评分的敏感性为93%,特异性为86%,阳性准确率为89%,阴性准确率为92%。脓毒症评分对感染的敏感性和特异性要高得多,即使在非常早期的病例中也是如此,并且与单独采用的任何参数相比,其假阳性和假阴性值更少。

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