Zaman M M, Yoshiike N, Chowdhury A H, Ahmed J, Hassan M M, Faruque G M, Mahmud R S, Rouf M A, Haque S, Tanaka H
Department of Epidemiology, Tokyo Medical and Dental University, Japan.
J Epidemiol. 1996 Jun;6(2):109-13. doi: 10.2188/jea.6.109.
The aim of the present study is to determine the reference value of erythrocyte sedimentation rate for differential diagnosis of rheumatic fever in the National Center for Control of Rheumatic Fever and Heart Diseases, Dhaka, Bangladesh among patients with signs and symptoms which may be related to acute rheumatic fever. All medical records for the patients aged 5 to 20 years who attended the outpatient department of the hospital between July, 1994 and November, 1995 were reviewed. Fifty-three of 337 such patients had acute rheumatic fever defined by the updated Jones criteria. The performance of erythrocyte sedimentation rate test was evaluated by sensitivity, specificity, positive predictive value, and receiver operating characteristic curve. The findings of this study suggest that the lower limit for a positive test should be considered at 30 mm (Westergren 1 h) in this hospital.
本研究的目的是在孟加拉国达卡风湿热和心脏病国家控制中心，确定红细胞沉降率对于鉴别诊断可能与急性风湿热相关的有体征和症状患者的参考值。回顾了1994年7月至1995年11月期间在该医院门诊部就诊的5至20岁患者的所有病历。337名此类患者中有53名符合更新的琼斯标准定义的急性风湿热。通过敏感性、特异性、阳性预测值和受试者工作特征曲线对红细胞沉降率测试的性能进行评估。本研究结果表明，在该医院，阳性测试的下限应考虑为30毫米（魏氏法1小时）。
