STRONGkids量表筛检住院儿童营养不良风险的Meta分析

摘要

Objective To evaluate the value of STRONGkids scale for malnutrition risk screeningamong hospital‐ized children .Method Cochrane Library ,Elsevier ,OVID ,PubMed ,CNKI ,CBMdisc database were searched to i‐dentity relevant English and Chinese language articles from Jan 1990 to Mar 2015 .STRONGkidswas used to screen malnutrition risk among hospitalized children .Two review authors appraised included articles’ quality using“Quality Assessment of Diagnostic Accuracy Study (QUADS tool)” .Meta‐Disc (1 .4 .0 .0) was used to meta‐analyses .Result Three screening tests were included .Totally 1163 hospitalized children were screened by STRONGkids scale .The sensitivity ,specificity was 80% ,of 49% ,subject diagnostic feature (SROC) area under the curve (AUC) was 0 .5732 .Conclusion STRONGkids has high sensitivity and it is suitable for nutritional risk screening of hospitalized child .Screening tests with large sample still needs to assess its specificity in future .%目的：评价儿童营养风险及发育不良筛查工具（STRONGkids）筛检住院儿童营养不良风险的效果。方法计算机检索1990年1月－2015年3月Cochrane图书馆、Elsevier、OVID、PubMed数据库、中国期刊全文网、万方数据库和中国生物医学文献数据库中使用STRONGkids筛查住院儿童营养不良风险的诊断／筛检试验。采用“诊断准确性研究质量评价工具（QUADS tool）”评价文献质量，Meta‐Disc（1．4．0．0）对资料进行Meta分析。结果共纳入3项筛检试验，筛查住院患儿1163例，合并敏感度为80％，合并特异度为49％，受试者诊断特征（SROC）曲线下面积（AUC）为0．5732。结论 STRONGkids敏感度较高，适用于住院患儿营养不良风险筛查，但仍需进行大样本的筛检试验，以进一步评价其特异度。