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Diagnostic performance of visible severe wasting for identifying severe acute malnutrition in children admitted to hospital in Kenya

机译:可见的严重消瘦对肯尼亚住院儿童严重急性营养不良的诊断性能

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Objective To determine the diagnostic value of visible severe wasting in identifying severe acute malnutrition at two public hospitals in Kenya. Methods This was a cross-sectional study of children aged 6 to 59.9?months admitted to one rural and one urban hospital. On admission, mid-upper arm circumference (MUAC), weight and height were measured and the presence of visible severe wasting was assessed. The diagnostic performance of visible severe wasting was evaluated against anthropometric criteria. Findings Of 11?166 children admitted, 563 (5%) had kwashiorkor and 1406 (12.5%) were severely wasted (MUAC
机译:目的确定可见的严重浪费在肯尼亚两家公立医院发现严重急性营养不良的诊断价值。方法这是一项对6到59.9个月大的儿童收治于一家农村和一家城市医院的横断面研究。入院时测量上臂中段围(MUAC),体重和身高,并评估可见的严重消瘦情况。根据人体测量学标准评估可见的严重消瘦的诊断性能。发现的11 166名儿童中,有563名(5%)患了kwashiorkor,1406名(12.5%)被严重浪费(MUAC <?11.5?cm)。根据MUAC <?11.5?cm评估,两家医院可见的严重消瘦综合敏感性和特异性分别为54%(95%置信区间,CI:51-56)和96%(95%CI:96-96)。 97);在一家医院中,其对身高体重比z≤3的敏感性和特异性分别为44.7%(95%CI:42-48)和96.5%(95%CI:96-97)。通过可见的严重消瘦正确识别的严重消瘦的儿童持续年龄更大,消瘦程度更严重,患上钩虫病,对人类免疫缺陷病毒呈阳性的频率更高,病期更长,死亡风险更高。可见的严重浪费与人体测量相比,对确定死亡风险的敏感性较低。没有证据支持同时测量MUAC和身高体重z得分。结论肉眼可见的严重消瘦未能检出约一半通过人体测量学诊断为严重急性营养不良的住院儿童。 MUAC进行例行筛查是快速,简单且廉价的,并且应成为研究环境中所有儿科医院入院标准评估的一部分。

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