Comparison among Known Severity Scoring Scales in the Evaluation of Acute Gastroenteritis in Children / 소아감염
Korean Journal of Pediatric Infectious Diseases
;
: 43-52, 2014.
Artigo
em Coreano
| WPRIM
| ID: wpr-185152
ABSTRACT
PURPOSE:
This study aimed to evaluate the disease severity of children suffering from gastroenteritis using different scales. The results are compared and subsequently classified on the basis of the type of virus causing the disease in order to investigate the differences in clinical characteristics and disease severity according to pathogen.METHOD:
This study was conducted prospectively with patients under 5 years of age diagnosed with acute gastroenteritis and hospitalized at 9 medical institutions in 8 regions across the Republic of Korea. Disease severity was evaluated using the Vesikari Scale, the Clark Scale, and the modified Flores Scale. Fecal samples collected from patients were used to detect rotavirus and enteric adenovirus by enzyme immunoassay, and for RT-PCR of norovirus, astrovirus, and sapovirus.RESULTS:
There were a total of 214 patients with a male female ratio of 1.58 1, of which 35 were under the age of 6 months (16.4%), 105 were aged 6-23 months (49.1%), and 74 were aged 24-59 months (34.5%). The rate of concordance between the Vesikari and Clark Scales was 0.521 (P<0.001) and, in severe cases, the Vesikari Scale was 60.7% and Clark Scale was 2.3%, indicating that the Clark Scale was stricter in the evaluation of severe cases.CONCLUSIONS:
In children with gastroenteritis, there were differences in disease severity based on the scale used. Therefore, to achieve consistent results among researchers, either only a single scale or a measure of all scales should be used to determine disease severity.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pesos e Medidas
/
Adenoviridae
/
Estudos Prospectivos
/
Técnicas Imunoenzimáticas
/
Rotavirus
/
Norovirus
/
Sapovirus
/
República da Coreia
/
Gastroenterite
Tipo de estudo:
Estudo observacional
Limite:
Criança
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Korean Journal of Pediatric Infectious Diseases
Ano de publicação:
2014
Tipo de documento:
Artigo
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