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頁籤選單縮合
| 題 名 | Evaluation of the Baby Check Score in Emergency Room=嬰兒病情積分表於急診室應用之評估 |
|---|---|
| 作 者 | 陳建焜; 陳淑貞; 黃碧桃; | 書刊名 | 中華民國小兒科醫學會雜誌 |
| 卷 期 | 36:3 民84.05-06 |
| 頁 次 | 頁187-191 |
| 分類號 | 419.75 |
| 關鍵詞 | 嬰兒病情積分表; 嬰兒; 嚴重程度; Baby check score; Infants; Severity; |
| 語 文 | 英文(English) |
| 中文摘要 | 爲評估嬰兒病情積分表(Baby Check Score)於急診室病患之應用性,本研究利用翻譯爲中文之嬰兒病情積分表由實習醫師對至急診室求診之394名六個月以下嬰兒評分,並由急診室值班住院醫師評估嬰兒病情嚴重程度。結果如下:評估爲病情嚴重的嬰兒積分較高,評估爲病情輕微的嬰兒積分較低。住院的患者病情積分較未住住院患者病情積分爲高。嬰兒病情積分在同一診斷的分佈範圍很大,表示同一種疾病之嚴重程度差異很大。嬰兒病情積分將中等呀嚴重疾病診斷爲輕度或正常之僞陰性(false negative)不高(14.2%),最常見之僞陰性爲血膽紅素過高(hyperbilirubinemia)及泌尿道感染;嬰兒病情積分將正常或輕度疾病診斷爲中度或重度疾病之僞陽性不高(10.3%)。總結:嬰兒病情積分表在評估六個月以下嬰幼兒急性全身性疾病之嚴重程度上很有幫助。積分愈高,嚴重疾病的可能性愈大。適當的應用積分表可幫助早期發現嚴重疾病,也可減少不必要的憂慮,並可定量地追蹤病情變化,值得加以推廣使用。 |
| 英文摘要 | The performance of the Baby Check Score System for grading severity of acute systemic illness in infants under 6 months of age was assessed prospectively in 394 of the 495 babies who were brought to the Emergency Room of Veterans General Hospital (VGH), Taipei from April 1, 1992 to July 23, 1992. The scores were given by the interns. Duty residents graded the severity of each baby’s illness without information on the score. Babies with serious illness scored higher than those with minor illness. The median score for well babies was 2 (range 0-5), for mild illness was 7 (range 0-20), for moderate illness was 14 (range 0-37), and for serious illness was 26 (range 12-40). Correlation between the assigned score and the grading of duty residents was good. The score's false negative rate to underestimate the moderately or seriously ill babies was 14.2% and false positive rate to overestimate well or mildly ill babies was 10.7%. Appropriate use of the Baby Check Score in the Emergency Room can help junior doctors detect serious illness, and reduce unnecessary admissions for only minor illness. |
本系統中英文摘要資訊取自各篇刊載內容。