CAJ | 학술논문

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。
목적：평개인동영양풍험급발육불량사사공구（STRONGkids）사검주원인동영양불량풍험적효과。방법계산궤검색1990년1월－2015년3월Cochrane도서관、Elsevier、OVID、PubMed수거고、중국기간전문망、만방수거고화중국생물의학문헌수거고중사용STRONGkids사사주원인동영양불량풍험적진단／사검시험。채용“진단준학성연구질량평개공구（QUADS tool）”평개문헌질량，Meta‐Disc（1．4．0．0）대자료진행Meta분석。결과공납입3항사검시험，사사주원환인1163례，합병민감도위80％，합병특이도위49％，수시자진단특정（SROC）곡선하면적（AUC）위0．5732。결론 STRONGkids민감도교고，괄용우주원환인영양불량풍험사사，단잉수진행대양본적사검시험，이진일보평개기특이도。
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 .