|
KMID : 0605820140210010043
|
|
Korean Journal of Pediatric Infectious Diseases
2014 Volume.21 No. 1 p.43 ~ p.52
|
|
|
Comparison among Known Severity Scoring Scales in the Evaluation of Acute Gastroenteritis in Children
|
|
Choi Jee-Hyun
Jung Tae-Woong
Kim Seong-Joon
Chung Ju-Young
Kim Min-Sung
Han Seung-Beom
Kang Jin-Han
Kim Sang-Yong
Rhim Jung-Woo
Kim Hwang-Min
Park Jae-Hong
Jo Dae-Sun
Ma Sang-Hyuk
Jeong Hye-Sook
Cheon Doo-Sung
Koh Dae-Kyun
Kim Jong-Hyun
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Gastroenteritis, Clinical scoring system, Child
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|
|