การวิเคราะห์อภิมานความถูกต้องของการวินิจฉัยการติดเชื้อไวรัสเด็งกี่โดยใช้คะแนนความเสี่ยงของการติดเชื้อไวรัสเด็งกี่

Main Article Content

พลากร พุทธรักษ์
มยุนา ศรีสุภนันต์

Abstract

Abstract


Dengue virus infection it is a global health problem. It is also a major public health issue in Southeast Asia, including Thailand. Untreated patients with severe infection may cause death. The application of dengue scoring to predict or diagnose dengue infection severity based on patient characteristics and routine clinical profiles and laboratory medical examination. Current application of scoring to predict or diagnose severe dengue infection is use of clinical signs and laboratory results. To make it easier to distinguish dengue infections, this study sought systematic review and systematic review of the efficacy of scoring systems in predicting or diagnosing dengue infection. Published articles were searched from accessible database such as Pub med, Embase and Science Direct. The studies published in January, 2007 to present, written in English or Thai. The results of the research were consistent with the 5 selected criteria when the quality of the research was high. The QUADAS-2 tool has a minimum sample size of 84. Most studies were conducted in Asian countries. Pooled relative risk (RR) value for predicting or diagnosing dengue infection using dengue score was 0.910 (95 % CI: 0.678 to 1.221, p = 0.528). Dengue score was more effective for predicting the severity of the dengue than WHO guideline (p < 0.001) (Pooled OR; Random 0.843; 95 % CI: 0.285 to 0.497 times). This meta-analysis revealed that dengue risk score is more effective in distinguishing severity of dengue infection than the WHO guideline. 


Keywords: dengue score; meta-analysis; systematic review

Article Details

Section
Medical Sciences
Author Biographies

พลากร พุทธรักษ์

งานห้องปฏิบัติการเทคนิคการแพทย์ โรงพยาบาลธรรมศาสตร์เฉลิมพระเกียรติ มหาวิทยาลัยธรรมศาสตร์ ศูนย์รังสิต ตำบลคลองหนึ่ง อำเภอคลองหลวง จังหวัดปทุมธานี 12120

มยุนา ศรีสุภนันต์

สาขาวิชาสาธารณสุขศาสตร์ คณะบัณฑิตวิทยาลัย  มหาวิทยาลัยเวสเทิร์น ตำบลลาดสวาย อำเภอลำลูกกา จังหวัดปทุมธานี 12150

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