Optimal Screening of Children with Acute Malnutrition Requires a Change in Current WHO Guidelines as MUAC and WHZ Identify Different Patient Groups
Optimal Screening of Children with Acute Malnutrition Requires a Change in Current WHO Guidelines as MUAC and WHZ Identify Different Patient Groups
复制标题
DOI：
10.1371/journal.pone.0101159
复制
发表时间：
2014-07-01
期刊：
影响因子：
3.7
通讯作者：
Wieringa, Frank T.
中科院分区：
文献类型：
--
作者：
Laillou, Arnaud;Prak, Sophonneary;Wieringa, Frank T.
背景：及时治疗儿童急性营养不良每年死亡50万人。社区一级的筛查对于确定营养不良儿童至关重要。目前世卫组织社区营养不良筛查指南建议使用2010至2012年间不同调查获得的11,000名柬埔寨儿童的上臂中围(MUAC)来计算MUAC和WHZ的敏感度和ROC曲线。FINDINGS：二次分析显示，使用目前WHO 115 mm的界值筛查严重急性营养不良的儿童中，超过90%的儿童具有身高体重比(WHZ)。
BACKGROUND: Timely treatment of acute malnutrition in children 500,000 deaths annually. Screening at community level is essential to identify children with malnutrition. Current WHO guidelines for community screening for malnutrition recommend a Mid Upper Arm Circumference (MUAC) of 11,000 Cambodian children, obtained by different surveys between 2010 and 2012, was used to calculate sensitivity and ROC curves for MUAC and WHZ.FINDINGS: The secondary analysis showed that using the current WHO cut-off of 115 mm for screening for severe acute malnutrition over 90% of children with a weight-for-height z-score (WHZ)