Diagnosis value of the serum amyloid A test in neonatal sepsis: a meta-analysis.

Diagnosis value of the serum amyloid A test in neonatal sepsis: a meta-analysis.
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血清淀粉样蛋白 A 检测对新生儿脓毒症诊断价值的荟萃分析

DOI:
10.1155/2013/520294
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发表时间:
2013
影响因子:
--
通讯作者:
Shen B
Shen B
中科院分区:
生物学3区
文献类型:
--
作者:
Yuan H;Huang J;Lv B;Yan W;Hu G;Wang J;Shen B

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新生儿败血症(NS)是人类常见的疾病,被认为是全球公共卫生面临的主要挑战。本荟萃分析旨在评估血清淀粉样蛋白A(SAA)检测诊断NS的准确性。在Pubmed、EMBASE、科克伦图书馆和谷歌网络中检索了1996年1月至2013年6月期间评价SAA检测作为诊断标志物的研究。共有9项研究,包括823名新生儿被纳入我们的荟萃分析。通过诊断准确性研究质量评估工具(QUADAS)评价每项研究的质量。SAA试验在首次怀疑脓毒症时和脓毒症发作后8-96 h诊断NS的准确性中等,Q* = 0.91,与同期诊断NS的PCT和CRP试验相似。研究之间的异质性也可以通过截止点、SAA测定和纳入新生儿的年龄来解释。因此,在我们的荟萃分析的基础上,SAA可能是有前途的和有意义的诊断NS。
Neonatal sepsis (NS), a common disorder for humans, is recognized as a leading global public health challenge. This meta-analysis was performed to assess the accuracy of the serum amyloid A (SAA) test for diagnosing NS. The studies that evaluated the SAA test as a diagnotic marker were searched in Pubmed, EMBASE, the Cochrane Library, and Google Network between January 1996 and June 2013. A total of nine studies including 823 neonates were included in our meta-analysis. Quality of each study was evaluated by the quality assessment of diagnostic accuracy studies tool (QUADAS). The SAA test showed moderate accuracy in the diagnosis of NS both at the first suspicion of sepsis and 8–96 h after the sepsis onset, both with Q* = 0.91, which is similar to the PCT and CRP tests for the diagnosis of NS in the same period. Heterogeneity between studies was also explained by cut-off point, SAA assay, and age of included neonates. On the basis of our meta-analysis, therefore, SAA could be promising and meaningful in the diagnosis of NS.
DOI: 10.2298/mpns0612545j
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