TY - Jour A2 - Tan,Songwen Au - 他,新春AU - 陈,梁子 - 陈,海口奥峰,玉清奥朱,北京互惠y,CAIXIA PY - 2021 DA - 2021/07/05 -肝脏衰竭细菌感染治疗细菌感染的诊断准确性:META分析SP - 5801139 VL - 2021 AB - 我们的研究目的是系统地评估血浆降钙素患者肝功能衰竭复杂的细菌感染患者的准确性和临床价值。在这项研究中,我们在PCT中包含了前瞻性观察研究或随机对照试验。使用诊断准确性研究-2(Quadas-2)工具的质量评估评估研究质量。异质性,汇总诊断赔率比(DOR),汇集灵敏度,汇集特异性,汇总的正似然比,汇总的负似然比,汇总接收器操作特征曲线(SROC)下的区域,以及元旦分析。因此,研究显示了大量的异质性(
一世
2 = 96, 95% confidence interval (95% CI) = 94–99). The results of meta-analysis using random effect models suggested that the combined DOR was 10.67 (95% CI = 3.73–30.53). In addition, the threshold effect analysis showed that the threshold effect was 0.23 and the correlation coefficient was −0.48, indicating that there was no threshold effect. In the forest map, the DOR of each study and the combined DOR are not distributed along the same line, and
问: = 2.2 × 1014.那
P.
≤.
0.001
。此外,PCT研究设计,细菌感染网站和平均年龄的均线分析显示
P.
值> 0.05。合并的灵敏度为0.77(95%CI = 0.54-0.90),合并的特异性为0.76(95%CI = 0.70-0.82),合并的阳性似然比为3.25(95%CI = 2.33-4.52),合并负数似然比为0.30(95%CI = 0.14-0.67),组合AUC为0.80(95%CI = 0.76-0.83)。总之,PCT对成年肝功能衰竭具有中度诊断价值,使细菌感染复杂,并且具有细菌感染的肝脏衰竭更好的辅助诊断指标。然而,成果霉素的结果必须被仔细解释与病史,体检和微生物评估相结合。SN - 1565-3633 UR - HTTPS://Doi.org/10.1155/2021/5801139 Do - 10.1155 / 2021/5801139 JF - 生物电磁化学和应用PB - Hindawi Kw - ER -