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王成 主任医师教授 湘雅二医院 小儿心内科

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王成 主任医师 教授
湘雅二医院 小儿心内科

Calgary Score and modified C

发表于 2017-01-09
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Objective To analyze the usefulness of Calgary Score and modified Calgary score in differential diagnosis between syncope and epilepsy in children.中南大学湘雅二医院小儿心内科王成

Methods 201 children (95 males, 106 females, aged 5~18 years) with syncope or epilepsy, who experienced one or more episodes of loss of consciousness were included in this study. Calgary score, modified Calgary Score and receiver operating characteristic (ROC) curve were used to explore the predictive value of different scores in differential diagnosis between syncope and epilepsy.

Results There were significant differences in the Calgary Score between syncope -4.00(-6, 1) and epilepsy 2(-3, 5) (z=-11.63, P < 0.01). When the score was ≥ 1, the sensitivity and specificity of the differential diagnosis between syncope and epilepsy were 91.46% and 95.80% respectively, Youden index was 0.87, and the diagnosis should be considered as epilepsy. There were significant differences in modified Calgary Score between syncope -4.00(-6, 1) and epilepsy 3(-3, 6) (z=-11.71, P < 0.01). When the score was ≥ 1, the sensitivity and specificity of the differential diagnosis between syncope and epilepsy were 92.68% and 96.64% respectively, Youden index was 0.89, and the diagnosis should be considered as epilepsy. The sensitivity and specificity of modified Calgary score and Calgary score were no significant differences (Chi-square=0, P0.05).

Conclusion The Calgary Score and modified Calgary Score might be used as an initial diagnostic method in differential diagnosis between syncope and epilepsy, based on the history of the patientsModified Calgary Score in the differential diagnosis between syncope and epilepsy is more objective, easier to operate in the clinical practice

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