Diagnostic validity of mean platelet volume in neonatal sepsis: a systematic review

V. Sánchez-Reyna, Sarella Belen Milla-León, Emilia Thayli Monzón-Ascensio, Juan Alberto Nima-Blas, Ronal Niquin-Huancajulca, A. Nolly-Loyaga, L. Otiniano-Ramos, M. Huamán-Rodríguez
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Abstract

A systematic review study was carried out according to the standards of the PRISMA guide. We searched Medline, Pubmed, Central Cochrane and Embase databases. Observational studies (case-control and cohorts) that were published no more than 5 years ago and studied MPV as a diagnostic marker of NS, were included. From 60 articles identified, 12 were selected to be analyzed. We found that the diagnostic cut-off point for MPV ranged between 9.2 and 10.8 fL. In addition, the highest reported diagnostic sensitivity was 100%, and the lowest, 70%; while the specificity ranged from 33% to 94.4% according to each study. Conclusion: The MPV has a high sensitivity for the diagnosis of NS, however, the analyzed studies show a highly variable specificity.
新生儿脓毒症平均血小板体积的诊断有效性:一项系统综述
根据PRISMA指南的标准进行了系统的评价研究。我们检索了Medline、Pubmed、Central Cochrane和Embase数据库。纳入了发表时间不超过5年的观察性研究(病例对照和队列),这些研究将MPV作为NS的诊断标志物。从确定的60篇文章中,选择12篇进行分析。我们发现MPV的诊断临界值在9.2 - 10.8 fL之间。此外,报告的诊断灵敏度最高为100%,最低为70%;而根据每项研究,特异性从33%到94.4%不等。结论:MPV对NS的诊断具有较高的敏感性,但所分析的研究显示出高度可变的特异性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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