Systematic comparison of Kawasaki disease Z-score formulas:Enhancing diagnostic accuracy and clinical applicability across populations  

作　　者：Yan Pan Fu-Yong Jiao 

机构地区：[1]Department of Pediatrics,The First Affiliated Hospital of Yangtze University,Jingzhou 434000,Hubei Province,China [2]Shaanxi Kawasaki Disease Diagnosis and Treatment Center,Children's Hospital,Shaanxi Provincial People's Hospital of Xi'an,Jiaotong Univeristy,Xi'an 710000,Shaanxi Province,China

出　　处：《World Journal of Clinical Pediatrics》2025年第1期63-68,共6页世界临床儿科杂志（英文）

摘　　要：This study aims to evaluate the performance of six distinct Z-score formulas in diagnosing coronary artery dilation in Kawasaki disease(KD)patients,with a focus on their clinical applicability across diverse populations.A retrospective analysis was conducted using comparative statistical methods to assess the sensitivity and specificity of each formula.The Kobayashi and Dallaire formulas demonstrated the highest sensitivity in China,particularly in younger patients with prolonged fever duration.Our findings provide evidence-based recommend-ations for selecting Z-score formulas to optimize diagnostic precision in KD patients.

关 键 词：Kawasaki disease Early diagnosis Z-SCORE Children 

分 类 号：R725.4[医药卫生—儿科]